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HomeMy WebLinkAbout1466 SANTUIT-NEWTOWN ROAD ���6 .� �� - _ - 1 � j i �_ j c - ® � � � ,. �, � ., .,t.` .. ,_ � :�� � -- `. .. i Town of Barnstable CF THE Tp� do Building Department Services „ Brian Florence, CBO + BARNSTABLE, v MASS. gym$ Building Commissioner (� �AIEn rna�" 200 Main Street, Hyannis, MA 02T60WN �}f 1ARN www.town.barnstable.ma.us 7019 FEB f,,:. ,1 8 Office: 508-862-4038 Fax: 508-790-6230 Town .of Barnstable Family Apart WAkolffidavit I, being on oath, depose.and state as follows: My name is. a�2��� %/ ��% � I am the owner/resident of the property located at: The following members.of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: a Sn N . Name &relationship to owner: z_J i T The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required-to comply with all conditions imposed by the ZBA Special Permit and/or the Town.of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer.a Family Apartment at this..location; please explain: The apartment has been dismantled. The apartment has been transferred-to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day o 2019. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/13 I Town of Barnstable Regulatory Services oF�"E Richard V. Scali,Director Building Division ,;; Paul Roma,Building Commissioner i639. �`� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 _ r Town of Barnstable Family Apartment Affidavit_ I,being on oath, depose and state as follows: My name is 0/� �/r'iN� L t� /�� T I am the owner/resident of the property locatedat--, 61'7`= 4 y, ,4/ 3 The following members of my family,will be the sole occupants of the Family Apartment at the aforementioned address: S � // / Name &relationship to owner: D4 Z-) irk E Pj Name &relationship to owner: 1 e ,C GtJ T �IK- 0�e , lIrz4 The Family Apartment will be the primary year-round residence for the above-identified J L4ramily members. In the event that the listed relatives vacate said apartment, I will immediately m notes the uilding Commissioner in writing. I understand that no subletting or subleasing of said �q-- Family A,artment is permitted. I nderstand that I am required to file an Affidavit annually with the Building ce "CC �ommiss'oner listing the names and relationship of occupants in said Family Apartment.I also �underst "ilvthat I am required to comply with all,conditions imposed by the ZBA Special Permit i } and/or t e wn of Barnstable Zoning Ordinances Section 240-47.1.Family Apartments. I agree ' to not fy, uilding Commissioner immediately in the event of the sale of this property. -If there is-no longer a Family-Apartment-at this locafion,,pleaSeL 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,�lU� 2017. 'Sio �. atur Phone Number Print Name O Z q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFt"E fin, Richard V. Scali,Director r Building Division • r ' SM Thomas Perry, CBO,Building Commissioner i639. � 200 Main Street Hyannis,MA'02601 .srEp��A � y � wwwaown.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 k 04 x"o2—Z I am the owner/resident of the property located at: S/��/7-U The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: r � i�i 7`� So %✓ Name &relationship to owner: /%�R2/��Z GcJ,�� �7 �,9T�/� Imo: The Family Apartment will be the primary year-round residence for.the bove-ident f ed family members. In the event that the listed relatives vacate said apartment,I will Immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said '. Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Buildin Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and pen ties of perjury this a day of 2016. a� a9. gnatur Phone Number, �. Print Name'- q:forms/famaffid.d6c rev 11/08/12 Town of Barnstable Regulatory Services ' Richard V. Scali,Director '• BARNSTABLE. * Building Division _ 1639. p•�� Thomas Perry, CBO,Building Comma`ssioner f � 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us t Office: 508-862-4038 7 Fax: 508-790-6230 In Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �� � f�' I am the owner/resident of the property located at: 1 b � �✓ tJ> l- 7 66 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: l� � Name &relationship to owner: 46AW ld�1r� J7� Name & relationship to owner: �/C i A/�T _ C ow C) The Family Apartment will be the primary year-round residence for thebove-idenyed�°' family members. In the event that the listed relatives vacate siiid apartment, I wil immediately note the Building Commissioner in writing. I understand that no subletting or s bleasing-off. 'said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Bui ding ;4 cm Commissioner listing the names and relationship of occupants in said Family Apartment. l also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment'at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sw to — under the pains and penalties of perjury this /� day 2015. ignatur Phone Number Print Name q:forms/famaffid.doc rev. 11/08/11 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director TOWN OF kSTAY' E Building Division gs"Rr'r ABLE, Thomas Perry, CBO,Building Commission�rN I E9 I I Pi 1: 3n �Ar 16;9. p�� 200 Main Street, Hyannis, MA 02601 FD MA'S www.town.barnstable.ma.us a. , Office: 508-862-4038 'sp Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Z D/Z 4 W IAA 61.1 ' _`el I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: A - Name &relationship to owner: .J;4117,W1Q1 -J — le�✓ Name &relationship to owner: /We' a "- � T �T� Q�'� i •Q /� �.9 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2014. ignature Phone Number Print Name q:forms/famaffid.doc rev l l./08/I1 Regulatory Services Thomas F. Geiler,Director Building Division * BAMsz•AB Thomas Per CBO Building Commission p n¢ MASS Perry, g TOWN O �3�iRUSTA�1 1639. ��•� 200 Main Street, Hyannis,.MA 0.2601 www.town.barnstable.ma.us Office: 508-862-4038 : Fax: 508-790-6230 rs Town of Barnstable Family ApartrnenIAdavit 1, being on oath,depose and state as follows: My name is �,e°�i / `� - I am the owner/resident of the :. property located at: 4i1 owe/ i— ��. The following members of my family will be the sole occupants.of the Family Apartment at'the aforementioned address: Name &relationship to owner:' B� ���iT�= so Name &.relationship;to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the.event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no:subletting or subleasing of said Family Apartment is permitted. I understand.that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply,with all conditions imposed by the ZBA Special Permit. and/or the Town of Barnstable Zoning Ordinances Section"240-47.I Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale.of this property. If there is no longer a Family Apartment at this location;please explain: The apartment has been-dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. Other Sworn to under the pains and penalties of perjury this ` day of 2013: Signature Phone Number Name �;(� ." Pant N W)� D/�.�9 q:forms/famaffid.do c `rev 11/08/11 Town of Barnstable Regulatory Services °F Thomas F. Geiler, Director Building Division TOWNOF 6ARINSPRE ` SS. Thomas Perry, CBO,Building Commissioner ' .erg 3ig. p 200 Main Street, Hyannis,MA 0266V r - -2 U-11 I 1 1 www.town.barnstable.maxs Office: 508-862-4038 --—=r-Fax:-548•-790-6230 V* To Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 6 I am the owner/resident of the property located at: �� e 7 0 , 7 � ;o The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �--YT -5 G x� Name &relationship to owner: �,e G /f� �,C� /.Al- The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in.writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and"relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Swo to der the pains anal penalties of perjury this day o 2012. "'&6atilre Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 ,3 V.v .. .r ,. ` ^'a. _ ,..�� ,..,-- _...w. fry� .:. ,. �' ..-�....,_s. -�.- i1`r ~:3 r�"'^'".b..•..'w.,,� r s , - _.....,. I,1 Ltt16i ft_L �` L. ff^'r,.f .,.s',.rc F,..•. .t•: - rrr t ,u-: +V�� /�� "��" ' K — Town of Barnstable Building Department Brian Florence, CBO MAWIEg' Building CommissioneirOWN OF BARNSTABLE 9 i63 ' 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us01I8 FEB 12 PM 2- 59 Office: 508-862-4038 Fax: 508-790-6230 nth ION Town of Barnstable Family Apartment Affidavit I,being on oath,, depose and state as follows: My name is To./�.,[� /�t/ Lt�y fT I am the owner/resident of the property located at: s.Q•(l r6)% IV,� -7_0 lt/ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: JQV_1�4d / j' / Name &relationship to owner: 1%el.4 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day o — 2018. Signature / Phone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Thomas F. Geiler,Director $r�rjl,, WE Building Division • �,�L * Thomas Perry, CBO, Building`CommissioneP- 112 i639. ,��� 200 Main Street, Hyannis, MA 02601 ED 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, depose and state as follows: My name is 6,�,e y'l�/�� G�/ /� f T� I e owner/resident of the property located at: / - �,�'A/7-0 TT141 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: l Name & relationship to owner: —0" 7 K S a Name & relationship to owner:AW % `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. s The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day o 2011. nature Phone Number Print Name Q /41 Town of Barnstable Regulatory Services °F1HE tOy, Thomas F.Geiler,Director 11 a i73`si`1 #; f— ,Yx+ Building Division 1. 4F{.°� ' BARNSTABLE, Tom Perry, Building Commissioner t, 039. �� 200 Main Street,Hyannis,MA 02601 iDlBn Mpg" 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 foil ws: My name is I am the owner/resident of the located at: ,r/71'& T Cc��O e&161 property - �f The following members of my family will be the sole occupants of the Family Apartment at the l /O aforementioned address: �,�Name & relationship to owner: "AlZ]� / 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 under the pains and penalt'es o ury this _ day o LZ _2010. nature _ Phone Number Print Name 702 Q/bl dg/forms/fam affid Rev:12/08 Town of Barnstable Regulatory Services pF1HE rpw Thomas F.Geiler,Director Building Division -I QV ,; �tt� i� * sniuvsrns Tom Perry, Building Commissioner �. 13 9 MASS. �� 200 Main Street,Hyannis,MA 02601 ` �'pTEn Mop a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state as follows: _l My name is 40 le-/f i N U J,4�1 I am the owner/resident of the property located at: 111_ S_z&%U I i— zz4ly 7?&)4 /�_J/ 7-0 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: /�� Name &relationship to owner: The Family Apartment will be the primary year-round residence for'the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day o I j,�G 2010. ,F 102.G Signat e Phone Number $r Print Name /�- i`7//� L Q/bldg/forms/famaffid Rev:12/08. Town of Barnstable Regulatory Services °F1HE t Thomas F. Geiler,Director Building Division ,�RNSTABLE BARN3TPABLE. ' Tom Perry, Building Commissio r, �. 211ru9 FEB -9 PM 12: 44 1 39. 200 Main Street,Hyannis, MA 02601 �ATED Mpl A wWw.town.barnstable.ma.us l�fVi's1�P Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follo s: My� rame'is D 'e «` � �' T am the owner/reside of the, property located at: /h`"[� �J /V rV �T� w —0 60 Az /4� 0 i T The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to ow h /� �' f d AV n Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing, I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sw rn under the pains and penalties of perjury this !o day of I� 2009. C �P/ �Z7 .4 9.;z Signat re Phone Number Print zt �1 7 r t Name �� �//� Q/bidg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services pF1HE roil. Thomas F.Geiler,Director �o Building Division saxrvsTas Tom Perry, Building Commissioner Mass. 16yg. � 200 Main Street Hyannis,MA 02601 AlFo MAC s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �I am the owner/resident of the LA property located at: l ;�C:JdZrr�—,�..., C�U �T ��� o a 6Y The following members of my family will be the sole occupants of the Family Apartment at-the aforementioned address- Name &.relationship to owner. Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants,in said Family Apartment. I also. understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of �Q,p�j„� 2008. aISI�,! ignatLde Phone Number Print Name D� /�l � 713 fiG�1 Q/bidg/forms/famaffid . Rev:l/03 Town of Barnstable " Regulatory Services °e'THE Top, Thomas F.Geiler,Director Building Division1 snaivsrnar.E. » Tom Perry, Building Commissioner MASS. 34 0.19. �� 200 Main Street,Hyannis,MA 02601 �n FEB www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is � y � T -1 am the owner/resident of the property located at: - ��� Vlltlf 1e 71 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner:��JS Name&-relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the.pains and penalties of perjury this day of re?&,m_ 2007. __- Phone Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable l� Regulatory Services °FtHe ram, Thomas F.Geiler,Director ° Building Division hw ' ��' ?i;a V BAMSTnsi.E. + Tom Perry, Building Commissioner � � 9 . ,�$ 200 Main Street,Hyannis,MA 02601 ?�'''" FEB 27 AM �' 49 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 own r/resident of the l property located at: f ��' '�� T Map and Parcel Number s ✓� t-c The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �t' "Vi J° 'V Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate.said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2006. Signature , Phone Number ,- , a Print Name . Q/bldg/forms/faimffid Rev:1/03 " I OX Town of Barnstable J6 Regulatory Services °FtME T°� Thomas F.Geiler,Director,i .1 ,tF ; - �`� °� Building Division _ sAHNSTAaLB. Tom Perry, Building Commissioner p MAS& 1639. 200 Main Street,Hyannis,MA 02601 iOTec r�r►�" 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 A- D I 4,w���� b'L1 /`—&- I am the owner/resident of the S v�^ property located at: /we C 4 1JTo Map and Parcel Number The following members of my family will be the sole occupants of the Family.Apartment at the aforementioned address: Nam`e'&relationshipto owner: �"T ..�r'�%Y -� u-,�,c/y"' i`� �C��n y�!��`�✓ _.. ..__ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 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 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 2005. Sign ture Phone Number Print Name D 'x" " "1 Q/bldg/forms/famaffid Rev:1/03 'Town of Barnstable �r �C Regulatory Services pfrTHE'tgy Thomas F.Geiler,Directori,,r.,� 'AM, T�,b� Building Division BMWSTABM + Tom Perry, Building Commissioner3 i+ MASS. 1 39. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is Z 4 Z /4/15Z Z Al/ 7- I am the owner/resident of the property located at: 6 E �v 'v ' �M/ Map and Parcel Number The ZBA granted me a Special PermitNariance on J_ 11 4 7` Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship �, .GlL/L�/yam'//�j� — --��i✓lLJG�/ to owner: � 0 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA 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 a< Sworn to under the pains and penalties of perjury this_ day of 2004. igna ure Phone Number Print Name 0/L /'-R 1,V f 0✓ Q/bldg/fomis/famaffid Rev:1/03 John Lauterbach moved out in January 2004 and James Burnham, my grandson is moving in this month, February 2004 t Town of Barnstable Regulatory Services °F11HE tok� Thomas F.Geiler,Director V o Building Division TM BAFtHSTBLE * BMWSrABLE, Tom Perry, Building Commissioner MASS. 9�A 039. s`�� 200 Main Street,Hyannis,MA 023 FEB I I PM 12: 30 lEo � Office: 508-862-4038 508-790-6230 DIVISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is A -,f 4 � ��� I am the ow er/resident of the property located at: �O w co i o w Al v / 0 � 7 P y Map and Parcel Number` 4,L L /6 The ZBA granted p me a Special Permit/Variance on gr ate Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book Page .� S The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: - Name &relationship:to.owner:.d T#I ��'U-! �- �C�_,� , y'E to Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to,under,the pains and penalties of perjury this - �� day of JW j 2003. Signature / Phone Number Print Name Q/bldg/fomBdamaffid Rev:1/03 Town of Barnstable !/ _� , ,-�: , Gam• Regulatory Services C �M ' \i °Fig rti Thomas F.Geiler,Director 1 l Building Division -TOWN OF 84RKSTABLE 1 : BARNSTnais, Peter F.DiMatteo, Building Commissioner 9 %639. �0� 200 Main Street,Hyannis,MA 02601 002"FF8 22 AM 8: 05 �A�ED Mp'l A Office: 508-862-4038 Fax: 508-790-6230 DIVISION Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 6� N T �' I am the owner/resident of the rc�e�+ located at:. 6c.1 To to property_ty /1 Map and Parcel Number �o The ZBA anted 'Special Permit/Vanance on �' me a 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: 'd U '� ��U C Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of >�� (� - 2002. Signatur Phone Number Print Name Q/bldg/fonw/fanu ffid Rev:010702 44,1 _ _ _ i � 'r 1 _.._. _,�_ _• ti .44�... 1 . ' `� — �t may_1� .�.' - •Y = 4 � .• ♦ f .. � \ ! � • • '4 1 T � '� • � *a , . _ � - � � ,�� .` -- i:."� � ♦ y ♦� � s r; .....,m-�_�-��.�.._..�_.�. ___ _ __.._ ... i r'� . _,... J- i JCOMMONWEALTH OF MASSACHUSETTS f� BARNSTABLE AFFIDAVIT t I, ���-����(`� l�C/ % , being on oath, �Y depose and state/as follows: r / `�� /(� 4J TO 60 � D TO 1.) I reside at 2.) I am the owner of the property located at /--,z 6 1614L cy_,;�`o cry shown on Barnstable Assessors' maps as MAP S PARCEL 3.) I Do 1 Do not have a Family Apartment at this location. 4.) On , 199 / , the Zoning Board of Appeals, on Appeal No. 1 9 0 granted me a pecial 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 �/z/iC/ /2 /V .o) Relationship to owner: d b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. . , Sworn to°under the pains and'penalties of perjury this' _ day of �-� 1 2 _o d Signature Print Name COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT being on oath depose and state as follows: 1.) I reside at --- 2.) I am the owner of the property located at shown on Barnstable Assessors' maps as MAP__ S______PARCEL__, ________ 3.) I Do__ v ____Do not __have a Family Apartment at this location. 4.) On---��S / 199____, the Zoning Board of Appeals, on Appeal No. ------- granted me a Special Permit/17ariance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by memb sit ai !amily.who are persons related to me by blood or by marriage. RECEIVE 6. The following members of my family will be the sole occupants of the F artmen . above address: �- .MAR a) NAME �0/-/4/ �./L�%. _ -MAR 3 1. E Relationship to owner:__�� O �r `V.— --------------------------------- =— _BUILDING jU�E b) NAME---------------'---------- ------------------------------------------ Relationship to owner:------------------------------------------------------ 7.) The Family Apartment will be the primary year"round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. _--/�9�- �-------------- I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. pains and ��Sworn to under the p d penalties of perjury this___�__day of_ �.�Cf� Signature AAA a- L-ti -- - ----------------- rint Name i ------------------------ Town of Barnstable gr CLERK Zoning Board of AppealsARA Special Permit Decision and Notice 9 1 Application : #1991-04 Applicant: Mary Lorraine White Summary of Relief Sought: At a regularly scheduled hearing of the Zoning Board of Appeals , held on January 24, 1991 , notice of which was duly published in the Barnstable Patriot, and notice of which was forwarded to all interested parties pursuant to Chapter 40A f of the General Laws of Massachusetts, the applicant Mary Lorraine White appealed to the Board pursuant to the Zoning Ordinance Section 3- 1 .4 ( 3) (E) , Conditional Uses for a Family Apartment within the RF - Residential F District . The applicant's site is located on Assessor-s �Map%Parcel) tuber 25/ 10 more commonly addressed as 1466 Newtown�Roa(j COtuit , MA, and .is zoned RF - Residential F District and`WP - Well Protection Overlay District The applicant is requesting the Zoning Bodrd. of Appeals to ' grant a Special Permit for the development of a family- apartment, a Conditional Use within the district and as specified in provisions set forth in Section 3- 1 . 1 (3) (D) of the Zoning Ordinance. The applicant is proposing to convert an existing two-story, 24 foot by 24 foot (576 gross sq.ft. ) detached, accessory structure located on the 0. 75 acre l parcel to a family apartment. The unit is to be occupied by { the applicant's mother. The principal structure is 1 , 070 j gross sq.ft. single-family dwelling. i The petitioner's request was heard by Board members : Ron Jansson, Gail Nightingale, Bruce Burlingame, Dexter Bliss and Wayne Brown. Summary of Evidence: The applicant , Mrs . White presented .her appeal to the Board and explained her intent to develop a family-apartment along I the lines of a free-hand sketch .entered into the file. Improvements to the existing accessory building, presently used as a garage and storage structure, is intended to provide a family apartment for Mrs . White' s elderly mother . It is to be her mother permanent , year-round home. Mrs White stated that she understood the conditions related-_ to the creation of a Family apartment and agrees to abide by" them. i The Board discussed the location of the site within a designated WP - Well Protection Overlay District, and Mrs White was aware that, her proposed improvement may require a variance from the Board of Health. She had discussed her proposal with the Health Department and is prepared to seek relief and approval as needed from the Board of Health' s regulations prior to the start of construction. No one present spoke in support or in opposition to this appeal . Finding of ,Facts : At the meeting "of January 24, 1991 , the Zoning Board of Appeals made the fol'lowing ,finding of facts as related to -the remanding of Appeal #1991-04: 1 . The applicant complies with the provisions of Section 3- 1 . 1 (D) , Family Apartments and all other. j requirements set forth in the Zoning Ordinance; 2. The apartment is to be occupied by the applicant's mother as her permanent year-round residence; and 3 . Granting of this appeal would not be detrimental or objectionable to the neighborhood affected. AYES: BURLINGAME, NIGHTINGALE , BLISS, JANSSON, BROWN NAYS: None Decision: A motion was duly made, .amended and seconded to grant the Special Permit #1991-04 for development of. a family apartment in accordance with plans submitted and in compliance at all times with the provisions of. Section 3- 1 . 1 (3 ) (D) , Family Apartment , of the Zoning Ordinance subject to the following terms and conditions : 1 . Approval of the Board of Health as to compliance with applicable rules and regulations (specifically Title .V septic system and the "330 regulation") ; 2. Completion and submission to the Board files signed copy of the Affidavit for family Apartment. AYES: BURLINGAME, NIGHTINGALE, BLISS, JANSSON, BROWN NAYS: None i I I y Any- person aggrieved by this decision may appeal to the Barnstable Superior Court , as prescribed in Section 17 of Chapter 40A of the General Laws of Massachusetts by filing a Complaint in said Court as well as a notce of action with the Barnstable Town Clerk; , within twenty (2-0) days of the i filing of this decision with the Barnstable Town Clerks i Office. I i Chairman I , . Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (2�'0) 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 719 under the pains and penalties of perjury. Town Clerk. DISTRIBUTION Town Clerk Property Owner Applicant { Persons Interested Building Commissioner Public Information Board of Appeals j ; t 4, �o�TNETo�♦ TOWN OF BARNSTABLE • E9HBSTADLZ. i Op9. BULL ING INSPECTOR APPLICATION FOR PERMIT TO . . ........:......... TYPE OF CONSTRUCTION �.. .....zl'.�nx.. ..... ..... l ....G % ...... .........19. > TO THE INSPECTOR OF BUILDINGS: /yG 6 ✓�' - The undersigned /hereby applies for a permit according to a following information: Location ..O�iL:�:' � t` .: � 1............. .G..G.�.,..��•.�/... ......................................................... ProposedUse ............................................................................................................................................................................. Zoning District ... Fire District ......... ............. Name of Owner /s' .� ddress 'Gl�f ...: ...... ....... ... !fir' � �,cc' .... ,e?;- .,..r... .-x Name of Builder .........Address .............. .�G�-'ZS.,,� Nameof Architect ..................................................................Address ............................................................ ...................... Number of.Rooms ............ a Foundation � � .. . �� Exterior / ��"..................:.............. ... ...........Roofing ............. ��? �....�0....................................Interior ......�� v- // -...................................................... Floors / '� " � Heating ...../ %'-��.................................................Plumbing Fireplace ... ...............................................Approximate Cost .............................................. Definitive Plan Approved by Planning Board ---------------____-----------19________. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 1"2 6-1 ' � r 0 �fON'i 2b 9 l S! A �ICENSBD jNSTALLER MUST OBT IN ` SEVVA ST SYSTUli 7� PE,RMff AND t` // C/ r `f F PRO�j!ONG F 'HE PROPOSE[) NIEiT WAGE DISPOSAI- 1 E jzC `-JANITARY Wp,TF�R S DPP BYIAPPRO�'fp TrN '`/I 18 G 1�?3 TOWN OF BARNSTABLF ��,LT>-� I hereby agree to conform to all the Rules and Regulations of the Town of Barnst"l,6,poa�Fng't above construction. Name � •/ / .... { Burnham, Lorraine No ..1 C� 5... Permit for .... add porch to.... single family dwelling ............................................................................... Location .....$evLown Road................................ n Santuit , ............................................................................... Owner ........Lorraine Burnham....................... V, ` ti { / t Type of Construction frame .......................................... ....................................................... ..................... Plot ............................ Lot ................................ # ' Permit Granted s f./ Date of Inspection ..........._.......................19 Date Completed ..F••`✓. .. �� .. � ......v19 ' PERMIT REFUSED ................................................................ 19 ............................................................................... i ................................................................................ ' I ............................................................................... s ............................................................................... z. Approved ............................... ............................................. ............................................................................... COMMONWEALTH OF MASSACHUSETTS BARNSTABLE ,,,-AFFIDAVIT I, ---J�L�1� --_E--------'-�/ / - --------- --- being`onQo.a� LE depose and state as follows: 1998 1.) I reside at E — I 2.) 1 am the owner of th property located at----z`�- ----/(��cv TO czj,_i ll J� 00 i Z - -------------------------------------------------------- shown on Barnstable Assessors' maps as MAP ----PARCEL- /6 3.) I Do_ ____Do not __have a Family Apartment at this location. 4.) On--- s _________1 199/__, the Zoning Board of Appeals, on Appeal No.M I-6 4 granted me a Special Permi*VVariance 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 add a) NAME_ess:- Relationship to owner: S o _ -- ----- b) NAME ---------- Relationship 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.) 1 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. / Y 9 /__6 y` -- - ---------- 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this _ S_day of z-,�Voo�k Y_ 199_ Signatu4,\ �'-'f --------------------------------------------------------------------- Print Name r , Yy COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I e 7- being on oath de and state as follows : /J pose 1 . ) I res ide at / G ti 10 cu iD w w /L..� �"o • 2 . ) I am the owner of the Property located at ,( .-GJ TO c 1 Al .e,� C o -7-.0 r-- shown on Barnstable Assessors ' Maps as : Map - .�S' , Lot_ /(- 3 . ) On 3/,i- 19 9/ , the Zoning Board of Appeals, on Appeal - No. 1, 9i -10 0 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: 17-011,v :]Ry�.yNA127 Relationship to Owner: SO ,ce (2) Name: Relationship to Owner: ' 6. ) The family apartment will be the primary year round residence for the above-identified family members. 7. ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment. 10. ) I understand that I am required to•.comply with all' conditio;-)s imposed by the Board of Appeals in Appeal No. agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Swoorn of under the pains and Penalties Y �� Penalties of perjury this 19L. (Signature) . (Please Print Name) : 7-47 s COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: / / } AFFIDAV and state as follows ; being on oath, depose reside at 0(1x4U 7-0 W A./ 11ir7" 1111111111, /n .2. (. am the owner property of the ° _ y located at shown on Barf�����w� � Map � -- table A��e.,�or�Lot Maps as ; /� 3 . ) On . Appeals, on Appeal No. 191/, the Zoning Board of .� 99/-per granted me a special permit to maintain a family apartme � � � �-�- .� understand that the family~apartmentv may dOnly sbe occupied by .members rf my family wt�o are person, related to me by blood or by marriage . ° 5 , ) The following members of m sole occupants, of the family apartmentfatithewabovee the address; (1) Name :-- `To �/A u ,!! Relationship to Owntr: - f O v (2) Name; Relationship t.o Owner : • � ° 6 . ) The :familY apartment will be the primar round residence for t1e above-identified family membyearf ers. 7 . ) In i:.he event that the above-listed relative(s) vacate said apartment ,Building Commissioner iI I will immediately notify the writing . 8 ) I understand thatno. said farnily apartment is subletting or subleasing of 9• ) z understand thytrmitted. an Affidavit with the Building acommissionerm required c�listinlly file names and relationship of my family members occupygnths family apartment . g said 10 . ) I understand that all conditions I. am required to-.comply with imposed by the Board of Appeals in Appeal ;,r o. 10 , ) I agree to immediately Commissioner in the event: of thesaleiof fY the Building property.. above-listed Sworn to under the pains and day of �Tual a penalties of perjury this TOWN OF BARNSTABLE (please Printgna are BUILDING DEFT. /�� D J U N 24 1991 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I being on oath, depose and state as follows : '// G 1 . ) I reside at 2 . ) I am the owner of the property located at shown on Bar stable Assessors ' Maps as : Map Lot / 3 . ) On : 19 the Zoning Board of Appeals, on Appe�o._ granted me a special permit to maintain a fapily vpartment 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 _1/(U W [6Ue&Wo9127 Relationship to Owner: c5 b (2) Name Relationship to Owner: � 6 . ) The family apartment will be the primary year-• round •residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing . 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said. family apartment . 10 . ) I understand that I am required to•.comply with all conditions im osed 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 un er the. pains and penalties of perjury this • � day of e-1 , 5 4 (Signature) RECEIVEO (Please Print- Name) ; 14, r199� r, evn oMc oEvr. TOWN OFBNmVSTAB(F s . COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT being on oath, depose ` and state as follows : 1 . ) I reside at Gc� �•� u 7 1VU 0 L 6 S- 2 . ) I am the owner of the property located at shown on Barnstable Assessors ' Maps as : Map of S , Got 16, 3 . ) On _^ d 19 the Zoning Board of Appeals , on Appeal No /2 �1 —D V , granted me a special permit tomaintain 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• CTO Hti :z cJ Relationship to Owner: (2) Name: 0 Relationship to Owner: • 6 . ) The family apartment will be the primary year round . residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment , I will immediately notify the Building Commissioner in writing. 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9 . ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that r 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 under the pains and penalties of perjury this day of R�c�IvEO (Signature) OWN, 2, 5, 1991' (Please Print Name) : s �, f JOSEPH D. DALUZ TELy1XM 1VH1-W9144%XX BuWing Counniuiontr TEI SPHDRE 77D 1 ZV TELEPHONE 508-790-6227 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 June 10, 1991 Mrs. Mary Lorraine White 1466 Newtown Road Cotuit, MA 02635 Re: Appeals Number 1991-04 Dear Mrs. White: On March 5, 1991, as applicant(s) you were granted a Special Permit for a family apartment. "The intent of this ordinance shall be to allow one ( 1) additional living unit, complete with kitchen and bath to supply a year-round residence for a member or members of the property owner's family, . . . . . . . . . . . " In addition, the ordinance also states that "The property owner, and the person or persons who will reside in the family apartment shall sign affidavits before occupying said family apartment and further, all shall sign said affidavits each year said family apartment is occupied. . . . " Within sixty (60) days from the date the person or persons residing in the family apartment vacate the premises, the owner or his representative shall remove the kitchen facilities and request the Building Inspector to inspect the premises. It is important that you understand that there are restrictions which relate to the applicant's family living at the same premises. The use cannot be transferred. Convictions of a violation of this ordinance is subject to a fine of $100 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from the First District Court of Barnstable. The required affidavit form is enclosed for your convenience. This form should be completed and returned to this office as soon as possible. This ordinance will be strictly enforced. Peace, oseph D. DaLuz Building Commissioner JDD:km Town of Bar'nstab l e Zoning Board of Appeals I4 J BAF Special. Permit Decision and Notice (y1( P e Application : #1991-04 t Applicant: Mary ,Lorraine White' Summary of Relief Sought,: , f At a regularly scheduled hearing of the Zoning Board of Appeals , held on January 2.4, 1991 , notice of which was duly published in the Barnstable Patriot,• and notice of which was ' forwarded to all interested parties pursuant to Chapter 4OA of the General 'Laws of Massachusetts , the applicant Mary Lorraine White appealed to the Board pursuant to the Zoning Ordinance Section 3= 1 .4 ( 3) (E) , Conditional Uses: for a Family Apartment within the RF Residen.tial F :District. The applicant's site is .located on Assessor's Map/Parcel Number 25/16, more commonly addressed as 146.6 Newtown Road , f Cotuit, MA, and is zoned RF - Residentiai .F° District and WP Well Protection Overlay District The applicant is requesting the Zoning Board, of Appeals^..to ' grant a Special Permit for 'the development of a family- apartment, a Conditional Use within the district .and as specified in provisions set forth in Section 3- 1'. 1 (3) (D) of the Zoning Ordinance The applicant is proposing .to convert an existing two-story, 24 foot by 24 foot (576 gross sq.ft. ) detached, accessory structure located 'on the 0. 75 acre parcel to -a family apartment. . .The unit is ,to be `occupied by the applicant's mother. The principal structure is .,,1 , 070 gross sq.ft. single-,family dwelling. : F. The petitioner's request was heard by .Board members: Ron' Jansson, Gail Nightingale, Bruce Burlingame, .Dexter Bliss and Wayne Brown. Summary of Evidence R The applicant, .Mrs .' White presented her appeal to the Board and explained her intent to develop a family-apartment along the lines of a free-hand sketch entered into the file. Improvements to the existing accessory" building, presently used as a garage and storage structure,• is intended to provide a family apartment for Mrs. White's elderly mother,. It is to be her mother permanent',, year-round home. _ . Mrs White stated that she - understood the conditions` related to the creation of a Family apartment and agrees to abide by . them. The Board discussed the location of the site within a designated WP - Well Protection Overlay District, and Mrs White was aware that her proposed improvement may require a variance from the Board of Health. She had discussed her proposal with the Health Department and is prepared to seek relief and approval as needed from the Board of Health' s j regulations prior to the start of construction. . i No one present spoke in support or in opposition to this appeal . Finding of Facts : At the meeting of January 24 , 1991 , the Zoning Board of _ Appeals made the following finding of facts. as related to the remanding of Appeal . #1991-04: . 1 . The applicant complies with the provisions of- Section 3- 1 . 1 (D) ,- Family Apartments and all other requirements set forth in the. Zoning Ordinance; 2. The apartment is to be occupied by the applicant's mother as her permanent year-round residence; and 3 . Granting of this appeal would not be detrimental or objectionable to the neighborhood affected. AYES: BURLINGAME, NIGHTINGALE , BLISS, JANSSON, BROWN NAYS: None Decision: A motion was duly made, amended and seconded to grant the Special Permit #1991-04 for development of a family apartment in accordance with plans submitted and in compliance at .all times with the provisions of Section 3- 1 . 1 (3) (D) , Family Apartment, of. the Zoning Ordinance subject to the following terms and conditions 1 .. Approval of .the Board of Health as to compliance with applicable -rules and regulations (specifically Title V septic system and the 11330 regulation" ) ; 2. Completion and submi-ssion to the Board files signed copy of the Affidavit for family. Apar.tment. AYES: BURLINGAME , NIGHTINGALE, BLISS, JANSSON, BROWN NAYS: None Any- person aggrieved by this decision may appeal to the Barnstable Superior Court, as prescribed in Section . 17 of Chapter 40A of the General Laws ,of. Massachusetts by filing a Complaint in said Court as well as a- notce of 'action with the Barnstable Town. Clerk,, within twenty (2.0) days of the filing of this decision with the -Barnstable Town Clerks Office. Chairman Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (^c0) 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 ta0c 7 19 9 under the pains and penalties of perju e aaly ` Town Clerk DISTRIBUTION Town Clerk s Property Owner Applicant Persons Interested Building Commissioner Public Information Board of Appeals cF The Town of Barnstable Department of Health Safety and Environmental Services MST"j,L ; Building Division 9e 1659. 367 Main Street, Hyannis MA 02601 ED MA'S A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 26, 1998 The White Residence 1466 Santuit/Newtown Road Cotuit, MA 02635 Re: Family Apartment located at the above address Dear Mr./Ms. White, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 15, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner Assessor's map and lot" number ...��......... SEPTIC SYSTEM MUST BE is INSTALLED IN COMPLIANC5 Sewage Permit numbe .; WITH ARTICLE II STATE r SANITARY CODE AND TOWN iTHETO�y �� t TOWN OF IBARNS�TNUIE . O 39•�`e� s Z BASBSTAAE. • _. n• "6 BUILDING INSPECTOR �0 MPY a' J L APPLICATION FOR,PERMIT TO G'°�'a ........ ... ......... 7..:1;;........... (, a rYi-c.� /3 a c n 1 p vy ...(/.. .. o o'fC TYPEOF CONSTRUCTION ........................................................................................................................... !. .u........ ..�.................19.1. TO THE INSPECTOR OF .BUILDINGS: s The undersigned hereby applies for a�fper1mit according to the following information: Location .......��� c!c!.. .U..W...!^1............!:l..r�r.!..........�.1....'...�v.`..t...................................:................................................ ProposedUse ..............J.to./`P... ..' -........................................................................................................I......................... Zoning District ................•........................................................Fire District ..............." fi.............................................. Name of Owner ........C.O.. r4..h Address ... c ui rO w Hi JJ. J b.v ..........................*................ f7 T Name of Builder ..�^�.!°':'!........ cw7"GWw +� vi ..................................Address .................................................................................... , Nameof Architect ..................................................................Address .................................................................................... • 6 e W -W 7 13LoeIT'S Numberof Rooms ..................................................................Foundation .............................................................................. � Qc � S �S �i L � �iunR� lC Exlerior .......C.. .!Y.!................... . ...................:.......................Roofing ..............p....f�.................s?............. .. S Floors ..................Interior ..............,^w .. .,i T C ? .o.......................................... ....!5� .... .s Heating ..................................................................................Plumbing .................................................................................. Fireplace .Approximate Cost �3 S, 6. G o Definitive Plan Approved by Planning Board ______________________________19________. Area Diagram of Lot and Building with Dimensions Fee ZS SUBJECT TO APPROVAL OF BOARD OF HEALTH v a , houSt Cesspools- / t W ro A I hereby,agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. Namel ... 'l..... .......................... y�~*~ 0arxhwuu, Lorraine ^ ' � . . ' 0o ....&88.46.. permi�'for ..�ar�ge__'____ .-----.-- ....................................................... ` ' ��6 6 5��, � Locohon .........mmwtmwn.Road .^____..:___.. . . . . . � ~&enAv+t— ---.-------~---.----------.. ' � Owner ---..��rzml�e_ ______. ` �� Type of Construction ..������r�......--. ........... . . . ---.--.-------.------------..` , . - Plot .................... Lot ................................ . / ^ ' } ' ~ November 30 �� . Permit Granted -------------.]9 ^ � . . . Date of | -------._—' —lV ` � . �o�e -------'��^�4—l*'o ^~ . . ^ . � ' PERMIT REFUSED . � . ------''�.---..—..------- lg - - . ` ~ .---.--------------- / . . --.�...---.. ' } ` .................. ^ . .-.—.-----.----~—.—.—.---.-----.. .-------~..~--.--..—..---.----- . , Approved ................................................. lV ^ `------------.-------..—.---. ^ ' .t ^ ' � . . ----------------------.---.. � ^ . ' ' ^ ^ | � � � .,,.�.�.._ .^vn _ �r ,��.� a _ ._M 9 .�.; -.. ..�. ..... .��F...s.s,!c'^i2'Y'�q'� '•' �I/I_` '-.tl.•. V � Ir//,f(\// TLC/J✓ G J� �a Assessor's map and lot number .: �. ..... �. .!r� // —7 Sewage Permit number ...... .r......'.......................... . Fes,. �OFTHEtO�y TOWN OF BARNSTABLE Z 13ARItSTAIIL E, i M6 9 BUILDING INSPECTOR YPY Dr• APPLICATION FOR PERMIT TO /2 U.f d ......�! . . . ... ................................................ ' TYPE OF CONSTRUCTION >�j 17 -t.Y N r t f C•(f G' G 6� !/f 0 .4 i .......... .................19..,iA TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... _ S Proposed Use �u �'#•� .. �@ ........................................................ .................... ...........:....................................... Zoning District Fire District Q .......................................... . .............................................................................. Name of Owner r r/� •v e u rry kt w^ti ................................�..............................Address ..................................................................................... Name of Builder ..1.�. .!.~" / C �'`'f S ✓ w rt c w �✓ t? I`J p. ! yr ................................Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation C o "' C'y T o c K S .................................................................. .............................................................................. Exierior ........ ........13 c c r\ .S ...Roofing .......ps ��� A�*........ h '..................... .........'.^.;. ........................ Floors ! r .Interior .......` c r t I r,v 7L.....,�. L c- c r S . �...��......... ...................... ......................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ........ j. S'G CJ.•G o Definitive Plan Approved by Planning Board ________________________________19________. Area ................... .................. Diagram of Lot and Building with Dimensions Feew'ZS e................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t ' J 1 C �SSt oo :hoDt t hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........................................................ Burnham, Lorraine A=25-16 18846 garage No ................. Permit for .................................... .SQ......� r............................................. / Newtown Road Location ................................................................ .......................................... _ �.................... Owner Lorraine Bu ham Type of Construction asonry Plot .................... Lot ................................ Permit Granted ...NoYembe .. 30,...........19 76 Date of Inspection ....................................19 Date Completed ... ..................................19 PERMIT REFUSED 19 ............................ ...............µ�.......... • . ............... ................. ......................... .... .........�. ................ _ ....... .A.lit...0 ................................. Approved ................................................ 19 ............................................................................... ............................................................................... _ f,�M_._ .ra....++`a-..�--w�.w.rr-raves'*p+:,_«'y.-.f'-•x':s-r-T—:�r...•w"'4y."rv.i`; .. ,. _ _... -- ._.._.._ _. ... ;,_^_. .. 'r7ti��!! ..•..f r�+.-tb.+�-�.r,'4�.o.+r.r..�w6d'n�'+.y'rl-.^4-•,.,,n^.r^'s.r'�� --a.,-,--'�'w Assessor's office(1st Floor): Assessor's map and lot number ©� Quo`TNE,To`` 3rd floor), e Board of Health( ) _ Sewage Permit number .: . Engineering Department(3rd floor):��y �J� o TABLE House number I`1 0 039. Definitive Plan Approved by Planning Board 19 �Fp�►r s• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .. TOWN -OF BARNSTABLE BU"IIDING,P IN PECTOR APPLICATION FOR PERMIT TO /\ Ji/ �/I TYPE OF CONSTRUCTIONJ�� / Lc 9 Jl"' e / 15 19 TO THE INSPECTOR OF BUILDINGS: The undersigned/hereby applies for a permit according to the following information: ` Location ��" /�/>✓CCJ%D�L� :--/� CQ t Proposed Use 111/4- _ AX7-M CA)7- Zoning District-A/ Fire District Name of Owner ' ( � I_0k e49 f nl£ W/hITAddress 1411 Name of Builder E� Address Name of Architect Address Number of Rooms Foundation l.r0N Exterior 0)4304 Q A.)C 9 "-Z Roofing 4sA1,1,4 4 7- Floors Cq/z Interior Heating © l Plumbing / Fireplace � AIL Approximate Cost hm Area Diagram of Lot and Building with Dimensions Fee t C' a 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. __1 All Narne Construction Supervisor's License . i WHITE, MARY LORRAINE �•% A=025-016 No 34183 Permit For Remodel Detached Garage To Family Apartment Location 1466 Newtown Road Cotuit Owner Mary Lorraine White Type of Construction -Frame v Plot Lot Permit Granted February 25, 19 91. Date of Inspection 19 Date Completed 19 SEPTIC SYSTEM wJUST BE office st Assessor's map number Floor): Q �- �:� INSTALLO IN COg"PUANCE p an S WITH TITLE 5 Hof THE to` Board of Health(3rd floor): ENVIRONMENTAL CODE AND `�Q •� Sewage Permit number �- . ..�E 9! �� REGULATs®NS Engineering Department(3rd floor): JS TOWN ti �iaesrsnc� �a rus House number , r c 1639. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only {,. TOWN OF BARNSTABLE BU DING IN PECTOR . C £,o . r APPLICATION FOR PERMIT TO [, /)/,7/Al £/7 TYPE OF CONSTRUCTION f 0 � L 7 < Z,7/— 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ���`C lC0 Gt rt� Co % r� �-- Proposed Use ` &Lfile 7—Al 0V T. Zoning District A E Fire District Name of Owner Mfil -y LOk/Q91 A)i g M////7 4ddress Name of Builder O(.J/y£lC Address Name of Architect Address Number of Rooms Foundation �0Ajc -&L 6 C l� Exterior V I/® / ` ' (2 0 AJ C-4 9 T E Roofing 4sA1,,,;4 T Floors ��� towz Interior oc/rQL L Heating ass1AI-6 7- �� Plumbing /� �f7/rt A).0 ' Fireplace /y4A E Approximate Cost y� ' a Area Diagram of Lot and Building with Dimensions Fee a 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. Na e Construction Supervisor's License Gr2G��21�2. WHITE, MARY LORRAINE No 34183 Permit For Remodel Deter hed Garage To _ Family Apartment Location -14 6 6= Newtown Road Ca Dt Owner. Mary ,Lorraine White Type of donstruction • Frame Plot Lot $ February 2 5 91 Permit Granted' /Y o 19 Date of Inspection ��L 19 - (~,3 Date(Tnpleted do f�, 19 fff 4—.. :' #e �. :err t. ♦ 2 .. F. FILE COPY re A/P C,o�� -� I-TO ' TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. ' DATE JOB LOCATION Number Street address Section of "HOMEOWNER" Nam Home phone Work phone PRESENT MAILING ADDRESS Ax_ ity town State . :'. The current exemption for "homeowners" was a ZiP code dwellings of six units or less and to allow such d homto include owner-occupied dividual for hire who does not possess a license, to engage an in- acts as supervisor. , provided that the owner DEFINITION OF HOMEOWNER: Person(s) who owns a side Parcel of land on which he/she resides or intends to re- on which there is, or is intended to be attached or detached structures accessory to such use and/or . a one to six family dwelling, A person who constructs more than one home in a two-year considered a homeowner. farm structures. on a form acGe.ptable r. tS Such "homeowner" Official, that h period shall not be hoing Official submit to the Building Official for all such work erformed under the buildin he/she shall be res onsible The undersigned " ermit. (Section 109.1. 1) Buildingg "homeowner" assumes responsibility for compliance with t Code and other applicable codes, by-laws, rules and regulations. he Stat .The undersigned "homeowner" certifies that he/she understandsg lations. Barnstable Building Department minimum inspection and that he/she will compl w' th said the=Town of, p ction procedures and requirements HOMEOWNER'S SIGNATURE Pro edures and j eq rements. APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet to comply with State Building Code Section , 127. 0, or larger, will be required Construction Control. s , HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Ownei shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against• the inlicensed person as it would with licensed Supervisor. The Home- Owner actin as supervisor is ultimately responsible. 4 To ensure that the Home Owner is fully aware of his/her .responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt suc h ch a form/certification for use in your community. M •1