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0044 SAMPSON HOUSE KNOB
wob Town of Barnstable , STABLE * Richard Y.Se-Ali,Interim Director y 4 `, ` Building Division J ; `+ P: Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ,FY !010N Office: 508-862-4038 Fax: 508-790-6230 PERMIT#(�(�� ).—� �� � FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less S0(\ 94 S�nip � N Q h ��u_ l-k Location of shed(address) Village Chr�s�zx�hs� t- <046iw Coss SDI 78 S 33V� Property owner's name Telephone number ll� X Icl oat toa Size of Shed Map/Parcel# Signatilre Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) �n Sign off hours for Conservation 8:00-9:30&3:30-4:30 ----------------- PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 a Town of Barnstable Geographic Information System September 11, 2015 022077 #23 022076 #43 LOW " 022102 #44 022106 #12 �9 �!A 022100 o,L 022105 #33 .SO #40 r , ;s 20 Feet yams DISCLAIMERS:This map is for planning purposes only. it is not adequate for legal Map:022 Parcel:102 boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:ROSS,CHRISTOPHER R& Total Assessed Value:$442300 Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map w are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:1.11 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:44 SAMPSON HOUSE NOB such as building locations- Buffer %/� TOWN OF BARNSTABLE Building Department - Foundation Permit Date � /18 / 07 Per�mit # 2OO700167 Name 10FOkZINSKI Location SM MNSON Avuser Alen Romb —.Cr 1 , EJ.��� iZ��i„�i�tl�nsp. of Bldgs. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V �. ran Fppleldn ' 'lt rt"n � rs,a 7. 0 ` -11' ` + Date Issued Health Division `' � � � r; �� I Z ��- Conservation Division Application Fee Planning Dept. +� �q;� ;" - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address �\u Village co Owner ,'Z*r_c__. -a.K Address Telephone -s7 e>-B - -L % - E,'c G %A ;Permit Request v�s�'�`i � .� �6��5 t � A C.Y. C-C., %-d- Tee VG �•d b ._. A�` c\.o o� - Square feet:'1st floor: existing proposed 2nd floor: existing proposed Total new. Zoning.District Flood Plain Groundwater Overlay ProjectValuationI woe Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing z..S new Half: existing new Number of Bedrooms: 3 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 c..o.-,sc.%,>-y . o �_,�`�Q. Telephone Number a'o'a - V%I - 'I Address 3-4 c... J.o.s, 3 0 License #_ �oz_ Home Improvement Contractor# z,s s, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t zI 2 �3t3 4' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL'NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _iAFOUNDATI:ON .° $' ittt :�31t .i4: FRAME - - - - INSULATION. .. - FIREPLACE ELECTRICAL; - ROUGH FINAL - - r PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL € FINAL BUILDING--_ -Y DATE CLOSED OUT ASSOCIATION,PLAN.NO. P The Commonwealth of Massachusens Pnnt Form.;. 53 - Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 62114-2017 www mass-gov/diar Workers' Compensation Insurance Affidavit: Builders/Contractors/E ectri Iiaas/Plumbers Applicant Information _ Please Print Legibly Name(13us ness/E)rgan;zatiott/tndiuiduat) Con-Serve Energy;Inc .dba ConserVision Energy Address:376 Route 130 City/State/Zip.-Sandwich; Ma 02563 .Phone,#:• Are you an,employer?Check the.appropriate box: T" of ` - box- Type P roJect(re quired): 1.0 1 am a,employer with 8 4. l am a,general contractor and'1' employees(full and/or.part-time):* have hired.the sub-contractors 6, ❑;New construction 'listed on.tl a attached sheet: 7. Q Remodeling 2.❑ I_am a sole proprietor or;partner- _. ship and have no employees, These sub-contractors have g. Demolition working for mein any capacity: employees and have:workers' 9:. Buildng:addton [No workers',comp..insurance' comp ,insurance required-] S. Q We are a.cotporation,and its 10.❑Electr`ical repairs or additions officers have exercised their 3.,� 1-am a homeowner doing all work 11.�Plumbing repair°s of 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 employee's;[No workers' 13.2✓ Other Weatherizatlon 2013 comp. insurance required:] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: me t Hoowners who submit this affidavit indicating they are doing;all work and then hire outside contractors must'submi(a new..affidavit indicating such. ;Contractors that'check this'box mustratuached_an additional sheet showing the name.,of the sub-contractors and state whether or,notthose entities have employees. If the:sub-conuutors have employees,they,must prdvide their"workers'comp::policy number: I am an employer that is providing workers'co np_'ensa&n insurance for my employees. Below is the policy_and job site information. Insurance Company Name:Selective Insurance Co of the SouthEast WC795653.9 3114/2014; Policy#or Self-ins:Lie.#: Expiration Date: Job Site-Address: _ _.. City/State/Zip:;. _. Attach a copy of the workers'compensation,policy-dectpeation 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: shoo tion of cr minal penalties ofa fine up to$.l 500.66.and/or one-year imprisonment;as well,as civil penalties in the form.of a STOP WO-.RK ORDER and;a fine of up to$250.00 a day against the violator. ,Re advised that a copy ofthis-statement may be:fotwarded to the.Offce'of Investigations of the DIA for insurance,coverage verif cation:; I do herebycenYi °under the' sins and: enallies o _er u that-the in ormadoh provided above is true:and torrent. Si nature: �`. Date 3 2'.' 201�3,: Phone M 508-833-8384 Official use only: Do not.wrote rn:tkrs area,_to be:completed by cilyor.town:official City or Town. T,ermit/ticense# Issuing Authority.(circle-one):: 1 Board of Health 1 Building Department 1 City Town Clerk 4:,Electrical'Inspector 5.Plumbing Inspector 6.Other Con.tact'Person_-e Phone#: 092541 OWNER AUTHORIZATION FORM I, (Owner's Name) owner of the property located at _ Wy l Property Address) (Property Address) 1C(h) Flh �(�A 4 hereby authorize 1 1 (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a b .ding permit and to perform work on my property. uwmtA �94 . Owner's SignatureF Date i RISE ENGINEERING Federal 1p,fi os-0405629 RI Contractor Registration No 8186 A division of Thicisch Engineering: MA Contractor Registration No 120979' CT'Contractor.Registration No 6201.20. 1341,Elmwo6d Avenue,Cranston;RI.029f0 (401)784-3700 FA\( Ol)78443710: CONTRACT Page 1; R I V E- PROGRAM'. `THIS CONTRACT IS ENTERED INTO 8ETWEEN RISE. ENGINEERING DESCRIBED ENGINEERING AND THE CUSTOMER FOR WORK AS -DESCRIBED BELOW - CUSTOMER PHONE DATE Cliant0 Edmund'Trki.nski (508)428-0054; 10/04/2013 092541 SERVICE STREET BILLING STREET- 44 Sampson House Nob 44 Sampson=house-nob SERVICE CITY.STATE,ZIP: BILLING CITY..STATE.ZIB� Cotuit,MA 026.5 Cotuit;MA 026>> JOB'DESCRIPTION. Provide labor and materials to seal areas of your home Againstivastcful,excess air.leakage. Thls woik+gill be..performcd:in concert with the use;of special tools and dia=noslic tests to assure tha your home will bcicfi+vitti.a.healthfuGlevel of air exchange and; indoor air-quality.Materials to be used to seal yourhomc can include caulks,foams,weatherstripping;and otherproduc(s:, rimary areas for sealing include air leakage to attics,-basements,attached garages and:other unheated areas(windoyys are not generally. addressed:). (12)working hours. S924.0.0 Provide labor and.materials to install a 12"layer of R-38 unfaced.fiberglass batts;to(50,)sq4are feet of attic;space„ '$'42300 Provide labor and materials to:.install 27 FSK faced:semi-rigid fiberglass.board'insulation.to.(180)square feet:o(kneewall area. $595':80 Provide labor and materials;to:insiall a l0"layer of RmM Class 1 Cellulose'added to'(500)`square feet of open;attic,space:. �5670:00 Provide labor and materials to'install a 1.1"layer of dens e:packed 11740.Class 1 Cellulose:added to(-Q)square:feet ofkncewall floor: $I0950 Provide labor and materials to'insulate(l)'back ofthe kneewall hatch with 2"'rigid Thermax board;;and seal the edge o f the hatch with'weatherstripping. till SO Provide labor and materials to install(1);:easily moved,insulating covet for the.attic access£olding'stair. A.,small flat surface.of plywood will be created around the opening within.the attics This'ivill allow the e6vees integral weafher stripping to"restrict air, leakage. $23765 Provide labor and materials to`install ventilation chutes in(72)rafter bays to maintain air flow.. $351,;28 CSSL-1027,76' CONOR D MCINERNEY 39 SIASCONSET IANE SAGAMO1tE BE MA 02i63 081.19/20]4 Office of iffonsu on '= HOME IMPROVEMENT CONTRACTOR Registration:, 17135]: Type Expiration:_ 3/1@.014' Partngrsiiip CON-.SERVE ENERGY` CONOR MbNERNEY 376 ROUTE'136 SUITE C- ,SANDWICH.MA 02563 Undersecretary License or'regisiration'valid"tor individul use only, before the expiratiog date: If found return to: Office of ConsumerAffairs,and.Business Regulatiod. IOTark P aza-Suite 5170. Boston,MA 02116 Not yallid W.A.11houts-ignEltutt t .: i CONSENE-01 MVAUGHAN, �,..� CERTIFICATE OF LIABILITY INSURANCE °ATEIMN� 312012013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLY AND CONFERS NO RIGHTS UPON jME CERTIFICATE HOLDER.THIS' CERTIFICATE DOES'NOT AFFIRMATIVELY OR NEGATIVELY AMEND,'EXTEND,OR ALTER'THE''COVERAGE:AFFORDED BYTHE POLICIES' BELOW. THIS CERTIFICATE OF INSURANCE DOES.NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATEIHOLDER: IMPORTANT. H the certificate holder Is an ADDITIONAL INSURED,the Policy(les)must he endorsed. If SUBROGATION IS WAIVED,subject to the terms and CondiUotls of the polloy,CorwI ,poBcIbs may require an endorsement A statement on:this certlf Bate does not confecrlghts to the: certmeate holder Inileu of such endorsement(a _. PRODUCER NAME Strafe Businese Unit' Rpgpere&Gray Ina.-Dennis Branch- ,:PHONE 43iRo1L134 608 3,98-7980 877 818 21b6 South Dennis,,MA:0 640 EMI L. ADDRESS: WSUMMAFFORDINDCOVEME. $.' _ INSIMMA:selective. s.In co of the Southeast 'INSURER Wt Con-Serve Energy.Inc. iNsunEar:_ dba ComeerVislon Energy 607,Maln 8t ulsuluxo; Hyannis,MA 02s01 INSURERE: ._.._.. ',INSURERF;.:.._. COVERAGES', . _ .. . ._... ..CERTIFICATE NUMBER: REVISION NUMBER: THIS IS.TQ CERTIFY THAT-THE POLICIES'OV INSURANCE LISTED BELOW HAVE•BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED: NOTWITHSTANDING.ANY REQUIREMENT,•TERM OR CONDITION.OF ANY CONTRACT OR OTHER DOCUMENT VNTH:.RESPECT TO WHICH THIS 'CERTIFICATE"tdAY BE ISSUED OR 4Y,PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS'.. EXCLUSIONSAND CONDITIONS.OPSUCH POLICIES.•UMITS'SHOWN MAY HAVE BEEN-REDUCED BY PAID CLAIMS. um bum LIRTYPE OFit1&IRANCE.. : POLICY:MINBER.. uMlrs _.... _.. N oFJVERAI tueamr A 'X COMMERCNLGEt1ERALUA�.ITY 2014298 H BEM E 3 1,000,0 00 f 14W; .3114/2014 PREM G cw e S 100,0_ _. CLAMS-MADE X�OCCII;' �',. ', - LIED F�(P.:. ana uraa� S "PERSONM:d ADV INJURY $ _.._.. 1,000�0 '. : OENERALAC -GATE, 5.. 3iO00,O0,. . QEJfL/VI;�EeATELOW APPLIES ppl:- PRODUCT$--CCAIP/CPAG6 s 3,000.00 X POLICY' 'LOC: _.._ AvmroLueltm jousmel sodaem LIMfr S ANYAM. :BODILY:INJURT'(Perpown) S AIITALLW D A�L/NAOSD BODILYINJl1RYLPeracddmu) S - IYREDAIIfOS ALIM P R'ACCIOE S ...... ..-, . UMMILA ULIAOAe- CCCLft- - :EACH OCCURRENCE- Sbcct . _. .. -- AGO REAATE .._...._ 5 DEO IRETENTIM S WORIMCOMPORIAIMU"LM oTH. �DPROPINEioROVMEREXECUTNEYrN' C7956639 1/141203 OFFICEPAMMIDEREXCLUDED? A 13 MU2014 "ESE, mE $ 600.0 • A -© NI _ ._ 'E.LDISEME-EAEMPLCYE .S 800,00 IIt)r1 OF OPERATIONS below_ _`.. E.L.OISEASE-POLICY OMIT S' R00... b ' DlaC1a7IIDN OR OPERAtIONarLOGTIdi§IVBAdFStlleKh ACOnD I01,M�11foaN RamrW.SdKAuM.Rmoti apu+ts,p,dm�.._ _ - EXCLUDED OFFICERS UNDER WORKERS COMPENSA nONd CONOR&COURTNEY MCINERNEY-NOTE THAT BLANKET ADDITIOMAL INSURED' OVERAGE APPLIES TO THE COMMERCIAL GENERAL;I lA&LlTY(IFA.WRITTEN CONTRACT IS!"PLACE)., CERTIFICATE HOLDER CANCELLATION :SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE. THEREOF, .NOTICE UIIILL BE DEUVERED IN Rise Englneeting. ACCORDANCE.VATH THE POLICY PROVISION& 1341 Elmwood Ave. Cranston,Al 62910: _ AUTHORIZED REPRESENTATWE out 01988-2010 ACORD CORPORATIOIL All r►glits reserved: ACORD;26(2010106) The;ACORD_name and io0o:are.regIstered martts:of ACORO- L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '' p e pp Ma =�. ��2 �L � U Application# Health Division Conservation Division Permit# f: Tax Collector Date Issued i Treasurer r ApplicationIFee ' Planning Dept. f Permit Fee _. 03 7, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address `` y y 5 i�rvt�lscr,, ("se_ ' �b Village Owner r- 0M0N10 �i=,�CIN51c1 Address qq S16A Fsoti Hddic, 860 Telephone (sob-) Ltz- -p®S-1 __- Coruif, M �' Permit Request Wb D F,'zs F loom. a,00nn - ti oon, 4v 6e I L ' X ')D Square feet: 1 st floor:existing proposed 3Q0 2nd floor:existing proposed Total new 3ao Zoning District Q F Flood Plain Groundwater Overlay Project Valuation .Jr8,0o� Construction Type t2esaAea.LU Lot Size • I I Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0" Two Family ❑ Multi-Family(#units) Age of Existing Structure 15�q Historic House: ❑Yes Bf�o On Old King's Highway: ❑Yes LkNo Basement Type: VF`ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) © Basement Unfinished Area(sq.ft) 3 Z Number of Baths: Full:existing al new Half:existing new Number of Bedrooms: existing 2 new ' Total Room Count(not including baths):existing Ll new 1 First Floor Room Count Heat Type and Fuel: ❑Gas l/Oil ❑Electric ❑Other Central Air: ❑Yes 5No Fireplaces: Existing 1/ New Existing wood/coal stove: ❑Yes R(No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Yexisting ❑new size 2 cArL Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# 2U O 6 6 3 Recorded❑ Commercial ❑Yes Ulqo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION - - n Q G `0 , j � r y Name N� Tele hone Number //__ p Address �/ �PS a �t�✓� t License# . cc) TV/'r -9,4 Q"�. 3�� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A DATE • i T 5 w FOR OFFICIAL USE ONLY _ PERMIT X,0. DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE T r OWNER 4 7 i > r DATE OF INSPECTION: FOUNDATION �/ ' / iv ✓v� ✓ ` 4 E FRAME INSULATION / ,� y I®� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 6 s • ` DATE CLOSED OUT ASSOCIATION PLAN NO. r 01-11-2007 a 10 = 1,3u BARNSTABLE : WANMB 006 DEC 20 P 1 .52 Town of Barnstable Zoning Board of Appeals Decision and Notice i Appeal 2006-103 -Trzcinski Realty Trust Variance- Section 240-141 — Bulk Regulations, Minimum Front Yard Setback To construct an addition t6t intrudes 5.4 feet into the 30-foot front yard setback off Sampson House Nob Road Summary: Granted with Conditions Petitioner: Edmund Trzcinski and Estelle D.Trzcinski as Trustees of the Trzcinski Realty Trust Property Address: 44 Sampson House Nob Road, Cotuit, MA Assessor's Map/Parcel: Map 022, Parcel 102 Zoning: Residence F Zoning District i Relief Requested & Background: In Appeal 2006-103, the applicant sought a variance to construct a 20 by 16 foot (320 sq.ft.) one-story addition to their existing dwelling that intrudes 5.4 feet into the required 30-foot front yard setback off Sampson House Nob Road. The applicants seek a variance from the minimum front yard setback in the Residence F Zoning District According to the Assessor's records, the property is a 1.11-acre lot developed with a 1,765 sq.ft.two- story,three-bedroom single-family dwelling that was constructed in 1984. Also attached are a garage And a wooden deck. i I Procedural & Hearing Summary: This appeal was filed at I the Town Clerk's Office and at the office of the Zoning Board of Appeals on October 30, 2006. A public hearing before the Zoning Board of Appeals was duly posted and advertised in accordance with MGL Chapter 40A. The hearing was opened December 6, 2006, at which time the Board found to grant the variance subject to conditions herein. Board Members deciding this appeal were, Randolph Childs,.Daniel M. Creedon III,James R. Hatfield, Ron S.Jansson, and Chairman Gail C. ightingale.. At the opening of this hearing, Chairman Nightingale cited that the publication and posting of the hearing conformed to the requirements of MGL Chapter 40A. However, the mailing of public notice to abutters was sent oui only a week prior to the hearing. She noted that because of this it could extended the appeal period on this decision and cautioned that any action within that 90 day appeal period would be thejapplicants risk as would any litigation arising from that procedural defect. The applicant stated that they understood the ramifications and did prefer to go forward with the appeal. f Variance 2006-103-Bulk Regulations,Minimum Front Yard Setback Edmund Trzcinski represented this appeal to the Board. He described the proposed addition noting it would be a one-story, 20 by 16 foot addition and would have a full basement. Mr. Trzcinski cited that the only practical placing of the addition to the existing dwelling would be that which was proposed. He noted that the cul-de-sac on which the house exists is undeveloped and the traveled area within is much further away from the property line. He cited that his lot is very secluded and that Sampson House Nob Road only services two lots. The Board and Mr. Trzcinski discussed the issues involving the cul-de-sac noting that it cuts into the lot which has created the acquired shape to the lot. It was also noted that a Commonwealth Edison electrical easement cuts diagonally across part of the lot thus possibly hampering the additions placement.. .The Board also reviewed other options for locating the addition. Also explored was the reducing of the size of the addition. It was noted that positioning the addition in the'opposite direction would interfere with existing windows and load bearing walls. Anything.smaller would not satisfy the needed indoor space and associated costs. Public comment was requested. Mr. Daniel J. Driscoll of 33 Sampson House Nob Road, owner of the property situated across the cul-de-sac stated that he favored the granting of the variance. Also speaking in favor of granting the variance was Leonard F. Carter of 40 Old Kings Road. No one spoke in opposition to the request. Findings of Fact: At the hearing of December 6, 2006 the Board unanimously made the following findings of fact: 1. Appeal 2006-103 is that of Edmund Trzcinski and Estelle D. Trzcinski as Trustees of the Trzcinski Realty Trust seeking a variance to Section 240-14.E — Bulk Regulations, Minimum Front Yard Setback. The applicants seek this variance to construct an addition to the existing dwelling which will intrude 5.4 feet into the required 30-foot front yard setback off Sampson House Nob Road. 2. The property is addressed as 44 Sampson House Nob Road, Cotuit, MA, and is shown on Assessor's Map 022 as parcel 102. It is in a Residence F Zoning District. The property is a 1.11- acre lot created by a.1980 subdivision plan. According to the Assessor's record, the existing dwelling was.constructed in 1984. It is a 1,765 sq.ft. two-story,three-bedroom single-family dwelling with an attached garage consisting of 420 sq.ft. and a wooden deck of approximately 720 sq.ft. 3. In this application, the owners are proposing to construct a 20 by 16 foot (320 sq.ft.) one-story addition to the existing dwelling. The location of the proposed addition intrudes into the required front yard setback established by the cul-de-sac of Sampson House Nob Road. 4. This cul-de-sac, although not developed with a formal paved circle, does exist and does establish a front yard setback. Although in reality there is no paved circle defining a front yard abutting a roadway. This cul-de-sac is situated in such a way as it cuts into the subject.lot. Encumbering the lot further is a diagonal easement cutting through it. Together these topographical features of the 2 variance 2006-103-Bulk Regulations,Minimum Front Yard Setback lot creates a unique shape thus affecting the parcel. These features are not common to other surrounding lots. 5. This is a modest addition being proposed and if this variance were not granted,the literal enforcement of the ordinance would cause a hardship to the petitioner in that they cannot fully enjoy their home. In addition, this relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance and does not represent a detriment to the neighborhood if granted. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the variance subject to the following conditions: 1. This variance is issued to allow for a one-story addition not to exceed 20 X16 feet (320 sq.ft.) and not to intrude not more than 5.4 feet into the 30-foot front yard setback off Sampson House Nob Road. 2. The addition shall be located as shown on a plan submitted entitled "Certified Plot Plan at#44 Sampson House Nob Road in Cotuit Massachusetts" dated October 24, 2006 as drawn by BSC Group. 3. The addition to be added shall be substantially in conformity with the elevation plans submitted entitled "Trzcinski Addition Plans" consisting of two sheets as drawn by Sharon Malone Johnson and dated 5-10-06. 4. The proposed new bulkhead entrance to the basement shall be located so as to fully conform to the required setbacks. 5. In locating the foundation and bulkhead, a surveyor shall be employed on-site to assure full compliance with this decision. 6. All mechanical equipment associated with the dwelling (air conditioners, electric generators, etc.) shall be located so as to conform to the minimum required setbacks for the district. That being: a 30-foot front setback and al 5-foot side and rear yard setbacks. All mechanical equipment shall be screened from neighboring homes and ways. 7. This decision must be recorded at the Barnstable Registry of Deeds and a copy of that recorded document must be submitted to the Zoning Board of Appeals Office and to the Building Division before any demolition or building permit is issued. The relief authorized must be executed in one year as provided for under MGL Chapter 40A, Section 9. The vote was as follows: AYE: Daniel M. Creedon, Ron S.Jansson, Randolph Childs,James R. Hatfield, Gail C. Nightingale 3 Variance 2006-103-Bulk Regulations,Minimum Front Yard Setback NAY: None Ordered: Variance 2006-103 is granted with conditions. This decision must.be recorded at the Barnstable Registry of Deeds for it to be in effect and relief authorized must be exercised within one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision or 90 days on procedural defect related to the mailing of the notice to abutters. A copy of that appeal must be filed in the office of the Town Clerk. G i C. Nighti g le, Ch rman Date Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties ofperjury. g Y p Linda Hutchenrider, Town Clerk 4 i 7777777. _ NOTICESLEGAL .. _ iOWN'� �► I�S1fABLf ZONING BOARt tl�APPE�ALS . N07 " Ql�'PUBLIC NEA44, itING ENDER THE EMSER_�i.:2.66 t a1�3, Estsnss e'�gst M— r0e ed*the 20 ifi' g � o s Ppe is uncFer ectrota 't(,o Chaptee4UA of t�ia Ge e I S of the Commariwealf�o{Ma ssa us and' all amendm ents h eFetoo�airkt€Feliotified that;._:.: >'•-: s t � i T��`�II�I��..rAp?�e�'�1;2Q06`,Ib2�� ;:Fa :yi'`e,�d'�i�=��?:;'+:. :��9�YT>:�"`•:�:�.°�.��`' :s`r`i� P. 04 i1i � �Ag4il Peij pbsuarjtlg Setib3t0�1 12�fot theFdera afro#fiee�a ngdvye�mgattdforebu�IdanevrJarger rrg7efarniCj�dvy An9 onOat rsess ` fl,0�b6 sgit The property�s-ad... day Share i SbS j. ,- 1 Rbad y q7a thA �.ia t bv tf on assessor s Rn25 as par�e109B; It is rti a F es7 ten d�#r q drsfri "` psa. x f i �x ',► e�t �rDs par t FTrtmskrl tir rr� ., Ss • ,,,•� � � �. s``s+ '.Y"` -MY . 1 :gr5 rzgr s n�dEs�6.11(�cluskrasTcusfepaq t e�T�>icidskt a Trastehave, • a. ab2pM i4�` "C7'1' r 'm ,:h ?a fz y 'S �'^< w Ft. ec, app QtV�n nc�e toec{lonKLLLaO4.EuC Re�ulaios;#VliruunrrontYar21; Semac `fheya p�tca Issee C�csoaristrtict PIT-additrd�nt'o th�'exrs ing dwe hng fhaf will int gd�e`t 4 �fFi o#�ie'�req�reSFSQ fob ff8fi }�a�d�s ti'aci oit S`a�nPSo. tLouselt-ob=' Roa T r j� er s,addrp§sad asi44SarnpsgrZ� o sg�T1ob, g�dyCR uj. J arit k; l showhssgsos ap�02 as�paeL'102 It is iq a Fesidetice,FgnragQigtnctr � '+ - • , a Peal :104!'�r,T�Z,Fi� �Mori��ns��s ,��t2�u:;.;��'�;r��, 7. Jac gas talonlq as 1 ed fo7' Special:Rer rrti pursuant o'See}arfi 240 g l ht'(27.+ Q e#opYe ��d 'tot ioh e a p itseQks UKA;dnstEu"ct a`pra eXistir rtdn"�otiE, "forniin sin'le=fame dry' `rt act eom l witFacbrrentm�mmulti aYd:setbacks.� 9 9 lY .,�. P X.,.,;.- y— f¢rta orrFld��s>3nc ��roertrwis'addressedi;esM�358, aimQut[) 3flad {Rouig ,� L, h Sw M F ' 28,�C.y�n om0,tc�,a"m is S ovyn:orrgssessor�s Map.2��s�argel 099 It rs m.a. Oftlrlg"�IStn� .1:`r+�l di3klr.x�h°h3vbv m�t>l+ytnlb� 5F* 5P 4.>A eal.2Qilk0.:5:sl ..MAM ono' J2cq„ sf� Mofi�r haspp� fpf3Vanr)ces;to Sectidn 240 U.1= BulkeggletPgns„, �ry� m,Lot.Area r rpLry� ot Vt/,tdt, ,end fha.Mmlmurrfi 100 foot setbac fro Route 2e a p rca t sees refieifi ordet.r to cofrstruct a sirigl�'rfarnr�re1(rnga .,. ting5lot'1 vap nces arl�sdt ghfin fhd'altemativ�e ttg�jhWa 6V 6godiai ye rn ret{ues� The Property is addressed as fi358 Falmaufh"Roa�(Raute 2 �;Cent rvUle;? + iS tJ�_A3.44 s attov��or�:7 _,So-*,p a 22 :as parcet. g �a,�Re� e ae fi, 2onin Disf-ict::. ..�;. y i,S ., 1Tese ('ubbo Hearings wlj��e field at ttie,idafnable lo�uh Hai 96 1i� in Street,. Hyanrns, Peelr��}f4r, F� o�iSnWednesday Qace�ibar� 200 Plans and: applrcaU4ns ma a reviewed at he r ng;Boatd ppeals Qffica Gr6wt6 Manage-; tngiitDeparlineh °T6mOt e l m [ St .et, yaniiispMlk •'. cw ..Y' 1 ,7. ,3'..:::«2:.7:s:Fl.f'..�r?_::' k'L'"t+r:_`'YL;•. '4".'s�,�`aa�•7�y�v+,t`#�T�•':t?;u":�'}F,�t'y.';1`' + '�;,..+,i:!".z}'`= '?'t:7?.` '.;+;'4^_ ,p;k :.r^A' r w,�, tea:FO' f z. Gail Ci.'i�Irg ifrngele�Chp nrrarr ..,.; i :'?tnfl[ng.Soard, f Ap a Is • ��..N �:}�jjy.�;q;;;k�`s�'�"`•,+�-r,.�`:t+��v��=•�'F-�' ; ci'r',F.:�rxx�y•'e�, .S r-i8�3..j� a.i'en• .;. .•^Yif_.,�,:•-,.: �: SS."' _..mac M - ,:r� _ , • _ :1`7".G:P..Q4E3�A/R13'3G��iPk�'lYFti°`�F!�,?_�•'��,�"".j. .. •> y �z�'�. IS�P;7.4,,Y.'FJYJ��Y�••G'V�{V� `1 ''y.'.' :ik' Zoning Board of Appeals (ZBA) Abutter List: Map 022 Parcel 102 Abutters=Parties of Interest-those directly opposite subject lot on any public/private street/way and abutters to abutters. Notification of all properties within 300' ring of the subject lot. This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on 11/16/2006 Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 022001 ONTE,JOHN F JR& EY,CATHERINE 67 OLD KINGS COTUIT MA 102635 USA ROAD 022040 r ISCH,JOHN J&PATRICIA I 1 OLD KINGS COTUIT 02635 USA IRD 022067 HOLLYWOOD,DONNA &JOHN HOLLYWOOD GROVE STREET 25 GROVE ST CONCORD rA r1742 OMINEE TRUST 022068 MCPHERSON,SIDNEY R& MCPHERSON,ESTELLE H 29 OLD KINGS COTUIT MA 102635 USA RD 022070 GAY,SANDRA F 34 TROUT COTUIT A 102635 BROOK DR . 022071 SINAI,JUDITH REPPUCCI 54 COTUIT 02635 USA TROUTBROOK _ RD 022074 CLEARY,ANN L %PEARSON,JOHN R&LISA A 175 TROUT COTUIT 02635 SA ROOK RD 022075 HORTON,TODD A 404 PAGE ST I ISTOUGHTON IMA 02072 USA 022076 MORLEY,SUSAN M 43 COTUIT MA 02635 USA TROUTBROOK RD 022077 CABRAL,ROGER C&JOANNA 23 COTUIT IMA 102635 USA BROOKS TROUTBROOK 022078 BOURGEOIS,JOYCE TRS OYCE REALTY TRUST k5FURLONG COTUrr rA 02635 USA WAY 022079 PETERSON,ARTHUR T ET AL TRS PETERSON FAMILY IRREV TRUST 41 FURLONG COTUIT MA �02635 USA AY 022081 rENDERSON,JOSEPH& HENDERSON,JACQUELINE 32 FURLONG DR COTUIT MA 102635 USA 1 022085 KILLDUFF,KENNETH L& 1KILDUFF,DONNA.T 54 FURLONG IcoTurr MA 02635 WAY 022097 CINCOTTA FAMILY TRUST 80 OLD KINGS IP O BOX 172 COTUIT MA 02635 RD Friday,November 17,2006 Page 1 of 2 Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 022098 GOSHDIGIAN,JOHN 63 MINUTEMAN CONCORD MA r01742 TUSA IDR 022100 DRISCOLL,DANIEL J JR&ANGELA 133 SAMPSON COTUIT IMA 102635 HOUSE NOB USA 022102 TRZCINSKI,EDMUND&ESTELLE D 4 SAMPSON COTUIT MA 02635 RS HOUSE NOB RD I022105 CARTER,CAROL W&LEONARD F CARTER HOUSE REALTY TRUST 40 OLD KINGS COTUIT A 02635 RS RD 022106 MALOY,JOHN L JR 341 MAIN COTUIT MA ]02635 USA STREET 023001 FRAZIER,FRANCIS L&SHEILA 215 MAIN ST COTUIT MA 02635 USA 023016001 IFEUERSTEIN,JOYCE 26 MAIN COTUIT MA 02635 USA •r"' . STREET Friday,November 17,2006 Page 2 of 2 f - 7 able J3:7-1D teontmaed) Pmcriptive Packages for One and Two-Family Raldendal Buildings Hentcd with Finail Fuels MAXIMUM MIIYIMUM Glazing Glazing Ceiling wall Floor Basement Slab Heating/Cooling Area'(Yes) U-value= R-value' R-value R-values wall Perimctw Equipment Etliamcy' P=kge R-value R vW= 5701 to 6500 Heating Degree Days' Q� 12% 0.40 38 13 1 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 15-AFUE T 13% 036 38 13 25 NIA NIA Normal U 15% 1 0.46 38 19 19 10 6 Normal Y 15% 0.44 38 13 1 25 NIA N/A 85 AFUE w 15% 0.52 30 19 1 19 10 6 83 AFUE X 19% 0.32 38 13 25 NIA NIA Normal Y 18%. 0.42 38 19 25 NIA NhC Normal 18% 0.42 38 13 19 10 6 90 AFUE AA 12% 0.50 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: y SZMIQSO-n 14Mf- CIOb MA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: _ L/y 3. SQUARE FOOTAGE OF ALL GLAZING: '- 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): A.4 NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-®80303a RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 p Alterations/Renovations $ 50.00 Building Permit Amendment $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= pus s ucm below applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit; square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x S30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 ---------------- Relocation/Moving $150.00 (plus above if applicable) Projcost Permit Fee Rev:063004 I �FT►,E Town o Barnstable Regulatory Services y/,WMAELB. Thomas.F.Geiler,Director � •Noss. g ac.39. Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Hce: 508-862403 8 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 ceTta excep eons,along wnth e*?'em requirements. ,,�� � pp Type of Work: Qas,1u ;- 6*ta414 Uh Estimated Cost 5 L 000• Ga Address of Work: 44 Sampson 14tuSe- A106 Owner's Name: E d M U N 13 _ ( Z I/V Y J Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under S1,000 MBuilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT'WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Signature Registration No. 4444-1) Date Owne 's Sio tune QWpMes.foT=homeaffidav Rev: 060606 The Commonwealth of Massachusetts Department of Industrial Accidents 1• Office of Investigations M W_ 600 Washington Street 'S�4il! 1 Boston,MA 02111 K� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Eum V N o 7-A LC.I hl,s ki I Address: yq 52,wt�son I sc . AA City/State/Zip: COS,; �Ak Q L63 s Phone #: 5o�- yak oo5 y Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7. remodeling ship and have no employees These sub-contractors have 8. ❑Demolition orking for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance . 5. ❑ We are a corporation and its ////// quired.] officers have exercised their 10.❑Electrical repairs or additions 3 I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions . myself [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *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 hue 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under /the pains and penalties of perjury that the information provided above is true and correct Sianature: Date: /--11"0 7 Phone#: 5Cfr - �l�rF- 06 q Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t a Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an.employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required•" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of. insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax•number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #€617-727-4900 ext 406 or 1-8,77 MASSAFB Fax##617-727-7749 Revised 5-26-05 wwwmass.gov/dia THE Town of Barnstable OF 1p� Regulatory Services BA4NSTABLE, : Thomas F.Geiler,Director MASS. g q,A 1639• ,0 Building Division lfD MA't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION —7 Please Print DATE: JOB LOCATION: 7 -<Am P US No 0 . y r rnumber street village "HOMEOWNER": EPIX#yry name home phone# work phone# CURRENT MAILING ADDRESS: SUM E' Cal V/7- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The�-unde er"-certifies that heTown u -a=Mst-, Bold ' --- - - minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of oineownej Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1•Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Boa Assessor's map and, lot number .................. .............. ► �`''�� Q Se age Permit number .. D.. ......�Z �""G.. 11V BALL Sy to�y� 7HE p , PLIA C TITLE a Z BA"STLIiLE, i e House number ... "................................... r:......:...... r/ 'pc e3o ♦� 3 6IL ��p t - TOWN OF BARNSTABLE �µ BUILIRN INSPECT APPLICATION FOR PERMIT TO� .-.A............. .. ............ ..... . . ....... . .... ..................................... TYPE 'OF CONSTRUCTION .....:......................:.......:.:....... ............................................. ....I..... ....................::....... .�..'. ....... P.. ....................19........ TO THE INSPECTOR OF BUILDINGS: The, undersigned hereby applies for a per it ording to e f Ilowing information: © S .. G'. /..r.... Location ......`.... ... ..r-- :. ... ..... . ...�. ........ ProposedUse. .......... . .. ..... . . ..................... . "........................................................... . ....................... Zoning District .......1. �' .............. Fire District .:.....ro. .1.. Name of Owner 0M"i!No.... .......:.:Address L6 .. 4. �.. �� d"`/...... Nameof Builder .............................................................:......Address ...........................................:.............. ......................... Nameof Architect ..................................................................Address .............................................................................:...... f Numberof Rooms ..............el..............,..................................Foundation ...:f.d.C,p. ............................................... Exterior �...... ?<j./ ...........................Roofing ...: L.B ..... .G .4,5..................... Floors ............ .:.....:.......................:...................:.............Interior ...tt'0 ... -:4 ....... Heating ........Plumbing ................ y-............I........................... ......... may-- •- Fireplacef .l..4T.r ............................ .......Approximate. Cost . .. ....:....................... .. .... Definitive Plan Approved by Planning Board ________________________________19________. Area .....L. `......?.� ........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO"APPROVAL OF BOA' RD OF HEALTHV4,1_1td OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree' to conform to all the Rules and Regulations of the Town of Barnstable regarding tHe' above construction. Name . 20,1A. '�!.. '- ... . ............................... Construction Supervisor's license .. ..�......... 7.ZCINSKI, FDT'AJND , No . ab962.... Permit for ...Two..Stor. ............. I lzng...................... Location sit.. L ..IQ6A......44..Sampson..Hdu-ss..mad rcatuit.............................................. Owner � I10.1rid..TxZGirl ki:........................ M r 5 . •r Type of Construction ....F'arim................ .................................... ........................................ i Plot ...........".................. Lot ................................ Permit Granted .......Set�tetnber 12.�.....19 84 Date of,Inspection:9✓r..:. ..................19 r �• ""� ' Date Completed ...f `�? `fir....19 �•f �.^. ,//(]Ay,�\/� A'/ 0 ice, A � \ J' '1 ,lam 1r� »� ) -� 1.✓�-^.� �,t . i 14 o• TOWN OF BARNSTABLE Permit No. 26962 {UMn = Building Inspector cash �( +Wa Bond ----- � D'OCCUPANCY PERMIT Issued to Edmund Trzcinski Address lot #106A 44 Sampson House 'Lob, Cotuit Wiring Inspector —C Inspection date i Plumbing Inspector / Inspection date Gas Inspector Inspection date vEngineering Department z � ! Y / �/ Inspection dated Board of Health / Inspection date f THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE tBUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .......................... 19. ...... ..: ..:,....�-,• -—-------------- . .................. Building Inspector - - �yo`T TOWN OF BARNSTABLE • '� ! BUILDING DEPARTMENT i ssRaST TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 MEMO TO Town Clerk FROM: Building Department DATE: : An Occupancy Permit has been issued for the building authorized by., Building Permit #.. �R : issued to .f..... � l.... ..... e ' . .. _... ........... ».._.. .... Please release the performance bond. OF Mgs�9c - -- ----- -.D1 ST A/� 51�oSAL �--� Fo ALLAN T F L A r` KINGSBURY y ------ c� p .#26101 �Ol� SCALE � '�'O q'yD SUM 4-y� STo w N1 A SI�ou/n� NEzrop /S •9t-rvj* Ow NOTE : S 1-�r v e data A nC4 l.vGpr�p ON 7'H£' &oRVUM0A D �� �y �yNaS►��uRy SUPVE,/1N G, T-o Ivu� f���7e ---a1,� 1 St1ND wi cH ,iL1�4. Fv S I P.E •14ND /�'�oa2�Nf�r2C S 2`��. -]� -_".____----�--------:._..____-- jN I yrq� \ S Q �1 I� /g HARRY ���• - z I .j& EARL ., �"�} z 0 WTERY, 1R. Nq.?65i5 p Q 0 S�ovAiL Er Dr \T Z Area ;i / O 1po O Disposal a`. 2 g o.;c-1 *41 Single am;ly e\we 11 i 11 w�3 fed roorYl s ;No garb�a�e d i s pos.4 Se cTank (_vo 5 GAL p - 3519 0 1 0 o o G. 'TAN K - d. K, �� ��' beeV + �' S- c>yle t_RNTEr;_�/•� -ASSOG Sa'. fi x 52 x o ' - 7.g pwg .16Z9.�.� _ fie V, ( - 717)84 T O T A L C�P T - �` GA RS. - -- /I GtNEt • OFFICE OF BABHSTABLE, o° yp 639. i . raj PLANNING AND COMMUNITY DEVELOPMENT pA 63q `� AFamAY�`' 367 MAIN STREET HYANNIS, MASS. 02601 (617) 775-1120 EXT. 160 August 20, 1984 Joseph D. DaLuz Building Commissioner Town of Barnstable Town Hall Hyannis, Mass. 02601 Re: Approval Not Required Plan "Sampson'House. Nob"" Cotuit King's Grant Subdivision Lots #102A, 104A & 106A Dear Joe: It has come to my attention that I erroneously okayed a permit for lot 106A, and a foundation permit has been issued. These 3 lots have not been released from the covenant, and I x request that your office does not give any further permits until this is done. Your co-operation is appreciated. urs very truly, ernice Latham, Secretary j F 1 Ifor the Planning Board h-j i �ov � q//P-/ - � Q e S-,4L - F ti! sl' - 7 - �.: I T;17 ��Tc SLi, �Ey dc1 a ac,C{ �+�akE by K � Nas��vQY `' vRvEvtNG, y--7 -7 -- OF c f� lad ARL i L zoh z ;� Z G575 ! �' e�e CG (L; ReSCr" \ Ent. - L - 39.zZ ..T rEck LOT { OVILI 3 O 1Gt`{ 11i �� a W 3 �eG�room5 rho �� S�� lc - am;l c\vie I 9 x E, 3 G v , - G L, p 3519 00o G /\1 . T��i`YK - O.K. De51D���eC by 60,E bee f z' �1one LRNTLPy .1{ SSOG; v SE b' D a . S nc� , AAA (0- o Dw9 . 2.9 -q- Pam, -7 1-71R4 ^j Assessor's map and lot number .................. BpiTHEtp�y Sewage, Permit number ............................ ......f. .:..�... { Z NAUSTABLE, i House number ......' ........:..........................................:...... *o MAB6 � i639 9� TOWN OF BARNSTABLE BUILDII•Hon INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ....................... ........................................ ............................ fC / v r' f1 ! .. .... ...................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a perm iT according to the following information: Location ...... �....... , .....��;�rr;. ;� P ... ...... ��.%�-� .......... .......................... ProposedUse .:........!?:!...........t..!.<..... .......................................................................................................... CC TO 1 % ZoningDistrict ......./.../................... ....................................Fire District ............................. .................................. Name of Owner MAIN .....L..1. � .S�v..........Address .. ..........� .I.... . �. ......./.Q.... .�f� ..... 411 Nameof Builder ....................:...............................................Address .................................................................................... Name of Architect ..................................................................Address ...................................................................... . .............. Numberof Rooms .............. ................................................Foundation .... �J.41.Qro:�- ................................................. Exterior .C /� k...... ��J..lt! L. f ......Roofing . �� �/f-�Q .�/ /.X�G ��,5...................... Floors ............ ..................................................................Interior ..S' C.'�e.' 'V,CK, ............ ..................... ..... ................................... Heating .........................Plumbing......................,...... ..;,v..........................,......: ............... Fireplace ..... /. 1 .................................................Approximate. Cost . ,O:.d.:Q..lc.................................... jDefinitive Plan Approved by Planning Board -------------------_-----------19________. Area Diagram of Ldt and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 { OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......................... d Construction Supervisor's License .............. TRZCINSKI, EDMUND A7--22-1(')2 26962 TWO Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location Lot 106A,. . . ......44 Sampson..House. . Road; "Y .... ................ ...... . .. ...............C.QtIlLt............................................... Owner .....Bdrrund Tlrzcinski .............................................................. Type of Construction .....F:rawe..................e....... ............................................................................ Plot ............................ Lot ................................ eptember 12 84 Permit Granted S....................................19 Date of Inspection ......f.............................19 Date Completed .......................................1.9 23 s f rM L oPt• F IT Rbv�� JLIbIfT Et.EVA-7701tJ - CLFLt��Sf��%/ S IL 1 ryi t l i 9 -� t t)eoAlT zF-G,EyA-wo1J 9:E4fz � ✓�4-77na1 T�Z/NSic2 i4-yAiT7o,� F[.s�n/f . �,/ ,` pi AVPROVEDer: DRAIMNm By SNARo�u Maco�y�'- so�su�n..1 -�>8-667y Daw.i.w rwnac� wsa� r��arasm��ora�r. - ' c - , RD,-uST 7-0 A V o f D G i S Zt, G/S GI.S _t fP/N�ws ....7:URAATaNi.60to2 .(A/OOD /NTEP-ro 2 7 - -� - 'EX Nf� OP-N0-'6 FA•M/L V P-00,-1 VLK.,_.._ .. ` f V,4UL,T GLG. u>I �r4 nl © ro y„LONG. LAf� �( 14XCHO t2 EOI�►r GTG-3 •' 4L v PEA._Co DE- C () i t EW 1 r� P p off. ALI6,4 Wkr,(,g Ta aUTgl aE-- 7RAN51T axv UfR/ry --------------- IS GIS a • _ W�rv-ELr,99 - -i 57JfC�•c d ao= FGOok OL Ail yG Ae-i5 /y'=/``0- rlo ODA 7oO PLst-n/- CA c c O 'a �GN - - 'ULN DOtJ yCN O UE,- - 7 e P-4 O/ll�. 'yx T. ris .. ... ..... -... .._..._-.. - .._... ._..._-. _ .-, PC LET-6 Ex yT. $tfgT^ o O r - ARGN ,5}}IN6L�� GI�OOD SNsI-LSE Loo�> GDX. / Ly. D s .... ....._�.. id � fyt� a �t'' 0 o�yT._. FAtit.S x IX& F,496/A CROUCH) T ,�OT� 1a/_L �xr�2ro2 -rzi�I '� iEx,sT awo /2trs Ta /v1-TGH jZOvyN Z/NIS!-1 0- - i lb"oC a ax6TOV._ — j /1J/ JG eROJGN) J PLA5 X v J M `D Wlc- $/t/NGL£tI -- STA-/N-E7 TU MAT<!/ 9a%8"s.7VD,$ - .� r� 7%U /X 4 .TR/nf 6A•61-ED LU/^IDOu7 ONL,+ j9 TAG .vB.•...FC._..6.l_U E t �q 4+ NO G UTT•EY� Oc ..S PO L/TS WO ro�G Liu , .>xro NCw �x/o v/a'OC SUt/D r SEAL _ NG/fOK 130LT P2 Goc?F i7-6WA6/1-,l— 8"coA)C, w,acCs V1 Keyy-ED DttA t P P 12oor- 3s ro:e Gam? "GONG. S L/4 3 t- LiFVE L! uJ •EX!ST. �KAIN/�JG S�C77 - t CE 28 REVISIONS: LOCUS INFORMATION NO. DATE DESC. LOCUS — CURRENT OWNER: TRZCINSKI REALTY TRUST OVERLAY DISTRICT: AP / GP — ❑LD KINGS RD N EDMUND & ESTELLE TRZCINSKI, TR.AJ NITROGEN SENSITIVE — w TITLE REFERENCE: DEED BOOK 10956, PAGE 180 ZONE: PARTIALLY IN ZONE II — w FEMA FLOOD Nv PLAN REFERENCE: PLAN BOOK 343, PAGE 16 ZONE DISTRICT: "C", DATED 7/2/1992 — ¢ PANEL #250001 0021 D f ¢ q Z ASSESSORS MAP: 22 — a PARCEL: 102 MINIMUM LOT SIZE: 87,120t S.F. — z Z �� ti n ZONING DISTRICT: RF EXISTING LOT SIZE: 48,381 f S.F. 3 SETBACKS: FRONT 30' a 3 INN p SIDE 15' A REAR 15' P Q I LOCUS MAP I CERTIFY TO THE BEST OF MY NOT TO SCALE PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE CORRECT. . lcwm�ELDA • S48'20'30"E 195.66' u0 / PROFESSIONAL LAND SURVEYOR DATE / / / FOUNDATION / AS - BUILT � . PLAN � AT P/ #44 SAMPSON .�/ HOUSE NOB ROAD APPROXIMATE IN SEPTIC LOCATION �° /��p�/ PER DESIGN PLAN C OTU IT 40 _ W MAS SAC H U S ETTS (BARNSTABLE COUNTY) - o / GARAGE toFEBRUARY 12 • 2007 w ZONE AP ' ' / 00 f EXISTING DWELLING DECK / \ < FOUNDATION <, ZONE GP AP `,203.89' R PREPARED FOR: i 0 Mr. DAN LOVELY 23 MERRYMOUNT ROAD WEST YARMOUTH MA 02673 \ (508) 364-0179 R,IOU \. 349 Main Street Route 28 Unit D West Yarmouth, Massachusetts CONC. BND. 02673 FND. & HELD 508 778 8919 R=25.00 © 2007 The BSC Group, Inc. L=39.22 CONC. BND. SCALE: 1" = 20' FND. & HELD 0 2.5 5 10 METSM - N43'31'48"W -1 0 10 20 40 �► 65.00' - PROJ. MGR.: CRAIG FIELD FIELD: D. GAZZOLO / J. McCARTIN 9' WIDE GRAVEL DRIVE CALC./DESIGN: K. HEALY DRAWN: K. HEALY SAMPSON CHECK: CRAIG FIELD HOUSE FILE: 9173 AB.DWG ROAD DWG. NO: 5768-02 SHEET 1 OF 1 JOB. NO: 4-9173.00 28 REVISIONS: LOCUS INFORMATION NO. DATE DESC. LOCUS CURRENT OWNER: TRZCINSKI REALTY TRUST OVERLAY DISTRICT: AP / GP OLD KINGS RD N EDMUND & ESTELLE TRZCINSKI, TR. — I NITROGEN SENSITIVE _ w TITLE REFERENCE: DEED BOOK 10956, PAGE 180 ZONE: HALF IN / HALF OUT w — _ 3 PLAN REFERENCE: PLAN BOOK 343, PAGE 16 FEMA FLOOD z v ZONE DISTRICT: "C HATED 7/2/1992 — Q A Z ASSESSORS MAP: 22 SSO PANEL #250001 0021 D — o PARCEL: 102 MINIMUM LOT SIZE: 87,120t S.F. — z �� ZONING DISTRICT: RF EXISTING LOT SIZE: 48,381f S.F. z 0 z SETBACKS: FRONT 30' SIDE 15' EXISTING LOT COVERAGE: 2,165t S.F. (4.477) P� A REAR 15' D LOCUS MAP I CERTIFY TO THE BEST OF MY NOT TO SCALE PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE f STRUCTURE AS DETERMINED BY / INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE CORRECT. } S48'20'30"E 195.66' via _ _ _ _ - - - - -- - - - -' - - /• PROFE SIONAL LAND SURVEYOR DATE r � I ' I / CERTIFIED ° I ��°• I PLOT P I.-AN I C3���/ I AT #44 SAMPSON HOUSE NOB ROAD APPRO Ai viA E IN SEPT'^ LOCATION I PER iaESIGN PLAN COTU IT G I MASSACH U SETTS (BARNSTABLE COUNTY) I _ I ZONES / GARAGE I o OCTOBER 24, 2006 v NEI AP 00 I #44 z : ,��• EXISTING. DWELLING DECK I PROPOSED <� I • ` 16'x2O' ADDITION Z0 _ - � I 2O NE GP y { I NE AP 6$ 00 Grp PREPARED FOR: \ i Mr. DAN LOVELY 23 MERRYMOUNT ROAD I WEST YARMOUTH MA 02673 I` — � � I (508) 364 0179 BSC GROUP t I I I 349 Main Street,-Route 28, Unit D West Yarmouth, Massachusetts CONC. BND. 02673 FND. & HELD ' 508 778 8919 © 2006 The BSC Group, Inc. R=25.00 L=39.22 CONC. BND. SCALE: 1" = 20' FND. & HELD o 2.5 5 10 METM N43'31'48"W 0 10 20 40r 65.00' - PROJ. MGR.: CRAIG FIELD - FIELD: D. GAZZOLO / J. MCCARTIN - _ 9' WIDE GRAVEL DRIVE CALC./DESIGN: K. HEALY DRAWN: K. HEALY SAMPSONECK: CRAIG FIELD S` ` M P S O N FILE: 9173-CPP.DWG ROAD DWG. NO: 5768-01 SHEET 1 OF 1 -9173.00 JOB. N0: 4