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0051 QUEEN ANNE LANE
i 'i QU-eg�opj 4 iv. i 1 k� 1f 1 [f m� $7 MAR 2 0 2020 PIE TOWN OF BARNSTABLE IEttVlll ROY sa LLIl7 aNs 378 Route 130 Sandwich,MA 02563 PH:774-205-2001.844-90-AUDIT Permit Affidavit r • Permit B-19-950 (,,Craig Bishop,confirm that the weatherization and air sealing work completed at_. .51`Queen_Anne-Lane, Cotuit For PUleo -.has been completed in accordance with 780 CMR. I Si gnat gure: s, Date: 3/16/20 • 4 1 S 1, 1" + - aQ�yylo,r6 /N.lnw �j°/�/�i��1 1 � � � oz� ��� t � f /�R �v-,(moo ,, - _ � _ • �`�" - e __ Town of Barnstable Building _ .� u' 'ng s rnnvrn )Post This Card So That it is Visible From the Street Approved'Plans Must be Retained on Job and this Card Must be Kept s `� iPosted Until Final�lnspection Has been Made. Permit t_ 1 l�llJlll 1 ;t Where a Certificateof Occupancy is Required,such Building shall Not.be Occupied until a Final Inspection has been inade � Permit No. B-19-950 Applicant Name: Craig Bishop Approvals Date Issued: 03/27/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/27/2019 Foundation: " Location: 51 QUEEN ANNE LANE,COTUIT Map/Lot 022-115 Zoning District:. RF Sheathing: Owner on Record: PULED,VINCENT F Contractor Name` Craig? Bishop Framing: 1 Address: 51 QUEEN ANNE LN -Contractor License: CS-109777 2 COTUIT, MA 02635 t Est. Project Cost: $2,246.00 Chimney: Description: Air Sealing and Weatherization Permit Fee: $85.00 Insulation: Fee Paid:, $85.00 Project Review Req: Final: Date: 6 3/27/2019. Plumbing/Gas Rough Plumbing: _ Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months after'issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas; work until the completion of the same. � - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are,provided on t#is permit. Minimum of Five Call Inspections Required for All Construction Work:( Ile Service: 1.Foundation or Footing Rough:_ 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0 N L_�L 1 6f4%,AW4. S&W I t ......................................2CP� Y@E Application number. d e KOM Date Issued..........s`..?. g.............................. STAEM NAM0� AUG 15 2018 Building Inspectors Initials..... .... OWN O� bARNS MLE Map/Parcel......... �Z. , I 1 S ... ........ ............................. ( TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY UNF®RMATION Address of Project: S ( Q e{, A,,)n e- La li P NUMBER STREET VILLAGE Owner's Name: ✓in c P,,-f n✓ l Po Phone Number SoS - 1-12- Email Address: y-���o-�� S�+w; c_o r, Cell Phone Number Project cost$ /�/�6�1 -- Check one Residential V Commercial OWNEW S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: S e ,,4,z c�Ka 06- ��, (c' Date: TYPE OF WORK ❑ iding ❑ Windows (no header change)# ❑ Insulation/Weatherization Doors (no header change)# 3 Commercial doors require an inspector's review ❑' Roof(not applying more than 1 layer of shingles) Construction Debris will be going to co/,,,( / L CONTPaAC Y OWS INFORMATION rr r Contractor's name I�t an `�R nn�So✓� - So t�� d�P�J ���(Ct�� W i n Gl ow S Home Improvement Contractors Registration(if applicable)# 17 2 1-L (attach copy) Construction Supervisor's License# yl S 7 07 (attach copy) Email of Contractor a S w ek�q�,�b Q toai I L�ofn Phone number �Q 1 z 2 R -�9 00 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEAR5 OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUE®. a . APPLICATION NUMBER............................................................ *For Tents 0nbf* Date Tents will be ere cted Removed on number of tents total ( �Does the tent have sides?Yes No (�Yes please attach floor plan with exits marked) ?. Dimensions of each Tent X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent gf food is being served at your event please obtain a Health Department approval between the hours Of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. L� rWOOD/HOAL/PELLET STOVES x Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HONEOW1®EW S LICENSE EXEI2 Y ION Homeowner's Name: Telephone Number Cell or Work number I understand nay responsibilities under the rules and regulations for �aa Licensed ���C®d�ug��d�gand Supervisor in accordance with 780 Cl the Ma the construction inspection procedures,specific inspections and documentation required by 7�® CMR and the Town of Barnstable. Date Signature ]FLI C 'S SIGNATURE Date Signature All permit applications are subject to a building official's approval prior to issuance. kenewal Agreement Document and Payment Terms: Andersen. dba:Renewal B Andersen of Southern New England Y . g Vincent Puleo Legal Name:Southern New England Windows,LLC 51 Queen Anne Ln ♦�♦i RI#36079, MA#173245,CT#0634555,Lead Firm#1237 Cotuit,MA 02635 WINDOW NE LACENENT 10 Reservoir Rd I Smithfield,RI 02917 - - H:(508)428-1304 Phone:866-563-2235 1 Fax:401-633-6602 1 sales@renewalsne.com C:.(508)737-1621 Buyer(s)Name: Vincent Puleo Contract Date: 07/30/18 Buyer(s)Street Address: 51 Queen Anne Ln, Cotuit, MA 02635 Primary Telephone Number:.(508)428-1304: Secondary Telephone Number: (508)737-1621 Primary Email: vfpeotuit@gmail.Com Secondary Email: Buyer(s)hereby jointly and.severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). . Buyer(s)hereby.agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $140661 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $4,887 Balance Due: $9,774 Estimated Start: Estimated Completion: Amount Financed: 8-10weeks 8-10 weeks $14,661 i Method of Payment. Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that' we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: Full financing though gs 24 mo ball pd by gs taxes paid in cotuit Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal.' understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract.if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 08/02/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southem New England Windows,LLC dba:Renewal Anders of.Southern New England Buyer(s) Signature of Sales Person Signature Signature Daniel Charest Vincent Puleo V Print Name of Sales Person Print Name Print Name UPDATED: 07/30/18 Page 2 / 10 i Office of Consumer Affairs and Business Red Nation 10 Park Plaza'- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Remstratilon Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/19/2018 BRIAN DENNISON 26 ALBION RD :.. . L+NCOLN, RI 02865 Update Address and return card.Mark reason for change. Address Renewal Employment = Lost Card QMce of Consumer Afffairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Office of Consumer Affairs and business Regulation Registration:• 73245 Type: 10 Park Plaza-Suite 5170 Expiration: 911912018 Supplement Card Boston.MBA 0_'YF6 UTHERN NEW ENGLAND WINDOWS LLC. 'NEW.AL BY ANDERSON � 2 IIAN DENNISON ALBION RCS/ JCOLN, RI 02865 k_undersecreiary Not valid without signature -- T i\eveai%vr = Canv viGi',:sG v:J -095 3 07 Z . SR'AN D DE ISON 'LAMBS POND CIRCLE CHARLTON M 01607 °r _3. rn,,,., i The Commonwealth of Massachusetts Department of Industrial_Accidents 1 Cona ess Street,,Suite 100 Boston,MA 02114-2017 www mass. ovldia Workers' Com e p nsahon Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Please Print Le 'bl Name (Bissiness/Organizaiion/lndMdual): ` e awl Address: City/State/Zip: Phone�: ' ,D{' Are you an employer?Check the appropriate box: 1�I am a employer with ZD 1_empioyees•(ful]and/or part-b Type of project(required):me).� 2.�I am a sole proprietor or partnership and have no employees working for me in �" NEW CO ling ctlon any rapacity.fNoworkers'compAnsurance required.) E. D Remodeling J3.E]I am 2 homeowner doing all work myself f No workers_'comp.insurance required.]; 9• ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my pro t . I will 10 D Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 LE]Electrical repairs or additions proprietors with no employees 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.[]Plumbing repairs or additions These sub-contractors heve employees and have worker.'comp.msurancE+ 13_aRoof repairs 6. We are a corporation and its officers have exercised their right of exemption,per MGL c. '4. Other f.J U� 151 b 1(4),and we have no employees_[No workers'comp.insurance required_' r 1 R C eiYl e_1 S }Arty applicant that checim box i91 must also fill out the section below showing thei,workers'compensation policy information Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContr actors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. 1f the sub-contracmrs have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insuran cEfor my employees. Below is the policy And)ob site information Insurance Company Name: lrE ple n S . CD C1 Policy 4 or Self-ins.Lic. Expiration Date: / 1 I Job Site Address: Q✓pest �t��n�o Lam. City/State/Zip:C�-f't.;f �(/-� Attach acop}-of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation pit iishable by a fine up to S1,500.00 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.A copy of this statement may be forwarded to the Office of investigations ofthe DIA for insurance coverage-verification. 1 do hereby certify under ih ains and penalties of perjury that the information provided above is true and correct Signature: D Dfte: - — Phone tu: 401- 7-2.e_IT pev , Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License P Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector. 5..Plumbing Inspector G.Other Contact Person: Pbone#: CERTIFICATE OF LIABILITY INSURANCE DATE(MNDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC H122912017OLDER.THISATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED T THE POLICIES E BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. R(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 'RODUCER CONTACT CoBiz Insurance, Inc.-CO NAME: 1401 Lawrence St, Ste. 1200 PHONE 303-988-0446 Denver CO 80202 EMAIL we No:303-988-0804 �INSU�MA: OMail cobizinsurance.com INSU S AFFORDING COVERAGE NAIL fY cadia Insurance'Com an 31325 NSURED ESLERCO-01 Souther New England Windows, LLC. INSURER B:Firemens Insurance Company of WA,D.C. 21784 , Jba Renewal by Andersen of Souther New England INSURER c:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER D: Smithfield RI 02917 INSURER E: INSURER F :OVERAGES CERTIFICATE NUMBER:1252851165 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR ADDL SUBR .TR TYPE OF INSURANCE POLICY NUMBER MDMILDD EFF MOLD EXP LIMITS A X COMMERCIAL GENERAL Lb4BILRY CPA3158728' 1/12018 1/12018 EACH OCCURRENCE $%000,D00 CLAIMS-MADE OCCUR DAMA6 RENTED PREMISES fEeoccurrence $300,WD i MED EXP 1 one person $10.000 PERSONAL 8 ADV INJURY $1.000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.ODD,ODD X POLICY EJECT F7 LOC OTHER: PRODUCTS-COMP/OP AGG $2.ODO.00D I $ A AUTOMOBILE UABILrtY N CPA3156728 1112016 1111201S COMBINED SINGLE LIMB X Ea accident $^0D0 DOD ANY AUTO I i OWNEDALL BODILY INJURY(Per person) $ O AUTO AUTOS BODILY INJURY(Per accident) $ NON-OWNED X HIRED AUTOS X AUTOS i OP. 7n ERTY DAMAGE $ Per a ' I $ � A X UMBRELLA LIAR X OCCUR CPA315872E 1/1/2016 111201E I EACH OCCURRENCE I$10.0OD.000 EXCESS LIAR CLAIMS-MADE AGGREGATE $1C.ODD.00D DED I X I RETENTION$ E COMPENSATION WCA315672&20 i 1/12016 V7201c � H- AND EMPLOYERS LIABILITY Y/* SEATUTE ER ANY PROPRIETOR/PARTNER/EXECLM VE OFFICER/MEMBER EXCLUDED? ED N 1 A E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) N yes describe under E.L.DISEASE-EA EMPLOYEE$1,000,000 DESCRIPTION OF OPERATIONS belm, C Polluton LiabtTdy 7930073340000 El DISEASE-POLICY LIMB $1,000,000 111201E 111201S Each Occurrence $1:ODO.ODO Claims-Made Polity " Retroactive Date 06202013 Dedu=c6'ble $10 00 DOD iESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,May be attached If more space is required) :ER—IFICAT'E HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE .EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE f ©1988-2014 ACORD CORPORATION. All rights reserved. kCORD 25:(2014/01) The ACORD name and logo are registered marks of ACORD P.O. Box 89 Cotuit, MA 02635 508-428-8442 a Fax 508-428-8441 a tit ,w.cott;°iisoiar.cOm November 20,2014 Town of Barnstable Regulatory;Services - Building Division as Principal of Cotuit Solar otciall change the Conslrucdon Supervisor's License from Christopher Pete Y request to Vreeland.#107947 on all Cotuit Solarpro�ects• This change applies Peterson to John building permits in the Tower of Barnstable: PP to the following open solar, 250 Windswept-Way©sterviIle 77.Winter St Hy 26 Little River Rd Cotwt 170 Capes Tto West Barnstable 55 Hilliard's HayWay West Barnstable 51 Queen Anne.Lane Cotuit 32 Kimberly Way Cotuit _D 340 Vineyard Rd Coturt . Please see attached CSL and supplemen Y TUC Iicense fo r John Vreeland. Ple e Cotuit Solarffi .oce with questions or for more information. contact the M Regards, �l Canrad Geyser , Quality renewabTe energy systemas since 1988 CERTIFIED De§inn InstalI�ta®Ye Cert4031409-40 Photovoltaic a SeMace solar T>iaer�al e Wand °•� �o ` Conrad Geyser •"•x�..�'A Cert#S7032407-B Conrad Geyser.; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board yG Historic - OKH _ Preservation/Hyannis R Project St r et Address 5� &kA ea A)n ne LOLhe . g Villa e lA Owner V 9y _ ?Weo ___Address b� &uP�.� Aygv-)� Lane Telephone �� 1304 Permit Request 7— aafi on , w r n VIAled --sh to rocE Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay c3 Project Valuation Construction Type E ' ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documefflation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) - �r Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's iighway: .0 Ye ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new _ Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other \ Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �— r �C� � "' lele oneVn umber 6CR_40�?'?_' +,� AddressD BOx Oq CDti 1 Il �icense # � � Home Improvement Contractor# 1 4 0—7In Worker's Compensation # WS�51 (p 0 ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PRO ECT WILL BE TAKEN TO s-� rn SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 1 � ` MAP/PARCELNO. i y 1 ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME a INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t FINAL ' 1 GAS: ROUGH FINAL , 2D 31 s ,FINAL BUILDING ® -, a t DATE CLOSED OUT } ASSOCIATION PLAN NO: —_ IKE Town of Barnstable Reg111a#ol-y Services s Tbornas F,Geller,Director iQj1;6 t/ En u+t l$tti r3 n llIVi, ion Tout ferry, Building COrnrnisVoner 200 Main Strccl, 14yannis;MA 02601' ;F,'Ww.town.Wirn sin bla ma.us Office- 508-86) 403R Fax; 508-790-6'230 _Property Owner must Complete and Sigii. his Section If Ustog.A..Buxlder i Vl.� ►�+' i , ' as Owne r©t the subject property • I I 10, ,hcreby a� thoriz� o r ram, as act orl rm f behalf, I its A n-mac_,ts ri'_la.G.vf�to woi~l$:authorilc.:cj by this 1:ac iJd61 for: 1 Queer Anne an _- Addr&y,s of lob) J of i _. mer If Pcoperty Ou &c is applying for permit please complete the 1=14Tn.e�amer�,L.icr_si�e Execnprton Forirs. on ffe revene— side: f y 51 Queen Anne Lane Cotuit Vincent Puleo ' 27 Solar Photovoltiac panels mounted 'w flush to three portions of southern all roof weighing—2%Ibs/ft2. .SPRA9 M00411C PRe,04 ML TOE Doom CL&MP . � '.�►ti p S5 NEX Both- , e-SO w �. t OIL 9Nt1►9l��dy CAW. LAC, '"MAL M evN'tsaJ6 . Py Pfiag�s/ PR a.�aur¢ F-�AcaM►i solar electricity 235 WATT Sharp's highest-power residential solar module makes a beautiful addition to nearly any roof. RESIDENTIAL MODULE NEC 2008 Compliant ENGINEERING EXCELLENCE NU-Q235174 is the perfect combination of,high performance and design. ADVANCED AESTHETICS Sleek,black frame module provides an elegant, appearance that blends beautifully with your home's roofline. DURABLE Tempered glass,EVA lamination and weatherproof backskin provide long life and enhanced cell performance. RELIABLE 25-year limited warranty on power output. HIGH PERFORMANCE This module uses an advanced solar cell surface texturing process to increase light absorption and improve efficiency. NU-Q235F4 RESIDENTIAL 235 WATT MODULE FROM THE WORLD'S TRUSTED SOURCE FOR SOLAR. Our most powerful residential module manufactured today, the NU-Q235F4 blends high performance with advanced aesthetics. Black iy backsheet and sleek black frame create a moderns t. silhouette on near) an roof. Using breakthrough Black frame improves aesthetics Laminated glass construction Y Y 9 g for residential roof top applications. in a high torsion frame. technology, made possible by nearly 50 years of proprietary research and development, this SHARP:THE NAME TO TRUST module incorporates an advanced cell surface When you choose Sharp,you get more than texturing process to Increase light absorption and well-engineered products.You also get Sharp's improve efficiency. Versatile enough to permit proven reliability,outstanding customer service and installation on nearly any kind of roof, the 235 the assurance of our 25-year limited warranty on watt module is the newest innovation in Sharp's power output.A global leader in solar electricity, Sharp powers more homes and businesses than residential product offerings. any other solar manufacturer worldwide. BECOME POWERFUL 235 WATT NU-Q235F4 NEC 2008 Compliant Module output cables:12 AWG PV Wire ELECTRICAL CHARACTERISTICS DIMENSIONS MBXI.Power(Pmax)* 235 W 1 BACK VIEW C Tolerance of Pmax +10%/5% I A —I� SIDE VIEW Type of Cell Monocrystalline silicon i� O y I E Cell Configuration 60 in series S Open Circuit Voltage(Voc) 37.0 V j Maximum Power Voltage(Vpm) 30.1 V e Short Circuit Current(Isc) 8.50 A Maximum Power Current(Ipm) 7.81 A - Module Efficiency(%) 14.4% Maximum System(DC)Voltage 600 V e i Series Fuse Rating 15 A V NOCT 47.5°C Temperature Coefficient(Pmax) -0.485%/°C (4)g035Y8mm Temperature Coefficient(Voc) -0.351%/°C i Temperature Coefficient(Isc) J 0.053%/°C (a)002r 5:1mm o O O � 'Illumination of 1 kW/mT(t sun)at spectral distribution of AM 1.5(ASTM E892 E , global spectral irradiance)at a cell temperature of 25°C. 1 T F - C i i t MECHANIC CHARACTERISTICS A B C D E AL _ _ << 39.1"/994 mm 64.6"/7640 mm 1.8"/46 mm 14.4"/365 mm 3.9"/700 mm ! Dimensions(A x B x C below) 39.1"x 64.6"x 1.8"/994 x 1640 x 46 mm F G I Cable Length(G) 43.3"/1100 mm 377-/958 mm 43.371100 mm Output Interconnect Cable 12 AWG with SMK Locking Connector —�� - Contact Sharp for tolerance specifications Weight 41.9 Ibs/19.0 kg Max Load 50 psf(2400 Pascals) Operating Temperature(cell) -40 to 194°F/-40 to 90°C "PV Wire per UL Subject 4703 QUALIFICATIONS __ fir UL Listed L 1703 rt U Fire Rating Class C cO°S Sharp solar modules are manufactured in the United States and Japan, and qualify as "American" goods WARRANTY under the"Buy American" clause of the American 1 25-year limited warranty on power output Recovery and Reinvestment Act(ARRA). Contact Sharp for complete warranty information _ A� Design and specifications are subject to change without notice. Sharp is a registered trademark of Sharp Corporation.All other trademarks are property of their respective owners.Contact Sharp to obtain the latest product manuals before using any Sharp device. , n n��^ YOUR SHARP DISTRIBUTOR �u��ul ❑ u Illy DC POWER SYSTEMS&SOLAR DEPOT DC Power SOLAR DEPOT 800-967-6917 ® 1500 Valley House Dr,Suite 210,Rohnert Park,CA 94928 systems www.dcpower-systems.com&www.solardepot.com ©2011 Sharp Electronics Corporation.All rights reserved. 11F-089•PC-04-11 I VUH C t & ASSOCIATES Structural Engineers. CUENT_ p �Saar Products,irtc. z�Ross AwL.ozm4CA93M 'ieb Spg.4884700 .Subject Static load lit results for the l oll0wing Ierttwlrtd 4md flat ttfm Frome a R °e pitsl#t� iinFb3': Mumag3riM l�jgtlt`C L) 55 235 Rt3ofilrac� 65 � f p s�in� -Mree modules.as spet�d above,ea m hoit�ed to 1.38'd-5�' F octal SolarProducts(MP)paced RGGf r * a ra s t�rg an asserr►i�lY of 5%�,{'`Stain ss Steel{SS)isotts, altutiinumclar�sarKiirtsetts_TheRoafCracasu�tsorira� satfaef�edts�� rac9 SS lockwasfrs attd d rywfttt a 3/8'SS uutand SS washer acsoc at3adhment t�alt�fs.i �P f structural attecsune $ 3-1/2'SS tas bags at�cfn aril consisted of 4sr frontto rearwith str www . wooden rafaus n dng attachments spaced 48"on center. pROCEOURE{a?sisown in attach �r'�test set up wastsp loaded 155 lb/w iibe setup remained 7ESf tin derbWon and anysigns of permanent deformation were loaded for an apt period of3tt minutes.cite d*to rn mcotded-lbet st-SO pwasthenkwerted and loadted'tosimulaffithe upiiRcortdition.The testset upwas re-loaded to 55 tb/ft?The setup Wined loaded for an approximate period of 30 minutes.1i�e maximum deflection and anY s>gtts o permanent detomtatiort were recorded. Tl?aTRFStll�S: recorded The maximum top load deflection was at 0.469",with no permanent deformation. The maximum uplift deflection was recorded at 0.313%with no permanent defomtatiort. used with modules,as sperfried above,withstands a 55.lb/W static This documentcertrfiest6e RaofTrac�mouontffn sy-tem elY�35 mph"_The mounting system performed as expected.- Pressure toad,equivalent to a wind sperm Sincerely. fames R.lfnci,S.E. 7here.�►titsOM'S mus ec lug n tbatVmd& -o r mV'ded ntabservatron iort 3 to rig emani d inttr+s d& MaM w toed testrettect�utatdam°tr atdare afi! miudandssGY ;d engn ediw.dulemaurtm�gs nottieldr orven7gthat#sMo+�nfts 'S a' ineusengineeri report sowt m venTj�mgtftaautlientfcitYofll�Pr°ixte�7/mountingqrsiem•$Penneneret won. y��a Toas�tftebmldmgirt � ortatteastrxteoftttem�ttatPRattt�or ���if�L► I 58ver i `Kaorrraa°"tabef,�sttottrt Prod.pet Ag at the uadersideof n%L .p ,y�pedwith"Ptat�rtd entshouldtseitt �flteprrWPUKlmtefacpW1unSvetD VA sUMU"alalrochrtt!tt:fagbditattactrm itistherft t t etof weak a tismade 5/3G�g t a 36 t>aat totltemafMvcGrremaY taihestnrrxsualr>�r>esofthemo�Fa6uretos°a�t -- ;p,rtefty p ttatR4wy0rprttPNWdam4--�4 stt� at zs tm thelaadbr•rDdwr oftt svucwmthemoutttng m othCe QQ4l '�f Stan/matures are befthUM11W Om tcca�W8 'WMwwtaewied� sow PtoducLS' �liy (,�ftngFastfacl�=tr"teTrac?s�') &wilesMemrt�w l nslaPd�a'd.tesdtoUL17Q3.aregttWesMdftSySMM uea>ctudeainthis engxteafnir bnrtd toad a me L mph o51 12 roof �*WAtdioadatEv2kW1q �vatuasusi� em FOB` Pura or Jam 115 tttfth for t; M 5/42 roof O.tO)acid gust t} defined in the20DSMA0070cl w**Moduteb��"x39:i'xi8'(.shrp) . ,y,ytagloadtaUngaf301b/ft2ba5edan1_6s3YatYfa= 3,1324 VIA COLINAS STE 401 i�lFL=STLAKE VILLAGE, GA 9936 P�'� Page 1 df 3 r t The Commonwealth of Massachusetts i Department of Industrial Accidents t 6 a Office of Investigations 600 Washington Street tV s Boston,MA 02111 �rti.4 f4J .. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Ap licant Information (�p-� �'` Please Print Le 'bl Name(Business/Organization/Individual): W t Address: City/State/Zip: Cv f u Ifi A oaa3s Phone#: C., 49 _ 4 Are u an employer?Check the appropriate box: Type of project(required): 1.[ I am a employer with�_ 4. I am a general contractor and I 6 New construction have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'comp.insurance comp.insurance.: 5. � We are a corporation and its 10.❑Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work officers have exercised their 11.0Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no a r employees.[No workers' 13.�ther 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: — ))'' (s7 O� Policy#or Self-ins.Lic.#: G©��- `Tef� Expiration Date: COI a Job Site Address: U � ` 1�`'✓� 4 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. `I do hereby certify er the pal (and p aloes of perjury that the information provided above is true and correct Si ature: Date: I W Phone#: —7 7 4 S o2 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: PermitlLicense# Issuing Authority(circle one): . 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MMIDWYY}'Y) A ORD. CERTIFICATE OF LIABILITY INSURANCE -06�/3-6�2011 PRODUCER 781? 312=7206 THIS CERTIFICATE 15 ISSUED AS A lIUPONkTTErm:R OF 1NFORMA7'ION ( ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Doh Bunker insurance Agency HOLDER. THE THIS. CERTIFICATE DOE SY NOT POML Oki B EXTEND OR 51 Mill S1_ Bldg. F _ - P0 BOX 221 NAIC a Fanover MA_ 02339- INSURERS AFFORDING COVERAGE L4SURERANaut.1lus Inc Co: INSURED CoLu=t Solar IBC INSURERaA=bella Protect=on INsuRetc C-rzs�i-te State Insurance 3800 Falmouth Road INSURER ;Marston Mills M� .02648-. INSURERE: COVERAGES BEEN ISSUED ABOVE THE POLICIES OF NS RA CE LISTED O ANY CONTRACT O OTHER DOCUMENT WITHN RE�SPECTTOFWHICH THOIS CEFti1F(�-E 1riArY BE SSUID Y PFRTAI�N. REQUIREMENT.TERM THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS. IXCLUSIONS AND CONDTRONS OF_$UCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iPt}LICY POLICY EXPIRATION Llmrm `. PQUCYNUMBER 1 DA Cyk:r1_L ) DATE(MMIDDIYY) IMINSRAD TYPEOFIN URANCE. S - 1,000,001 i�1l7026T07 06/01J2011 06/Ol/2012 rJiCHOCCURRENCE A X, GENERAL LIABILITY DAMAGETO RENi6D S _ 50r O01 X COWAERCIAL GENERAL LIABILITY PREMISES j ME)EXP(AnYcs pusm) �s 5,OOt CLAIMS LODE X OCCUR {{ 1,000,001 PERSONAL&ADV INJURY iS GrENERALAGGREGATE S 2,000,001 GEN'LAGGREC�r IAAPPLI=S P� PRODUCTS-COM, PAGG S 2,000,001 POLICY JPERCaT LOG. / / / / B AUTOGil081LELL0.8ILJTY 26916400003 04/30/2011 04/30/2012 CO.MBINEDSINGLELLMM IS 1,000,001 (ca ) ANYAUM Au-OANEDAUTOS (Perpason)) . (Pep X SCHEDULEDAITTOS $ HIRED AUTOS BODILYINJURY S (P-6dart) g NON-OWNED AUTOS / / / /• pROPERTYDALIAGE S AUIOONLY-EAACcwar,r, 5 GARAGE LJABRITY ANYAUfo EAACC S AGG S AU700NLY: 06/01/2011 06/01/2,012 EACH OCCURRENCE S 2,000,00: A X -mwxzvUM8RELLALJABILITY B*T002320 000,00 AGGREGATE S 2,, X OCCUR Q CLWS MADE S OEIUCMLE S. SX RETENTION S IO A V STATu- OTH 03/2bj2021 03/26/2012p X TORYtlitiTiS ER C INORIr,BRSCOMPENSA7IONANDrC 003-49-5161 500,00 EMPLOYERS'LJA6lLln' E.L EACH ACCIDENT S ANYPROPRIETORRARTNERc!-ZCUiNE I / I I EL DISEASE-EAEMPLOY S 500,00 OFF(CEEUM,j8ERSICWDEDZ 500,00 Dyer of ELDISEASE-POLICYLIMIT S SPECIALPROVlSIONS WJmv OTHER DESCRIPTION OF OPERAiiONS=CATfOHSNEHECL�SIFXCLUSIONS ADDED BY ENDORSEMEMISPICIAE PROVISONS Solar Heating Contractor Masta—I ati.On ox solar panels *AGGEGG= y3XT Aap=S MR PPjDnCT Adclii ioai'� Zasured: Mass usetts Cleats,�er9Y Technology Center, the oeaers as applicable the host cQstomer. O11 LDER CANCELLATION CERTIFICATE H SHOULD ANY OF THE ABOVE DECREED POIJCIES.f3E CANCELLED BEFORE THE EXPIRATION DATE THERM iF. THE LSSUING INSURER vALL ENDEAVOR'TO HAIL 30 DAYS vmTTEN NOTICE TO THE C13MCATE HOLDER NAMED TO THE LEFT SUT massahcuse s. clean -Energy FAILURE TODOSO SHALL IMPOSE NOOBLIGATIONORLu181USYOFANIfKIND UPON T!LE t oRREPRESBQTATIVES Technology Center INsu rrsAG _ 55 Summer Street, 9th Floor AUTO Boston Mai 02110- - - aACORD CORPORATION 19 A/CORD25(2001/05), ELECTtONICLASERFORMS,INC--(9I1DW-wT PaPt "Sri INS025(010405 f _ O face of ConsumeMfiaigreanAdBusiness Regulation w 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 f a : Home Improvement-.Contractor Registration Registration: 146276 j Type: Supplement Card • a Expiration: 402013 E a W ` COTUIT SOLAR { r z o CHRISTOPHER PETERSON ? r� 0. CV ! 3800 FALMOUTH RD. ; .o o MARSTONS MILLS, MA 02648 r O W ,a r Update Address and return card.Mark reason for change. _Address Renewal Employment Lost Card ' 4" a Z z DPS-CAI 0 WM-04/04-G101216 7 �, `� �*, ✓1� ����„ li/ o�✓liar/«tea _ WF !`'( -\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: j U OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Reg istration;:;!.J 6.4 6 Type 10 Park Plaza-Suite 5170 Expiration, 4/8/,2013 Supplement Card Boston, 02116 COTUIT SOLAR CHRISTOPHER PETERSON P.O.BOX 89 COTUIT, MA 02635 Undersecretary Not valid without signature �•. :a r� y-4Pt '" tt, ti n c. a +�,,. 4 i rre ws^, 9.�kP'M . . ae r S� s ?'`� ti ,3; e' a- t, b.c"5 hA�6.;,"', .,Q.,.a•C re Y�;� y R y�,� � 4 r• � .,: s �' r. t r,�c+� k3;� _ �._..._ Appeal�or�Permit No C 1985 114 � appeal' Special Permit Status`�� Pending 1 L'�": s k t"A�"�F�}' i PY Last r. 1 r}Applicant Vi ncent i L , t Addr '- ° t � 1ddr2a 51 Queen Anne Lane #� Village Cotuit MA 02635 S c, +;— 'y,a�.`e, v.. Aff�Re,c�ueiVdd 01/12/2009 � Map Par s' 022115 Zoning sir RF x r #�' dy? L'vi grr 6� a�"',, t� Book 8546 Page 104 a � K-44 - ` 3�6 Notes 2010: father passed away 11/20/09. 1/28/10 send letter and '" �� r4 a to restore to sf. 3/30/10 20100288 to restore to SF en pp not submitted, no prerequ.s as of 3/30. ° CI9se rm�, � "",,yam.; +���Nx �s�.t���x �v �. '� s+�' � t. ,���'rrzw,� a+��rr� w�;"k�g, ��"z������4{r�.,i'z6 F��} �r'���t ^�a�✓,��5��t�� 7�¢6��." `� �r z> a �>4• ^,fie' �' d a�r .'�5�" �'�'�.v. � r A, ��y��`w��^�z �,�,k�"�,., 's ��"i��'�'{ ``� ".3i� �.:"S"s$P"g`�.:� '�v,.W ir'Y�,..�'T`.n,aa♦t- :3 �C i MF�,-.9.. § `h. ��. .:-S„t>S4#�`- .tL.4S�P,.�C3:. I° �- � t o�JAT 1s /S � 4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town:i ., MA. Date: h--]- ,,zmoEPermit# CJICJ�I d- a` r am- `..�.. Building Locations �e rm.�0•n Co v. Owners Name:! %T,v,u-A- Type of Occupancy: Commercial 71, Educational� Industrial Institutional 0 Residential New: Alteration: Renovation: Replacement: Plans Submitted: Yes 0 No FIXTURES z �{ z 0 W Z co rn } co 2 Imo- lNii N a• z H Y cq a U N 0 QQ X m y W Q o. Fw- Z W 0 Z Cn .to 0 U a LL 0 CO �O, a x > Ww o to F- U. O O z f" _ o a m rn- F- 5 o SUB BSMT. BASEMENT Ibl FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 1 HFLOOR 7 FLOOR 8 FLOOR Check On6-Ohly Certrfica Installing Company Name: mi.r�ry`5 Corpo(ation = Address: —u. �r�L�cT `n1 Ci /Town YYIi. iState: MA � / v Partnership NQ Business Tel: f�i l 1—"�'�` ...�'����.� Fax: _ Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL.Ch.U2 Yel o If you have checked Yes,please.indicate the type of coverage by checking the appropriate box below. A liability insurance policy j.t Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner L Agent Signature of:Owner or.Owner's Agent, 1 hereby certifyahat all of the details acid information I have submitted(or:entered)regarding this apPlicatlon are rue'and accurate to the best of my Knowledge and:.that alf plumbic g work.and Installations.performed unlpr.the'.permit issuedlfor this,application will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Gode and Chapter 142 of a General Law N A 1. JJ '. ByT,Xpe,of License Title Signature of Licensed Plumber ! -- _- r I � Plumber I� % �F. Master cityrrown �a License Number: i APPROVED OFFICE USE ONLY Journe man i r a t - - oFt rOwti Town of B arilStable *Perm i =Expires 6 months from issue date a,�.rsresre, • Regulatory Services F e v nsnss �g Thomas F.Geller,Director Eo q. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508 790-6230 EXPRESS PERMIT APPLICATION - RESIDE NTIA:L ONLY Not Valid without Red%Press Imprint Map/parcel Number Prope Address �' U Value of WorkO esidential t ) Owner's Name&Address " �1J Telephone Number�)�'1�S✓�11� Contractor's Name --,. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ensation Insurance ®P PER 4worM kman's Com P Check-one: `-Eg 24 Z009 ❑•I am a sole proprietor ❑ I am the Homeowner have OVorker's Compensation Insurance `TOWN ®� �ARtJSTA�L Insurance Company Name Workman's Comp.Policy Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side' i Replacement Windows. U-Value 3� (maximum.44) *where required Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop ust sign Property Owner Letter of Permission. 0 ovement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 y . d•.—oI-Buiitling.l2tgp-alioiiy uid Stiriiil.rrrls onstruction upervisor:":Licen,5'e C rt License:. C:S- 66`43 Expj66.ow 1018/2000 Tr# 94>7 Rest ictkjn: 00. . r B'RAU K SPRINKLE 190 L:OTH•RO.PS LANE W BARNSTABLE,'MA'02668 Ca nuks-Ril cr 0.0 35:0'00 cf enclosed space 1-A IViasonry only s: 1,G 1 _2 AMily H-0 es E aituire W.poss:ess a current edition of the F. 1VIassactusetts State Bu•il'1.i Code i I is cause for revocation of`ahis heens:e. �i Board of.Buildrng dieguiations an-&Stan.d'ards 1aP x�4ia- HOME IMPROVEMENT CONTRACTOR F % Registration: 103757 Ezpirapon 7/9/201`0 Tr# 271,033 Type:; Pnvate Corporafio'n SPRINKLE HOME IMPROVEMENI,.fNC: Brad Sprinkle 199 Barnstable Rd. Hyannis,,M'A 02601 AJrninistratoi' License or registration valid for individul use only before the expiration date. If found return to: s Board of Building Regulations and Standards One Ashburton Place Rrn 1301 Boston,.Ma.02108 -- Not valid wit out sig tuY r—ems 12/31/2008 14: 18 Bryden & Sullivan Insurance Donna Seviour-*Margo 1/2 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DS DATE(MM/OD/YYYY) SPRIN-1 12/31/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 62601 Phone: 508-775-6060 Fax: 508-790-1414 INSURERS AFFORDING COVERAGE NAIC 4 INSURED INSURER A Associated IDdusLxies of MA INSURER B: Spprinkle Home Improvement Inc. INSURER.C: 199 Barnstable Rd INSUPERD: Hyannis MA 02601 - INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN,REDUCED BY PAID CLAIMS. INSR DDT. POLICY EFFECTIVE POLICY EXPIRATION - LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE IMMrDO/YY) DATE(MM/OD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LABILITY PREMISES(Ea odcurence $ CLAMS MADE OCCUR MED EXP(Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPUES PER: PRODUCTS-COMP/OP'AGO $ POUCY JE T LOC AUTOMOBILE LIABIUTY ''� COMBINED SINGLE LIMIT $ ANYAUTO - (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIP-EDAUTOS BOOILYIWURY $ ' NON-OWNEDAUTOS (Per accident) PROPEP.TYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIOENT $ PJJY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ .t OCCUR ❑CLAMS MADE - AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WC STATU OTH- WORKERSCOMPENSATIONANO TORYUMITS ER EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNEP/EXECUTNE AWC7004943012009 01/01/09 01/01/10 E.L.EACH ACCIDENT $SOOOOO OFFICERIMEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $ 500000 IT•ea.describe under - SPECALPRO%1SIONSOeltw E.L.DISEASE•POLICYUMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SPRNRHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Sprinkle Home improvement, Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO Do SO SHALL Fax #508-775-1350 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Margo Mack 199 "Barnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE lKelley A.Sullivan ACORD 25(2001/08) O ACORD CORPORATION 1989 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, LOPlicant Information ,, n' Tow Please Print Le ibl lame(Business/Organization/Individual): �yi— -A&, � �Y� ' Actress: t� :ity%State ip: Phone fit'/ •e you employer?Check the appropriate box: Type of project(required): " a employer with 4. ❑ I am a general contractor and I employee$(full and/or part-tim.e).* have hired the sub-contractors 6. ❑New construction listed on the.attached sheet. 7. ❑Remodeling ] I am a sole proprietor or partner- These sub-contractors have ship.and have no employees 8: ❑ Demolition working.for me in any capacity. employees and have workers' 9 ❑Building addition comp. insurance.t [No workers comp.insurance 10.❑Electr rep airs or additions required.] 5. ❑ We area corporation and its- re p I qu a homeowner doing all work officers.have exercised their I I.❑Plumbing:repairs or additions myself. [No workers'comp, right of exemption per MGL 12.0 Roof repairs insurance required.]t e, 152, §1(4),and we have no employees: [No workers' 13 Other �L�� comp,insurance required.] '�� applicant that checks box#1 must alsoZ11 out the section below showing their workers'compensation policy information. neowners who submit this afdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. rectors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have iyees. If the sub-contractors have employees,they must provide their workers'comp.policy number. an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site oration. ; ance Company Name:,(, �Tf42 CV — ° y#or Self-ins.Lie.#: `Act Expiration Date: rite Address:_l��, 1�1/MliWute �(� City/State/Zip: (�XM(7 VV`� :h a copy of the workers'compensation policy.declaration page(showing the policy number and expiration date). re.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ip 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 to$250.00 a day against th4 violator. Be advised that a copy of this statement maybe forwarded to the Office of - ti ations of the DIA for insuraric e c e verification. tereby certify d I -an enalties of perjury that the information provided above is true and correct. lure: r. Date: _ JU ticial use only. Do not write in this area, to be completed by city or town offlcial ty or Town: Permit/License# uing Authority-(circle one): 3oard of Health 2.Building Department 3.City/TownClerk 4.Electrical Inspector 5.Plumbing Inspector Xher ntact Person: Phone#: zrti Town of Barnstable Regulatory Services. HAMST♦ ♦ M ssA. Thomas F.Geiler,Director �f1639. 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, \(to cp'n't' PU W , as Owner of the subject.property hereby authorize Sx m Ue_ )m-.D—Tkn,o, to act on my behalf, in all matters relative to work authorized by this building permit application for: 5� &)ee n anfV- \aA-Q--, (0-tO��- Yr 02-.(o3 S (Address of Job) 6L- n -off Signature of Owner Date t Name If Property Owner is applying for permit please complete.the ,Homeowners License Exemption Form on the reverse side. "Q:FORMS:O WNERPERM ISSION Town of Barnstable �oFTHE y�P Regulatory Services BARNST.,BL : Thomas F.Geiler,Director MASS.> 16+� Building Division rfDi Tom Perry,Building Commissioner 200 Main.Street,_Hy_annis,MA_02601__ vtvv.to wn.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current 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 Persons)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 buildinepermit. (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 thathe/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building pemit is required shall be exempt from the provisions of this section(Section 1D9.1.1-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:forrns:homeexempt 090D Vr r,�e►-rf �u,C,r�(7 i �,k.�►e� Qb0 �n� r Town of Barnstable Regulatory Services * snxivsTnsi.E, „,,�, g Thomas F. Geiler,Director 1639. ♦0 'OrEnr,u+°i 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 December 8, 2011 Vincent F. Puleo Jr. 51 Queen Anne Lane Cotuit, MA 02635 Re Family Apartment Affidavit: Dear Mr. Puleo: This is a follow-up to the letter sent to you from this office dated January 28, 2010. In that letter you were asked if you were going to dismantle the apartment In order to be in compliance with the Town of Barnstable's Zoning Ordinaces, you must complete the enclosed building permit application to Restore to a Single Family. You have until December 28, 2011, to resolve this issue, or you will be fined up to $100.00, per violation, per day. Please complete the enclosed Family Apartment Affidavit and return to the Building Commissioner's Office. Please contact me if you have any questions at 508-862-4039 Sincerely, Brenda Coyle Division Assistant Enclosure cc: Robin Anderson Zoning Enforcement Officer. oFt ,, Town of Barnstable Regulatory Services + BAMSTABM 9 MAss. Thomas F. Geiler, Director �p .i63q �0 rEn 39 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 January 28, 2010 Mr. Vincent Puleo, Jr. 51 Queen Anne's Lane Cotuit, MA 02635 Dear Mr. Puleo: We have received the Family Apartment Affidavit letting us know that your father has passed away and that you will be dismantling the apartment. Enclosed is a building permit application to Restore to a Single Family. Please complete and submit the application as soon as possible. If you have any questions, please call me at 508-862-4039. Sincerely, Lois Barry Division Assistant Enclosure TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel Application #02� 6 , 14 Health Division Date Issued t Conservation Division `F Application Fee :¢T Planning Dept. � .� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis . Pro ec Street Address U f�' Village : 1. l^ Owner" C : ' ?QL�D Address �Tefephone �b� - �iZ� � 130�1 L% jkkU 1 1 1 Square feet: 1 st floor: existing�2�proposed?PW 2nd floor: existing proposed Total`new (� Zoning District Flood Plain_ Groundwater Overlay CProject Valuation" Construction Type Slc`�= 0�G1 /CLN\))VVT-)OiU � Lot Size /S Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family '�( Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes >0 No On Old King's Highway:!'0 Yeses ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) end 1 Basement Unfinished Area (sq.ft)' 0 = ' Number of Baths: Full: existing. new (Z Half: existing �I new-, Number of Bedrooms: existing ® new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: )6 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 ara e: existing ❑ new size Shed: ❑ existing ❑ n "s new size Other: 9 9 � 9 — 9 — e Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes YNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Telephone Number S08" I"ZO" 691 Ad-iress x'Z =5 I _ License # ....,. r,0_)_V Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION' EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IG�N/►TURE—_ f rDATE?' :f `- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO.. ADDRESS VILLAGE OWNER ` i DATE OF INSPECTION: - _FOUNDATION. '_- ` FRAME INSULATION: FIREPLACE t f • ELECTRICAL: ROUGH FINAL .PLUMBING: ROUGH FINAL ,GAS: , ROUGHt"'. d' FINAL ,,-FINAL BUILDING, DATE CLOSED OUT _ k ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, . 600 Washington Street -Boston, MA 02111 s www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): .. Address: City/State/Zip: (� OzC35 Phone.#: 5o8 Are you an employer? Check the appropriate box: Type of project(required): 1.El I am a employer with . 4. 0 i am a general contractor and I employees(full and/or part-time). *. have hired the sub-contractors 6. ❑New construction .2.0 I am a sole proprietor or partner-' listed on the attached sheet. 7. E]Remodeling ship and have no employees These sub-contractors have 8. "0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp, insurance comp.insurance. # required.] 5. 0 We are a corporation and its '10.0 Electrical repairs or additions 3.10 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other AIJ� 1N -��� comp,insurance required.] 1. *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have: employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. M Expiration Date:_ Job Site Address: City/State/Zip: Attach a copy of the workers compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pac andpenatties of perjury that the information provided above is true and correct . Siznature. �' Date: Phone#: _ I 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.BuiIding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,-oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or thistee 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 Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage.required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete"and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office'of Investigations has to contact you regarding the applicant: Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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. # 617-727-49 .0 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617427-7749 i www.mass.gov/dia f � VE Town of Barnstable "0 Regulatory Services EkRNsr,BL Thomas F. Geiler,Director muss =bs� Building Division `rFD � Tom Perry,Building Commissioner 200 Main.Street,_Hyannis,MA 02601 www.town.b arnstable.ma-us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMTTTON SS Please Print DATE: JOB LOCATION: nv err strcot village .'HOMEOWNER": C:r _s7 na c home phone# work phone# CURRENT MAILING ADDRESS: city/town state rip 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. DEFINI I!ON OF HOl M07-trNIER 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 constrgcts 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 ectio rocedures and requirements and that he/she will comply with said procedures and r e nts. Si turc o HomFo cr 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 EXEMPT bN .The Code states that "Any homeowner perfonring work for which a building pcmvt is requimd shay be ezcmpt from the provisions of this SeCtiOn.(Sectian 109.1.1 -Licensing of construction Supcmzsors);provided that if the homeowner engages a person(s)for hire to do such wore that such Homeowner shall act as supervisor." Many homeowners who use this exemption arc unaware that they am assuming the responsnbilities.of a supervisor(sec Appendix Q, Ruics&Regulations for Licensingm Construction Sup isors,Section 2.15) This lack of awarrness r2firn results in serious problems,particularly when the homeowner hires unlicensed persons, hi this case,our Board cannot proceed against the unliccascd 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 ruponr)bili6cs,many communities require,as part of the permit application, this the homeowner certify that he/she understands the msponnbili6cs 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/cerdficaLion for use in your conanunity. Q:for7ns:homco:cmpt Town of Barnstable Regulatory Services � YA.Rh[6TABL.E, F MAss g Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner t 200 Main Street, Hyannis,MA 02601 www.town.b arnstab l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign.This, Section , If Using A Builder I, as Owner of the subject_property hereby authorize to act on my behalf, m all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner.is applying forpermit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WhrERP ERMLSS]OTd :LAW=K i 1J�N Li�ylty� I t AwGC Abowo 3ATJA 2 t wv.D -SIN Lm LAvIN r- <zwst7r �� 9X,-beD ■ I 0 MOM M MINE MINo N MINo IS 0 N SENSE M , BEEN ON ME ME MEME MEMO M NONE MOMMEN MEN M MEN ME � 7 0 MEN MEN M on ON no 0 ONE DC � Nis Now ME i � �i NONE M ■ No In 0 ME MON Elsom OMNI M NONE MEN M NONE No 0 M M ME MEN. Ill. 0 MEN r 0 M MEN i� 0 ME NOMINEES No 0 IN M ME M ONE No ME 0 M ME ME 0 No Ml No M MINE M ME ME MEME ON No 0 MENEM INN IN ON mommo MEN mmom M EMEMEM ME No MOMEN 0 MEN 00 NONE i N ga� ac)+ � II � _ 1 1 / r TOWN`OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� _ :� Permit# Health Division Date Issued Conservation Division Z ZGe l t 1�"' °T °�PC�'� Fee y�i 06 C Tax Collector Treasurer SEPTIC C'.-�.-' -� 'c� �/4� _ INSTALLED IN CCo�bLe;a Planning Dept. WITH TITLE.6 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANC, t TOWN RED 1 f Historic-OKH Preservation/Hyannis } C"M Project Street Address `�S' } =' Village C U-M, r Owner 1,I �f�\5�� T;0-L60 Address �,A1 Eo Telephone 00 co Permit Request 'F wl L M (UPOCINUT SR- 0I ClUd Atj-a5) Cu22—Ai vv; U i N6, AT 0 4)� AWKSS —�-6662 zA�) ,��}�YZ7"M L , Square feet 1st floor: existing 'Z,�; proposed 0 floor: existing 1 5(a0 proposed 0 Total new Valuation , - Zoning District _Flood Plain Groundwater Overlay Construction Type Lot Size .7 g Grandfathered: ❑Yes )4 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure IS )Q.S Historic House: ❑Yes YNo On Old King's Highway: ❑Yes )d No Basement Type: ❑Full ❑Crawl (Walkout ❑Other Basement Finished Area(sq.ft.) I, 00 Basement Unfinished Area(sq.ft) Soo Number of Baths: Full: existing 1-5 new 0 Half:existing h new 0 Number of Bedrooms: existing 3 new O Total Room Count(not including baths): existing .10 new O First Floor Room Count (� Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ;6,Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:❑/ existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size oe Attached garage: existing 6 new size uy 7-9 Shed:®existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes .® No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number � � 426-1 Address 51 o ��) ANX—N-r, License# 1ufA C csiu r kA 02&3 5 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T r 1 fU �rTiR SIGNATURE DATE 01) 29 - I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` MfrP/PARCEL NO. .f VILLAGE, ADDRESS OWNER DATE OF INSPECTION: ' 4 FOUNDATION r FRAME INSULATION -'.a. FIREPLACE ' ELECTRICAL: ROUGH s FINAL PLUMBING: ROUGH FINAL, GAS: ROUGW��i FINAL17 FINAL BUILDING c J ig DATE CLOSED'OUT. rul ASSOCIATION PLAN NO. _ 1 " The Town of Barnstable 9q, ' Regulatory Services Thomas F. Geller, Director Building Division , Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-62:0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 00- ()-C)7 JOB LOCATION: S 1��U1iL�� �nlnl>� r �ln„-L� CCU IT OZ�3S number sheet villa e "HOMEOWNER"___V nam • O home phone# -- work phone rt =' CURRENT MAILING ADDRESS: S�M� city/town state rip 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-famil dwellin g,tng,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 u dersigned"homeowner''certifies that he/she understands the Town of Barnstable Building Dep ment minimum inspection procedures and requirements and that he/she will comply with said ce ur s require nts. Signature of Ho owner Approval of Building Official Note: Three-family dwellings containing.35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMP77ON 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:EXEMPTN 700MAppmu tJ TshllJ&= Pam es ptive pwAs for Oar and Twe•F=WY RoWmdd JlWW ttW Baud Web Foao1 Falk MAXIMUM N1IIUIIINGlazing11lV1 Wau Floor 8aa=" Slab °0F18a Am'(%) U-vaitt� Rrvdtt� Rrvdnet Rrv� W� wer Psd=- _ R.vains� &vd� Slot to 000 Reattett Degm Dada' Q I2X 0.40 .9 13 19 All 6 Notmd B 1275 O.SZ 1 30 19 19 10 6 tron� S 2'iL OJO 3= 19 10 6 U AM T IS% O36 1f 13 23 WA WA Norma! U IS'yfi OA6 3= 19 19 Normal V 159i 0.44 n 13 25 WA WA M AFUE , W 13'K am30 19 ' 19 10 6 tS AF1JE X IaRL am 13 2S WA WA N0� Y. Ittss 0a2 19 2S =WA WA Nenml Z lE'/. 0A2 3f 13 19 to 6 "AF[JE AAla'K O30 30 19 19 t0 6 90AF1JE 1. ADDRESS OF PROPERTY: 2.. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ' 3. SQUARE FOOTAGE OF ALL GLAZING: Zq 4. %GLAZING AREA(#3 DIVIDED BY#2): 0,03 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS,OF DETERMINING ENERGY REQUIRM ENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q fonrss-f980303a 780 CMR Appendix J Footnotes to Table J5.2-1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if looted 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 if of decorative glass may be excluded from a building design with 300 ft of glazing area. 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 J1.53a 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 R-49 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. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outride 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 electric resistance heating use compliance approach 3,4, or S. If you pl an to install mo m V 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 J52.1 a 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 035. 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 J1.53b.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.'j;m er than or. ,4ua1 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(035 for doors). a►atnsr�t.�. MASStee$ Regulatory Services 1659. Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 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. Type of Work:_) Estimated Cost D Address of Work: ) C Owner's Name: Date of Application: 2-2- 0 7, I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law OJob Under$1,000 []Building not owner-occupied POwner 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 her by a ply for a permit as the agent of the owner. 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' ------------- Faltms to sew=cep as requzz -der Secd=LSA ofMGL 1SI eanlead to the iampad!!a�of aotmmal peaaitirs ota�a ap to SI^'OO.QO sz' "lean'tm uisotunectt m wefl as dvfl penalties is the form of a STOP WORK ORDER and a ime of SIOo.00 a dzy against me. I undsrstmd th- cM of this statsmetu tasy be forwarded to the Otace of Inve nigntims of the DIA for coveYace ve:inatim IY c fY the pis paits&is3°fPQIzu}'thtrt thr iriformaiost provided about is mv and correct Print nzL= Ph=I, ' r FM only do not write in this area to be eompieted by�y or town oiddal n: peradtlllceme�! ❑Building DeparQar� L]Liceasmg Board lamnediate regwnse is requiredSdecs:nen's OIDu ❑HealthDeparUn�son: phoneOther__---, Information and. Instructions Massaca=,-= G==1 Laws chanter 152 section 25 mqu�all eznpioyers to provide workers comps='=fc, �mioyees. As quoted frtan the "Iaw", an grrplvvee is deed as every p=son in the senZce of anather=dz. :iu-: c; of nirc, express or implied, oral or written. An amploVer is deaaed as an mdivi th:.fozEroing ea_mecd is a joint ' associaaam, carp°ration or other lecal =dt5, or any two or :c in uau Iega l?�==aMMs of a deed empioyer, or the Must- of an marnaual,parmership,association or.other ieQa l entity ' dwelling house Iia '® ovza�empio«. However thr= c:. � � ving not mom than three aparua aad.whn resits.. or ccuaant of thr dv;mM _.h=,= Mls to do t-r- ' \ P.% �.�� thr-0 ' ®Boys pens , c —=f-eon or rapan'work as such building appurtenant thereto shall not because of such I dwelling house for on the .: � oYffi�be deez�to be as enmloyer. . MGL chautcr 152 s=tim 25 also states tbat every state or.Iocal Iiceasia of a license or permit to operate a business or to construct bazZdin the �shall withhold the issuance or re � commonwealth for any applicant wn not produced acceptable evidence of compliance with the insurance coverage required. Additionally,nc-rh- - coz�R�nar any ofits political sabdivisioas shall eaterii:to nay camzart{nr�r peri'o�of public Rvrx:� =r-ptable evid==of rim_it s:with the msaraacr ofthis chapter have b=pzrseated to th.-canv azsharitY - e HII in the wad=' 'A chrckiagthr boxtbat applies to yozQKTtMATi= y ?3'=8 CCM3F,-M3r and pheue mmbe=s al®g whiz a C=txacate of bsm==as an affidavits may be "�azaated to the D�y�m�ryy���j(�y of '-1 9'�Y�ti • i � /7t• 3t." e S�dSvl� �IG � Also be sure to sip:in., �*A= be. to tha city c r to that:for apple=din for for prtmrt or lic."ue is-. .g=p=tcd,not the Drpar= at dMehTstdal A Should ponbaM=9 gaaas rega=diagtbr "law"or if. m obtain a workas' po&y-1 pb=CdU tba Dtgar==attbr nz=bcr listed below. ry or Towns b..J W N � • • . �fna. th= L- -s and� y The Dapart:=1=pmd a spate atth.-bostam or you rvrattbe Oi�Ce of has to � for agpli� PT..se �r to n"II is for pERIC=berwhich wMbe us&as b D. ze by marl or I:AX imizss other a" M Q T3'affidavits may be z i� _ have brra pie, C-==-= oi'Iat oas would l=to%hmk you in ad,==fur you cOmp =and should you have any o -micas. se do nut h to give us a cad. t , , � The Cnmmonwealtb Of Massachusetts ' Department of Industrial Accidents 6111ce of latrestl0aaoa: 600 Washington Street Boston,Ma. 02111 fax#: (617) 727--7749 . . e co I 17--�. 1411 RIDCI�: _. '� = -t�CME. 1F•ADUiTtoNri�. N�l4NT � _ ( �s.R�QUi��I�:IhtCRrhSc PIYC14 - r�xt���ZCT�x's �'��, I ' ': . . .�.?�,j�„ .. '. �•� -•-2xt2C'�a�^CCR.'(e�tG'o,c. - _... . . __. ... : JY`�'IRC Ca GI: G.Y.c31)' t. rr2.(6 n?'•�" SjUD • . ... ., _. . ..._ .j3Z4FT6Ta.r1N1�FI __ "� I:�,wDE.�S_ ,._ . nbt� GAtt �;F_ OLrrLt1.4 of B3M. rett►nc=117s;g -� uc% Z:'�cl�t."f17Pi%lN ..: ' i (~ j i5 :'�. (t (3cl' .D - h(C:,WA L.C' 0 �tSlAl 7o Et1S(i� BA=EMe1gr, 6 St ~ 2� uD � 4IAll Y PAS ZIA SCUD WAIT. S� STEEL coy;;, �••t1�1 . . 5(Q"Ci YPz ''!&"P►nEtoo[ � • - - � � . . •hy�.tom••�- I U t EP:. V�t I,�—_ / { i i3�V y n .� ' =)•i 571N4'�taR�4E 3t.p„f 2'X� j pOTllVy�:fi: :tA V, $TL!�l'Gc��s•`@t:YbNC7 ;ice - • 1 �. .. .�~ , • • '��' . •, •. . ,5 ' i L 'S•b - A ' r����i• i I � ! . - _. .��; ; �'. ( `{ � =i!i Ire-_ ••.r� �� - _ _ r•;/ GX ON Cis• -.. 17 O ; . .U1�.r-tNu am C1NioPoCDi{� , _._ -e A '.•..+L Ir�:PIo�R. � •A�°• • ' .�`�'?D.P:_CC�•�Dt�.�%•�`jfl:�s- _ 1 - •�' `�:REi,N'E'::�C�Nc�s�lr�;�:.;� 6X�: a/I �• �/�f.:� -� I .l•• - i'� ,. •_ . . .. AIvSit::Pcc V. f=. - - :�� -�'Foo't1N,y5•Y.�tt•� act<1 - .._� - •I; 1 ;.- - .. - - _�5 c ..k-. - -• _ ,-' 'S= •' ;�:�• �.�.� �'• ice' _ - 'i; •. • . ._ ..__ •I. •_' _ '., ._ _, •_>~ -_ .:'a7 .-. ._. -�...: 5•• tea• !.• ., ••• ,7''•_ _•' �!•• "{,..`'• L ',� .i , �_ ram. .. w'! .i. _ .\••., - ,,7 _ _ :� r Assessor's map and lot°;number .. .... .... /................................. 6 r 'T f THE TO r. INSTALL£ i 99PLt �o Sewage Permit number ..83c7.7:3/9............................... , WITH TITLE 5 9TADLE, i ,House number ,`'1....:.................. :...... ENVIRONMENTAL C "& �/1�CCJ ................................... . i63q vNG ' I Ec,.jU T��3N5 '°�pYPra�O TOWN O F B A R N S T A.Byl ,y 7 TO APPROVAL 0 r ; PAIINSTASLE CONSERVATION BUILDING :I'NSPECTOR C®MMeSsI APPLICATION FOR PERMIT TO .:...... - ..:: .Q. ,.,............................................................................ TYPEOF CONSTRUCTION ................. 9 .. .Ir,, . .......................................:................................................. TO TH'E INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ..ff.�... ... ProposedUse ....... . ......................................................................................................................... Zoning District ... ........f...4....`....... ..Fire District ......... .......................................... PuzCo.. . . . Q ` Name of'Owner . . ..� .` ,,..Address ....1�... .. j- ....U4�>. L Nameof Builder' ...ZAL. .......................................... .Address ...................................................................................... Name of-Architect .....................Address ... ZMWl Is. ....�J••tl•. .................................... Number of, Rooms ...... xi ......................................................Foundation ......1.0...^ k ...UNC.U..a..L Exterior, . .... uz6. . .........................:Roofing ........I.Swalz .................... .......................... 111, i'ee11 • Floors t"k..1!✓....� .... ... ....::....................................Interior ....... ... ....� Heating .�i� � .'4Le,,........................................:....:Plumbirig ........ ......... �7...........:................................. -� Fireplace .... .............4r.....� , .....5>C���{� ..:......Approximate Cost ........:..... ?, .. Definitive Plan Approved by Planning Board -------------------_------------19________. Area .............. ... .......... Diagram of Lot and Building-with Dimensions Feej ................ ...n..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH M ��/• _. • ` u W a 1 Ja -OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of aTof Barnstab a reg . t e above construction. Name :........ . ...... . ... ..... .. ... ............ r PULED, VINCENT• F. JR. 24600 One Story ,ENo ................. Permit for .................................... j Lot #85A 51 Queen Anne.., '. Location ......................... .......... - Cotuit ............. .................. Owner Vincent.. F.....Puleo'..:Jr.......... ' Type of Frame.................•.................. ............. ........................................................... �i c Plot ............................ Lot'............ ................ f Permit Granted c?.Y..Qmbgr,, 3.0;,,....19 82 Date of Inspectional ..........................19 > Date Completed 7:a/...S............19 .r o Assessor's map and lot number . � tr r� Sewage Permit number .Cr_:. ..51 Ii / ]DAUSTABLE i 'House number ..........'... ............ .:, G.........................:......,' / - !%f� 9Q _JIM 039. MAX a� ' TOWN OF BARNSTABLE ., ` BUILDIAG INSPECTOR APPLICATION FOR PERMIT TO ..........� . i� '1, c':} ........................ ................ . .. .................:.. TYPE OF CONSTRUCTION ..............'.. cm .............................:...................................... ................. .. ......................19. ... TO THE INSPECTOR OF BUILDINGS: The undersigned- hereby applies for`"a permit"according to the following information: LocAon ... E C7...�i r�t'tr;,PN' .... J.. . .. ... �.. 1 ? . ... '+ .1 ... ....... � ..1J.1.. j ........ ProposedUse .......k 5 � f:,Z,:, . .......................................... 3. ........................ ................................. . ...... Zoning District .... r` 1 Fire District ...C10) .................................. ................ Name of Owner ..Address ....) .. } �* ..t ..; ..�....� Y 5 Namer of Builder' zl..1. k. l.- .............................................Address� ........................................................................ ....... Name of Architect ..':.... ......... ..................!.....................Address .......................4�' Number of Rooms .•• ...... ... ........... ...................Foundation ...... ?.�C >:. L �:��X: .. ��' ........ Exterior .... ter'• ? 1y .... 1F.4{� .. . ...................... .Roofing .......... ................................................ Floors :'.. .�.� ... .....U14A0..........................................Interior .........1-4:� ... >.k ? �`� �- � L�✓ 1- F Heating ...... .. ......................................•.Plumbing ...:...... .?. /` ...... Fireplace ... ' �r................. :....C ?:lu,�...... ........Approximate Cost ..... ± �,, � ...... Definitive Plan Approved by Planning Board -----------_------_----{______19 �. Area Diagram of Lot and Building with Dimensions Fee f ............... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH - • �Dc) f+ /1���/ d.^' ff AI 1' 74 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t Name -J.�:.::.... ... . ' ..! . .......... PULED, VINCENT F. JR. A=22-14-5 24600 One Story No ................. Permit for .................................... Single Family Dwelling Lot #85A 51 Queen Ann MT. Location ................................................................ Cotuit ............................................................................... Owner Vincent F. Puleo, Jr. . .................................................................. Frame Type of Construction .......................................... Plot ............................ Lot ................................ November 30, 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 U v v( c Cl �p e4 / 3 . �vr' ����J�/� i�60o l ' --- {- • '� TOWN OF BARNSTABLE permit No. _- _______- --- 1 •��� Building Inspector Cash - --- - • era ` ----- --- �..Y OCCUPANCY PERMIT Bond Issued to PUjeo s j r. Address 7 4- Wiring Inspector Inspection date Plumbing Inspector Inspection date r"12 ` Gras Inspector : . � Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. /� r ............................:.....:._.._........__, 19......__ ...................::� :...r..:..:............. ............_:..:........._.....__..._ ........_... Building Inspector ' ~ T, B,09 S 68 3 P 14 0 00 E 60.00 -_ _ tN Conc. Retainin Wall ^� 4 Concrete Foundation �ti 1,,�p• Conc. Retai ni rig I Wall � goo O J�, NO BOTTOM POND o O N O PLOD' PLAN cafe: 1 in. _ 40 ft. Date: —Nny-a)ber 15J-H2 .Pian. Reference: Being Lot n 'a p(a n b y Ewald-KJi as-chi=LKi-ag.'s_G r-a-n '• dated _1�io�r 5T 1-9 7� recorded in Barns tab_a e egistry of Deeds Book —220 Page — 1.8 L.C.P. Number: hereby certify that the struQture shown on this plan is located on the ground as shown, nd conforms to the Zoning Laws of the Town of --Bar-nslahle ' 6 OF AJA ` 4 certify that this locus does .not lieWilliam C : Taylor d r 4'rILLIAM rithin the Flood Hazard Zone as Registered Land Surveyor -� - ---- ,�✓ elineated on ?Aap _15-of-_. r'r'_ r ' 1 Beale Avenue , � �'• -----lAi"L0� � ; Community far','°?l:_OO OA Sandwich, NiA 02563 No. 8578 s • sir 'D S i!1,r `.m� Town of Barnstable Regulatory Services °FtHe top, Thomas F.Geiler,Director Building Division, 101, ' L 1 Bkll * anruvsrnsz e. Tom Perry, Building Commissioner v 63. ��� 200 Main Street,Hyannis,MA 0260I JI , I,R i ° I � �ATFD NIP' A www.town.barnstable.ma.us Office: 508-862-4038IO Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, Oepose and-state as follows: My name is I am the owner/resident of the property located at: V The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: _ I m%6/b / -6) Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled./-S-1 WILL_,5 4P'04si�i IJU I o The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains d penal ies of perjury this ,!.� _,y day of 2010. n S(S 1 ) D Signature i� Phone Number Print Name Q/bldg/forms/famaffi d Rev:12/08 Town of Barnstable Regulatory Services �tHe t Thomas F..Geiler,Director WI ti F 11 _r BAR t STAKE Building Division BARNSTABLE, Tom Perry, Building Commissioner 9 MASS. M9 JAN 12 AM 11: 00 1639. 20.0 Main Street,Hyannis, MA 02601 AIEo ,ls www.town.barnsiable.ma.us CIl0�1Sti�N' Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name'is I am the owner/resident of the property located at: _CjCrTUI 1 w1H The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 1 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. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to u der the pa' s and pe lties of perjury this'_day of 2009. SoB •4Z yl Signatu Phone Number Print NamejL Q/bldg/forms/famafn d Rev:12/08 L - Town of Barnstable Regulatory Services tHe r°w� Thomas F.Geiler,Director Building Division `l Ok�I�a t;f ' I,¢`h,ds i IiL " snxxsrnaLE, " Tom Perry, Building Commissioner �� �'; 03 a 9 A 200 Main Street Hyannis,MA 02601 Z�o ArFD MA'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 I am the owner/resident of the property located at: �j ����—� nNn� ,� 0Z43� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner:`" u� Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified ; family members. In the event that the'listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 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 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to.notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to u4 4dr he O' nd penalties of perjury this j day of 2008. . Signature Phone Numbe Print Name Q/bl dg/forms/famaffid Rev:l/03 Town of Barnstable 0/c Regulatory Services °FINE l° Thomas F. Geiler,Director Building Division - * •ARNSTABLE, Tom Perry, Building Commissioner y MASS. s6;9• �� 200 Main Street,Hyannis,MA 02601 �ArED MA'1 A WVVW.tOWn.barnstable.ma.US r��? J 2 2 Office: 508-862-4038 � t�I��I IFa 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is UI am the owner/resident of the property located at: SI cX Ul„)5t, AuNz L/_Nys The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to un er he pain and pe al 'es of perjury this _day of _2007. , �W Signature - Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable ®�� 4 Regulatory Services pFTHE rok, Thomas F.Geiler,Director a .a�RNS TARE ti "I OId� ill° � �. Building Division RMNS ABM » Tom Perry, Building Commissionef 0016 JAN 18 PM 1: 41 200 Main Street,Hyannis,MA 02601 �ArEn 1A°�a www.town.barnstable.ma.us — ... 01VISPON Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose an"als follows: My name is -\Z b I am the wner resident of the property located at: Map and Parcel Number o The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: wG �L\�� Name & relationship to owner: INLe1i L� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to and th p ins and p alties of perjury this 5 day of - Ak —2006. r3O Signature' < Phone Number Print Name •i►A r � Q/btdg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services °F'THE l°� Thomas F. Geiler,Director _ryyqq [IF EARHIS1011� Building Division Y Y w BARNSTABLE Tom Perry, Building Commissioner rrq�c �> 19 i • 9 MASS. $ Z.L: u ti ff s 12144 1e:9. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: -� My name is I am the owner/resident of the property located at: 5)QUM I 6a Map and Parcel Number (JZ — A*Z- 1 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: _ Name &relationship to owner: �)Wfk'5\ 7 1 Gil A Name & relationship to The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 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 in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under he pains nd pe al' ies of perjury this day of 2005. Signature ^_ __ _ _,_"Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 'Town of Barnstable Regulatory Services _ pFT► '�q�, BLE Thomas F.Geiler,Director F= ti V n ' S ,J-A ti Building Division 1e RAMSTABM Tom Perry, Building Commissioner �.` ' ` � ,0�' 200 Main Street,Hyannis,MA 02601 �prEG�r a Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: L a My name is �m � G I am the owner/resident of the property located at: Map and Parcel Number The ZBA granted me a Special Permit/Variance on /v41 �9a` APUS Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: _ Name &relationship to owner: Name &relationship to owner: AV The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2004, Sigma ure hone umber Print Name �/V �/ L6c) Q/bldg/forms/famaffid Rev:1/03 mrK—to—euuo wtu iu;6o mn b1T). at_I'larston_fli l is bUb 4LU U16b F. U2 f".0K-c'6 eUU6 W1=U Uy U4 HCI tsM, at_riarsten_mi l is bU6 42U U18b K 02 + � Town of Barnstable Regulatory Senices Thomm F.Gvftr;Director TO�VN op BARNSTABLE Building DlYisioll Too;'Perry, UldingComndeetonf��63 MAR 26 AM 9; ZO ,etio ��� 200 Mein Street,Hyenriis,MA 02601 Office: 508-862-Q3 8 G I V f S l O td Fax. 5-790-6230 Town of Barnstable Family Apartment Affidavit 1, bcin.g an'oath, ctcpose and atatC t�s foiJows: .. c., p My pains is I Atxt the owner/resident of the property located at: map and Ptueel Member The ZHA granted ties a Special Pcrmillftiance on - D�tA Appa No• The 4eCi4lon of the Zoning Board of Appeals has been,recorded with the R,obistty of Deedo in Baxtlsmble County: Book,- 5`4-� The following members of my fanulywill be the mle occupants of the FF..r4y Apartment at the af'orcin ntioned address: Name k relationship to owner.' �� S b'" Name &relationship to owner: & w Q no Famif y Apartment will be the primary year-round res€donne for the above-ldent&d family nvemberd, In the event that the listed relwiyes vacate said apartment,)will immediately nor&the Bkilding Commissioner its writing,I understated that no,v0letting or StANeaving of tatdly'amily Apartment is,parmitted I rcndet'Stand that I am required to file cite Affidavit annually with the balding Cpmmtjsic,w fisting the names and rely i6whip of occripanu to said Family Apartment I also understand that I am required to connply with all conallion#imposed 8y the ZBA in the Appeal No, identifledubove, I agree to notify the N04ing CortVtgssioner immediately in the event of the sale of this p operty, If there Is no longer a Family Apartment tit this 10"tion,please explain: ^_ The apartment has bee»disomntled. The apartment has been transferred to the Amnesty Program(Appeal No. „�Qth,es Sworn to Under the pains and ponaltiee of perjury this �-�'day of gpat a Phone Number Print Name r t" Q/pldtJtos�sliAmafCiA Rsv:►!(18 Town of Barnstable Regulatory Services ptrIHKE toh� Thomas F.Geiler,Director { STABLE S'V Building DivisioACWH OF B k w BARNSTABIX Peter F.DiMatteo, Building Co : I AM 11 53 9qj se3q `0�' 200 Main Street,Hyannis,MAT- 1 QED Mp'l A Office: 508-862-4038 - SION """Faax:. 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is a— I am the owner/resident of the property located at: 5i 1 � WN' IA 1 ) Map and Parcel Number The ZBA granted me a Special Permit/Variance on L) Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: Le-L1At,, The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. , If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under he pains and enalties of perjury this day of 2002. Signature Phone Number Lk �Z 3- ►3�g Print Name Q/bldg/forms/famaffid Rev:010702 r AFFID BARNSTABLE being on oath, �\ depose and state as follows: 0 I reside at 2.) I am the owner of the property located shown on Barnstable Assessors' maps as MAP i S PARCEL.J 3. o, Do not have a Family Apartment at this location. 4.) On �� r , 199� . the Zoning Board of Appeals, on Appeal No:�� ^'� granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. family will be the sole occupants of the Family Apartment at the 6.The following members of my Y above address: . Pv�e�o a) NAM E Relationship to owner. b NAME Relationship to owner. 7.)The Family Apartment will be the primary Year round residence for the above-identified family members. 8.) In the event that the above4isted relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affdavit with �egmily Ap ortinent.iorier listing the names and relationship of my family members occupying 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 4W, I q �t r 12.) 1 agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Qb Y of a �9 — Sworn to under'the pains and penalties of perjury this d ._ Signature Print Name BA.RNSTAB ii V\A- ` being on oath, I � de P ose and state as follows: 1.) I reside at 2.) I am the owner of the property �-aV�Q— ai MAP t S _PARj �- shown on Barnstable Assessors maps as D 3. o Do not have a Family Apartment at this location. Board of Appeals, on Appeal No�� ���u 4. On r . 199<the Zoning Bo granted me a Special Pemit/Variance to maintain a Family Apartment at the above address. understand that the Fly Ap�nent may only be occupied by members of my family who 5.) I and are persons related to me by blood or by marriage. members of my family will be the sole occupants of the Family Apartment at the 6.The following above address: as NAME Relationship to owner. b) NAME Relationship to owner. 7.)The Family Apartment will be the primary year round residence for the above4dentified farnilY. members. event that the above-listed relative(s) vacate said apartment,I will immediately notify the 8.) In the ev Building Commissioner in writing d. understand that no subletting or subleasing of said Family Apartment is p�tte 9.) I file an Af Bdavit with the Building Commissioner a 10.) I understand that I am required to nnuallymbers occupying said Family Ap listing the names and relationship of my familyartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. i n nediately notify the building Commissioner in the event of the sale of the above 12.) I agree to listed property. ZLt ' d penalties of perjury thus Y of C�� 9 Sworn to under the pains an p . Signatt= Print N.-une J �-- I COMMONWEALTH OF MASSACHUSE I"TS BARNSTABLE IDAVIT G E IVED ------ ----------------------- b i g on oa , depose and state as follows: MAR 2 3`1999 1.) I reside,at,=—5l--=- ��i — I�l�l I�—e--(-- ------ SQJMAt-GF�NSTABLE BUtLDING DIV. 2.) I amge owner of the property located at V11C_ shown on Barnstable Assessors' maps as MAP-------------PARCEL ___________ 3.) I Do---�----__----Do not---------------have a Family Apartment at this location. 4.) On 190_�S, the Zoning Board of Appeals, on Appeal No.,V granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address:'' II p a) NAME--- V �P''��---- ---����C =-- !_U -P ----------------------------- Relationship to owner:-----�2C zcr\_t ------------------------------------- b) NAME------------ :--w---------- ----------------------------------------------- Relationship to--owner: ---------------------------------------- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. i0.) i understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to compl f with all conditions imposed by the Board of Appeals in Appeal No. _- _-j=L( a_ ------- -------------------- 12.) 1 agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. (/ Sworn to under the pains and penalties of perjury this_ l day of_ f� 199 Signature ----- ---- - - - -- - ---- ------------------------------------ Prin ame --- 1 hced =-=-p=-�'�c al-5'�------------------ COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I, ___� , 1\e - ----------------- being on oath, P de ose and state as follows: 1.) I reside at___ 2.) I am the owner of the property located -------------- shown on Barnstfable Assessors' maps as MAP____1 PARCEL__ __—_ 3.) I Do J --Do not __have a Family Apartment at this location. 4.) On__fZW , 1985__, the Zoning Board of Appeals, on Appeal No. 1985- n-1 granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME----L II 1-,AQ11—I6--------------------E ---------- ------------- Relationship to owner M b) NAMJllE---vim '1, ---------------------- �- --------------' ------- Relationship to owner: Ph111A L "_ 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ___LW 12.) I agree to immediately notify.the building Commissioner in the event of the sale of the above- . hsted property." f Sworn to under the;pains and penalties-of..perjury.-this--__�g-__day of-_ i -______;199 Signature ----------- ---- -- - --- ------------------------------ Print Name , II _ o� The Town of Barnstable �. Department of Health Safety and Environmental Services a,,R,, , , : Building Division MASS 367 Main Street, Hyannis MA 02601 EO MPS A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner February 18, 1998 The Puleo Residence 51 Queen Anne Lane Cotuit, MA 02635 Re: Family Apartment located at the above address Dear Mr./Ms. Puleo, A letter was sent to you on January 21, 1998 requesting information regarding your Family Apartment. The affidavit has not been received as of this date. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that it be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit and return to this office by March 1, 1998 in order to comply with the conditions of approval. Thank you in advance, Ralph Crossen Building Commissioner oFTME Biqa, The Town of Barnstable °.� Department of Health Safety and Environmental Services SrABi,E, : Building Division MAM 1659. 367 Main Street, Hyannis MA 02601 ^ Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissione January 21, 1998 The Puleo Residence 51 Queen Anne Lane Cotuit, MA 02635 Re: Family Apartment located at the above address Dear Mr./Ms. Puleo, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some some. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 15, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, 0 Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/29/97 PARCEL ID 022 115 GEO ID 1129 LOT/BLOCK 85A DBA PROPERTY ADDRESS OWNER PULEO 51 QUEEN ANNE LANE VINCENT F & LINDA T COTUIT 51 QUEEN ANNE LN COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 30492 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST GP (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT r M� COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I ' A tInCU1, ein on and stat as follows: g oath, depose 1 . ) I reside at 2. ) am -the owner of the property located at ` I ( �►PQ� (fin shown on tnnstable Assessors ' Maps as: Map I Lot _ 3 . ) On 15 , the :zoning Board of Appeals, on Appeal No. �u. granted me a special permit to maintain a family apartment at the above address. 4• ) I understand that the family apartment may only be occupied by .members of my family who are persons related to me by blood or by marriage. 5. ) The following members of my family will be the sole occupapts of th family apartment at the above address: (1) Name: �- Relations lip t�J per: (2) Name: k Relationship to Owner: ' 6. ) The family apartment will be the primary year- round residence for the above-identified family members. 7. ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. sa 8. ) I understand that no subletting or subleasing of id family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment. . 10. ) I understand that I am requ red to.,c-mp, y wi-ji ull -yl;diiions .imPosed by the Board of Appeals in Appeal No. 10. ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed Property. Sworn to u de the pains d 449- day of penalties of perjury this . 9 (Signer rure) (Please Print Name) : eo Pe �. �' eEf fE, f)D.C c4ttotnzy at - aw 720 Aain a fizF-t oat Office D oz 599 -{yanna, cMa.saacfuiEtts 02601 �e�e�z�zone (617) 775-7339 May 6, 1986 Mr. Joseph Daluz, Building Inspector Town of Barnstable - Town Hall Hyannis, MA 02601 RE: Vincent Puleo Dear Mr. Daluz: This letter is to confirm my position relative to the status of the family apartment of the Puleo's aV51 Queen'Anne-Lane;Cotuitl On November 7, 1985, I appeared on behalf of the Puleo's before the Town of Barnstable Zoning Board of Appeals. It was stated at that time that the apartment had been built complete with kitchen. The Zoning Board of Appeals voted unanimously,to grant the special permit for a family apartment, knowing that the apartment was complete including a kitchen. This decision was subsequently appealed. It is my position that where the Petitioner informed the Board of Appeals that the kitchen was installed and that the apartment was complete, and thereafter the Board voted approval of the unit, that the unit should be allowed to stay as it currently exists, including the kitchen, until such time as the appeal is heard. I see no justification for requiring the stove to be removed, when the Board of Appeals had granted the permit to allow the apartment.. I am sorry I was on vacation when this question arose but I would be happy to discuss it with you further at your convenience if you so wish. Please let me hear from you. Very truly yours, Peter L. O'Keeffe PLOK/tt _ t TERRY DUNNING TERRY COUNSELLORS AT LAW April 15 , 1986 Mr . Joseph Daluz Building Inspector Town of Barnstable Barnstable Town Hall 367 Main Street Hyannis , MA 02601 Re : King ' s Grant Trust , et al . v . Zoning Board of Appeals of the Town of Barnstable , et al . Dear Mr . Daluz : As you know , the above-entitled matter is presently pending in the Barnstable Superior Court . It is my under- standing that the special permit in question cannot be granted until the court proceeding is resolved . It is further my understanding that the in-.law apartment is presently being used without benefit of the special permit . Kindly take appro- priate action immediately to remedy this zoning violation . Sincerely , Richard L . Terry Attorney for K ' s Grant- Trust RLT/kjr ROUTE 28 •P.O. BOX 560 •MASHPEE,MASSACHUSETTS 02649 •TEL. (617)428-8000 •TEL.(617)255-7816 MICHAEL A. DUNNING / RICHARD L. TERRY / ROBERT E. TERRY KEVIN M. KIRRANE/ ELIZABETH A. McN1CHOLS/ PAMELA E. TERRY -� &NSS gRAN7 OUNERS ASSOCL 4V ON 317186 Joseph DaLuz Building znzpechon Town of BaAnsfa ie Dean An. Daiuz, L have .been d,i2ec.ted, ly .the memfeAz of .the Kings G2an.t Owneoz Association, .to defeam.ine the status of .the pnope2.ty on 51 Queen Anne Lane, Colull, N4, owned ly Vincent and Linda Puleo. Ne wish .to defsam.ine whatsteps have been .taken .to !nouns that .the PAOpen.ty .in question .is now! in compliance with .the .haw. The ownezz admitted that a po2.t.ion this pAopeAly was in use as family apaolmen.t hejoAz the fact of -issuance of a zpeclai pe2m.i.t fejo2e the Zoning Boand of Appeals on 11/7/85. The fact that .the Boaad voted .to .issue a special peam.i.t a/.ten allegedly viewing .the pAem.izes would indicate that a family apaAlmen.t does .indeed ex.iz.t, again fe/one .the /apt of having a ponm.i.t. The action baough.t .in SupsAlo2 Count of Kings gnan.t 7nust et ai vz Meo and .the Boa2d has pAeven.ted .the -issuance of this special Pe2m,i.t. 7echn.icaily, it would appear that not only .is it .illegal foe occupancy of this "apaAlmen.t" to continue, gut .in /ac.t .the allowing of .the conUouc1jon .to 2ema.in .in place appeals .to ge a zoning violation. You2 office was notified of this action and a copy of .the action with a coven M.te2 gy AftoAnsy . RichaAd 7e22y, was sent .to you on 12112185 . McAsfoae, we would apeAecla.te a 2esponze lAom your office concean.ing this ma.tInA, specifically what action has been .taken .to .inzaAe that this pnope,ly .is in con/onmancs with zoning. S.inceAUY, PAss.iden.t, Kings gAan.t Owne2s Association cc:/Us 0R1. k� REGISTRY OF DEEDS 40 R 'TABLE Iti �*MIPLIANCE WITH SEC. 11 O[TO`�VN OF . BARNS CHAPTER 40A, M.G.I. Zoning Board of Appeals Q A11 .45 Q Vincent & Linda Puleo ...................... Deed duly recort7�d ith 12................................._.............. .................................................................................................................. Property Owner County Registry of Deeds in Book .............................. SamePace ........................I ............................................................Registry .Petitioner C District of. the Land Court Certificate No. ........................ Book ........................ Page .................. 19 AppealNo. ...x.................................................................. FACTS and DECISION filed petition on 19 Vincen & Lind p .................. Petitioner .............................�.........................�...�?....�4............................ requesting a variance-permit for premises at ........5.1._Quee -Ame•••Lam....................................... in the village (Street) Cotuit ad'oining premises of (see attached list) .................................... ............................................. J 115.......................................... lot no. 22 Locus under consideration: Barnstable Assessors Map no. .... . .............................. Petition for Special Permit: 01 .•............. of the Town of Barnstable Application for Variance: ❑ made under Sec. ...........V................................. laws and Sec. ............................................................................. Chapter 40A., Mass. (den. Laws Zoningby- ........................................... ly for the purpose of ....••.••.••••..... to••,alldw...a•..Special-..Pernt..,for•„a..,fami ..,ar.. .............................. tment.... . ...................................................................I.................._................................................................ Locus is presently zoned in............. ........................................................................... ..............................................................._............................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of r i attached to the record of these proceedings filed with Town Clerk. ws_ch s A public hearing by the Board of Appeals of the Town of Barnstable «,as field at the Town 7:45 P.M. November...7.r..................................... 19 85 . Office Building, Hyannis, Mass., at .................................. upon said petition under Loving by-laws. Present at the hearing were the followinc members: P Lall Richard...L.....B°y..........__.......... Ronald Jansson..................... ..L? k ............................�'................._....._... .... Chairman .........:-.._...... .. ................................_ ~ At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. ' Appeal No.............1985-114................................ Page of On _._................November 7,................................................................ 19 85........... The Board of Appeals found .................. Attorney Peter O'Keefe represented the petitioners who are requesting a Special Permit to allow a family apartment at a Queen Anne Lane, Cotuit in an RF zoning district. Plans were presented showing the existing apartment consisting of 1152 square feet located on a lot of .70 of an acre; the inain house consists of 2418 square feet. The family apartment is to be for the senior Puleo's who are both in poor health - they formerly lived with their son and daughter-in-law during the summer months, now due to their poor health will be residing in the family apartment permanently. The petitioner to comply with all regulations of Section V of the zoning by-laws - no outside changes to be made. Richard Boy made a motion to grant the petitioner the relief requested the petitioner carplies with all of the requirements of Section V, Family Apartments, Town of Barnstable Zoning By-Laws - seconded by Ron Jansson. The Board voted unanimously to grant the Special Permit for a family apartment a 51 Queen Anne Lane, Cotuit. I, .............._....._...................................._.........................--.............___........... Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that. twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ........................ dad• of .................................................._.................... 19 ........................ under the pains and penalties of perjury. Distribution:— Property Owner ....................................................................................................._.............. -_. ....... Town Clerk M)ard of Appeals Applicant Town of. Persons interested ®� Building Inspector ;�7 Public Information By ........._..._ ...... ....................... ....................... Board of Appeals Chairman I OF BARNSTABLE Scs.' 'TMEN'S O17-lr-r p iVI N fit' 1 1986 1 ! �I VE Town of Barnstable Board of Selectmen ! 4/21 /86 Sirs : Flease be advised that in spite of requests by your office and our attorney , the building inspector has refused to comply with our insistance that the situation involving the presently illegal family apartment on 51 Queen Ann Lane be resolved . We had requested this on March 7 , 1986 , nearly two months ago . Why has this has been allowed to continue? Mr , and Mrs . Puleo had violated town zoning and development covenants by building and maintaining a family apartment . Only after complaints by a neighbor , after the fact , did they apply for a permit , and incredibly , nonwithstanding their previous illegal use of the premises , and their signed statements that they maintained a single family residence only , the permit was granted immediately . The Kings Grant Owners Association has a suit pending that prevents the issuance of the permit , ergo use of the apartment , and perhaps its very existence is illegal . We have additional legal remedy at our disposal ; however , why should it be necessary for a group of citizens to have to sue for performance? The burden is supposed to be on the offenders , and rightly so . Sincerely , David R . Cartmill President Kings Grant Owners Association _ _ a JOSGPH D. DALuz TELEPHONEi 775.112C Building Commissioner EXT. 107 TOWN OF BARNSTABILE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 May 9, 1986 _ Attorney Richard L. Terry Route 28 P. 0. Box 560 Mashpee, MA 02649 Re: Vincent Puleo Dear Attorney Terry: I have reviewed your correspondence and that of Attorney O'Keefe concerning the above subject matter. You have an action in the Superior Court on the Board of Appeals decision #1985-114 and I am suggesting that you seek such interlocutory relief as you deem desirable for your clients. I might add that Assistant Building Inspector Martin inspected the Puleo dwelling on April 17, 1986 and his report notes that the stove had been removed. Peace, Joseph D. DaLuz Building Commissioner JDD/gr cc: Board of Selectmen Town Counsel a�6� �ss�Z�y9 Sl QueP� A,,,,e !»� �-h - ��r uJ �� /�q�� � � � 3i3a COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT z ° being on oath, depose and state as follows : reside at.. )I am the owner of 15he ° Property located- at shown o Barnstable Assessors ° Maps as ; ' Map Lot 3 . ) On ° 19�5► the Zoning Board of Appeals, on Appeal No._ ial permit to maintain a family apartment�atrthee above d me aaddre s. 9 . ) I understand t.,, yc the Tamil a ` . occupied by members of my familywho are may only be me by blood or by marriage . Persons related to ° 5 . ) The following members of my family will be the sole occupant, of the family a artment t the above address: (1) Name : U►\C2� r <z- a� u le- Relationship to owner: Ck � o (2) Name: . Relationship to Owner: o ° 6 . ) The family apartment will be tl-,c 'primary year- round residence for the above-identified family members . 7 . ) In i.he event that the above-listed relative(s) vacate said apartment., I will immediately notify the Building Commissioner in writing . 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family member family apartment . s occupying said 10 . ) I understand that I am required to'-comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . )�( 1 agree to med Commissioner in the event ofay the sale iOf the aboveilfy the gisted Property. Sworn to under the pains and day of p 19� enalties of perjury this ° . TOWN OF (Signa ure) BUILDING �� (Please Print Name) : (JUL` 13 199 -- _Pu(� 31 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I' �h da 14�. 1e� t I �56dn)g on oath deand state as follows : depose 1 . ) I reside at_c`� p 2 . ) I am thQ owner of the property loc- t d shown on Ba stable Assessors ' Maps a � Map Lot_ 3 . On 19 �, the Zoning Board of Appeals, on Appeal No. granted me a special permit to maintain a family apartment at the above address. 9 . ) : I understand that the famil • Y a partment. may only be , occupied by .members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupants of the family apart ent at the above address: (1) Name: .�/��/��'1 �' (��!�i(P0 � / Relationship to Owner: ey�, ' (2) Name: Rela -------------- tionship to Owner: ' 6 . ) The family apartment will be the primary year- round residence for the above-identified family members. 7 . ) In the event that the above-listed relative(s) vacate said apartment., I will immediately notify the Building Commissioner in writing . 8• ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to•.comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agre �toimmediately notify th(:? ilding Commissioner in the event of the sale of the abbove-listed Property. Sworn to under he Pains 19aDd penalties of perjury this of Signature) _ (Please Print Name) : CAUG 5 E3992 u e� • BUILDING DEFT. 1 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , I-ILILA 0 U,�;�, UWWI �a, being on oath, depose and state as follows: 1 . ) I reside at c�l u FW 400e, ( emu L.. COTO 2 . ) I am the owner of the property located at shown on B-rnstable Assessors ' Maps as : Map _I 2_?_ , Lot _ .41�1 3 . ) On 19�, the Zoning Board of Appeals, on Appeal No. [ --4 , granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by members of my family who are persons related to me by blood or by marriage . ° 5 . ) The following members of my family will be the sole occup-nts of the family apartment at the above address: (1) Name. rk an PULED Relat onship t Owner: VY\ 7 ._i (2) Name: V LV)Cev+ Uuo Relationship to Owner : ( h--(GwzJ�' . ► 6 . ) The family apartment will be the 'primary year- round residence for the above-identified family' members . 7 . ) In the event that the above-listed relative(s) vacate said apartment , I will immediately notify the Building Commissioner in writing . 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9 . ) I understand that. I am required to ;annually file an Affidavit with the Building Commissioner listing the names. and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to..comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to u der the pains and penalties of perjury this t;l day of 19 . rr 9 10 �111,E 64 r r� (Signature) (Please Print Name) : 81991 Lai (-V- Paco Ulwurfluo BU�.ORJGnEvr. COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , r�%`(.�� �"(/i� '� being on oath, depose and state as follows: / 1 . ) I r e s i d e a t •'�C% e&W/YI 1'1�J 7VAl , (Q-ru I J ' 2 . ) I am the owner of the property located at shown on Barnstable Assesso s ' Maps as : arcs V g /JS, Map �� , Lot l ' V �f-EI) cr_'c 355/ `/�/ � ,'8L 3 . ) On OGr' / 8 19 , the Zoning Board of Appeals, on Appeal No./ granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by ,members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupant of the family apartment at the above address: (1) Name: l�ii� P/�f 2Dba-Z (� Relationship to Owner: t /Q 1 G� (2) Name: Relationship to Owner: I 6 . ) The family apartment will be the primary year-. round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9 . ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required i_o .comply with s all %ro dition im;)osed by the Board of Appeals in Appeal No, B-- /s " 10 . ) f agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains aqd penalties of perjury this day of ��� 196, (Signature) (Please Print Name) : LINDA TETREAULT PULED 51 Queen Anne Lane Cotuit, MA 02635 617-428- 1304 Xa o- Y Joseph D. DaLuz Telephone: 775-1120 Building Commissioner Ext. 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS , MASS. 02601 May .16 , 1990 Mr. and Mrs. Vincent Puleo 51 Queen Anne Lane Cotult , MA 026,35 Re: Family apartment located at 51 Queen Anne Lane Dear Mr. and Mrs. Puleo: A year ago you filed an affidavit with this office re the above referenced family apartment. It, is required, by Section 3-1 . 1 (3) (D) (1 ) of the Town of Barnstable Zoning By-law, that ;gin affidavit be submitted annually for the duration of such occupancy . Enclosed is an affidavit: form for Your- convenience. Please complete this form and return it. to this office as soon as possible. Peace , J eph D. u7 uild.ing .o missioner JDD/km enclosure COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I • �.�,b � 7 being on oath, depose and state as follows : 1 . ) I reside at�l�1� �? � �� �,�►y1� 2 . ) I am the owner o the property located at shown on Barnstable Assessors ' Maps as : Map 07-Z. , Lot 3 . ) On _k)Ck] 1985 the Zoning Board of Appeals, on Appeal No.11a 85- ll granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1 ) Name:-- `I W rx O T -_ L.1 lA ) Relationship to Owner: ►��� (2) Name: - Relationship to Owner: 6. ) The family apartment will be the primary year- , round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment. 1^v . ) .i understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 19 bs -►ice _ 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this day of i gna ) (Please Print Nam ) : �C Z PAP- �/ � ` a l �� � � � 6f �S � O � 4V1 ►2f --� S Ie (zr- ,� I i -- -- .._ y 'GOWN 4EGISTRY OF DEEDS 5 COMPLIANCE=?KITH SEC. 11 OFTO`VN OF BARNSTABLE CHAPTER 40A, M.G.I. Zoning Board of Appeals '85 NOV 12 All :46 _Vincent & Linda Puleo _ __ _ Deed duly recorded in the .................................__............ Property Owner ' County Registry of Deeds in Book ......................_...... Same _ __ _ _ . __ ._._._.._ Page _____ ... .., _.__.._...._.....................................Registry Petitioner District of the Land Court Certificate No. _...._............ Book _...................... Page .................. AppealNo. 1985_-114 ._ _ __ ._........................................................................... 19 FACTS and DECISION Petitioner filed petition on ................................................ 19 requesting a variance-permit for premises at __51-0►.Leea-AnUe. Lan .__................................... in the village (Street) of M Cotuit adjoining premises of ._ (see attached list) Locus under consideration: Barnstable Assessor's Map no. 115,,.,__,, ,,,,,,,,,,,,_.............. lot no. _.....22... ..._.... Petition for Special Permit: [ Application for Variance: ❑ made under Sec. ___V_ _.__ ._._. .___.._........ of the Town of Barnstable Zoning by-laws and Sec. _ __ ._ __ _ ._.... .. _ ._. ...._. ....._....:.... Chapter 40A., Mass. Gen. Laws for the purpose of "Kit................................... Locus is presently zoned Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable «a- Held at the Town Office Building, Hyannis, Mass at _ 7:45 _ . P.M. November 7............... _ 19 85 upon said petition under zoning by-laws. Present at the hearing were the following members: Luke P. Lally......_......_ _ _. RI._cha_r d_ _._. . :. _ _ r ... Ronald Jansson._.._..................._ .... ....................___........ Chairman _Dexter...Bli$s.. "f. At 'the conclusion of the hearing, the Board took said petition under advisement. A ".-locus Was made by the Board. view of the Appeal No. 1985-114 Page ....................... of ....._.._............ On _ November 7 85 _._."......-...._._ _..."_ " 19 ...._ ....... The Board of Appeals found Attorney Peter O'Keefe represented the Special Permit to allow a farnil Petitioners who are requesting a Y apartment at a Queen Anne Lane, Cotuit in an RF zoning district. Plans were presented showing the existing apartment consisting of 1152 square feet located on a lot of .70 of an acre; the main house consists of 2418 square feet. The family apartment is to be for the senior Puleo's who are both in lived with their son and daughter-in-law duringthe summer healt - they formerly to their poor health will be residing in the familyapartment months, now due The petitioner to Canply with all regulations of Section of the oning by-laws - no outside changes to be made. g Richard Boy made a motion to grant the petitioner the relief requested the petitioner canplies with all of the requirements of Section V, FbmilY Apartments, Town of Barnstable Zoning By-Laws - seconded by Ron Jansson. The Board voted unanimously to grant the Special Permit for a family apartment a 51 Queen Anne Lane, Cotuit. f Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify-that twenty"(20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this __:....._.__... day of penalties of perjury. '—" """ ""'"'""'""""'""-""' 19 " ---" under the pains and Distribution:— Property Owner , ............................._..._.._............... Town Clerk .".. ................................................ Applicant 13-)ard of Appeals Town of B. Persons interested e Building Inspector Public Information Board of Appeals 1 y ____ ". ..._..._..__....... .......-.__..___•._. . ....._. .. Chai m:in R022 115. A P P R A I S A L D A T A KEY 11294 PULED, VINCENT F & LINDA T LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 84, 700 1 , 000 199'soo I A-COST 085y500 BY oo/ BY /00 B-MKT 206, 500 � C-INCOME il PCA=1011 PCS=00 SIZE= 2244 JUST-VAL 285, 500 LEV=200 CONST-C 0 ----COMPARISON TO CONTROL AREA 08AB -- TREND EXCEEDS STANDARD NEIGHBORHOOD 08AB COTUiT PARCEL CONTROL AREA TREND STANDARD 103 10 LAND-TYPE 847001 LAND-MEAN +0% 2805003 136297 IMPROVED-MEAN +47% 25% I FRONT-FT 3 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT I LNRILAND LFT/IMP3 ADS.S/SB/FEAT STRISTRUCTUBE ARR3AREA-MEASUREMENTS NOR 3NOTE` COM3MAR :ET I Ni_ INCOME PMRIPERMITS ORRIGRAPHIC: FUNCTI ON-C 3 STRUCTURE-CARD NO-EO003 DATA-[ 3 XMTE?l V Add E ]E R02'2 115 A � LC iC.:71„051 QUEEN ANNE LANE CTY301 TDS J 2i 0 CT KE^Y3 11294 -----MAILING ADDRESS-------- PC:A 31 V 1 1 PC S 3 00 YR 3 00 PARENT]a o PULEO, V I NC:ENT F u L I NDA T MAP] AREA 3 08AB ,._IV 3 MTC;]0000 51 QUEEN ANNE LN SP1 ] SP27 SP33 UT 1 3 UT21 . 70 Stom! FT 7 2244 COTUIT MA 02635 AYB31982 EYES31982 OBS] CON-cT3 0000 LAND 84700 IMP 199800 OTHER 1 000 -----LEGAL.. DESCRIPTION---- TRUE MKT 285500 REA CLASSIFIED #LAND 1 04, 700/-'00 ASD LND 84700 ASD IMP 199800 ASD OTH 1000 #BLDO(S)—CARD-1 1 1:9, SOO DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1 , t:00. TAX EXEMPT.. #PL 51 QUEEN ANNE LN i_OTU I T RES I DENT'L 206100 28550; 0 285500 :� #DL LOT 85A OPEN SPACE * c c0 COMPLETE 1/1/84 COMMERCIAL EXEMPTIONS SALE:.3 i_9/82 PR I C:E J 22500 ORB 3 551/131 AFD 1 V LAST A►::TIVITY309/24/85 PCR3Y x _ f AL +.:4�c5 CZUTTEPS - — �tirra�o�r�24 -._.. � --- -- Stet AMIMR <_ _ ---- -- -- - - - - - - - - - - - --- =1 -, V �_� � ` V,b t off. SOB•-362-4541 I fox 508-362-9880 ST down cape engineering, inc, CIVIL ENGINEERS . LAND SURVEYORS 939 Main st, yarmouth, ma 02675 LOCUS NO BOTTOM POND E LOCATION MAP (NO SCALE) REMOVE PORTION OF EXISTING RETAINING WALL IADD FILL FOR ACCESS TO NEW GARAGE L=148.09' R=158.74' PROP. RETAINING WALL 4' W �L'T-- -- — 100 '• 8 i i1PROP DRI Y �� DIVERT,RUN—OFF.AWAY FROM GARAGE. PROVIDE STONE SWALE AS NECESSARY BETWEEN GARAGE AND WORK LIMIT LINE J �� `�._— _..; CDRI E NC 7 40 PROBE O EXIST _- N GAR WOOD RET sm A DD'N;Pl( EXIST. DWELLING C -- 10 :GARQENS co NC. + ;w .RET WALL �. TF2ELLI 0 DQCK PILE �$. --- SHED ' _ CV or sT IT o� AREA FLAGPOLE 1�_!{J. .!I rJC Ilk81RD HOUSES ~ LAWN EA l LANDSCAPE TIE PLANTERS ....... �. R - 0 do o• �$ # #2A fDG �. E -RAE `T MPOUNE O ` LANDSCAPE TIE \� ` UGHT POST STEPS +� �6 J7 NO BOTTOM POND NOTES: 1, ELEVATIONS ASSUMED FROM. QUAD MAP 2. FLOODZONE C 3. ASSESSORS MAP 22 PARCEL 115 4. ZONING: RF (FRONT: 30'. SIDE AND REAR 15') 5. ROOF RUN—OFF TO BE' DIRECTED TO DRYWELLS OR TO STONE TRENCHES 6. BRUSH PILE TO BE REMOVED AND AREA ALLOWED TO GROW BACK OR AREA TO BE PLANTED WITH INDIGENOUS NATURALIZING SHRUB SPECIES �tN 0f of 51, Q UEEN ANNE LANE p� ARNE N. � tOct � IN THE TOWN OF: I aJALA CO T UI T BARNS TABLE CIYIL>. - - N. PNO. 30792" �, PREPARED FOR: ER�� `�4 �lA VINCENT P. ULEO 30 0 30 60 90 Feet H. OJAL SCALE: 1' - 30' DATE: APRIL 30, 2002 02-085 REV 6/26/02 ;.� :;.��a._ + � , ' {���rt x p 1 4r`�`T', Im + �t s: < .. e�s.. i f� q/^/) �, � � f ' /��FA�axv/ tl V . V F V h I t i ;: � f s � acr,am xmsa�oxoawrc.•�vw....•n.a:�+wu.wrr. - . . � - • UTM1-'-.IUD tl��.t?,t..._ - .• . - t'Ir3E:G (ILA 11461LG; ANITFt , �,,. � •CR4Vct t=oa 2x90 aXF) ALUm UTI FEt i I WEEP HOL-C �- I � f'Ir'tly 1�;o;,RV15 1(` Eil(-:Iiuil ---�G ov/t � 2"o c• IG o;c ,prIVAUD-BOTH SIMS � ' r L II i `���, �=irz>✓caot_ cyr,sp R-21 �t6kR�cns� I I _ Wo. SE�Ir,ycUs ovc I� -M -1. ISt)LhLjtnA4 WVh U12—i. �- _� TYRAR, EL DX PAM -� 1 rtrCjlt'C k �/ Co NJ.k�/ 2. 2 x G P.T. $I t.t.- I _ter ' --- 5�a'�LYT, P LY t�l� v -� r� --� tack. 2,'0,C (C�' C�Nc.�ouNar�StnN�:� y`d1-•- �7r'V►J,I ANCVIOt� t o„ , 3- „ III _/�, - -__:....__ �} \r,__- 'b"�_. 1 I ;I . �' f71�4�� 1lrlti•'i+ :2�1? .C•:I��t� - i '�i(l$iINS �LdSS' �! 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TyP_tc&t._ • -3�Y 3�X 14 I-)�CI` ��_ [3t i t.vyy,CAaQclT`C UFtt~V Iij< ' -`� — - •- --� - -•--- 1 �NKW GhI'CACtt; t=LOGtr •/'':.Cl�f�_fi1_.._ ..;.... _ r _ - Ne- nR�tlry��� : _... ___.., ►_ _ - _ _ _ _ ! 1-1(� ,� �. -1Q_I ITf.(De\1 F�2 ' - . ' . . � � • ..• � � � . _ . ,r ,. - �• • . , .• . • • .' • . �• '. I�i•n�Nan=_\lf�l��:�E�i•:.�'���-�C� . •; ' . � . �cl ']1-i0-?aOp JL'.1[E=. A5.`'t�Qtl)I,}. mea Joseph D.DaLuz telephonei zTS-uao Building Commiiuener EXT.107 TOWN OF BARNSTABLE BUILDING INSPECTOR S- TOWN OFFICE BUILDING HYANNIS,MASS.02601 Mr.Charles R.Eastman Kings Grant Association c/o 92 Oxford Drive Cotuit,MA 02635 Dear Mr.Eastman: April 1,1983 We are in receipt of a copy of your letter concerning a home being built by Mr.Vincent Puleo,Jr.located at 51 Queen Anne. 'Sieafd,Cotuit. I have inspected said home and find at the present stage of construction,it would be impossible for me to accuse Mr.Puleo of doing anything that is not allowed on his permit. You can be assured our office will continue to inspect this house,as we do all others in the Town to enforce the Massachusetts State Building and Town of Barnstable Zoning Codes. Yours truly. /yot' Alfred E.^Martin Assist.Bldg.Inspector AEM/df \