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0030 TY-DEE LANE
F ; ,/ �n i 4S 30 A /G/� 8' ��o�y���-P�iL�~� '�G�'�G�Y/�i 't'.G�c.lsa� 4'L Z G,� a v�/9 — --� �, t; � � ���� ,, �, �, i' i �I �� � _ ' #� _ o J �1 - _ _r -= - --� _�'' t. ;> d t ,, � _ - s 1. — — - - —— — —= -- — R�. � . -- . . . - _ �, ,� i I V 1 +i I 0 h �. P �,� i) r Tt)WN O�F BARNSTABLE BUILDING PERMIT APPLICATION: Map V Parcel Application #�o S 0 Health Division Date Issued Z� i Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH �� _ Preservation/ Hyannis Project Street Address 2� Village (_O�j✓I i Owners e K e L e New Address Telephone �-I h�T��8266 , Permit Request cle <<e e i '`�.� eI I -- Ta Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation OMOXonstruction 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 �4 No On Old King's Highway: 0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 1Gas ❑ Oil AElectric 0 Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:,Uexisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exist90 ❑ new7- size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: FI Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use �7; APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- ^ Name A e S Telephone Number Address License # S14 K au.)Cc t • 0/V12 Home Improvement Contractor# Email OkC Atfc(100 L C' o^" Worker's Compensation # ( G 005b1f (_K j2Y4 � / ALL CONST UCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO E'A(sE�11 SIGNATURE DATE �%� FOR OFFICIAL USE ONLY APPLICATION# � ' DATE ISSUED MAP/PARCELNO. r ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION (gi� '�L�tij f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f k GAS: ROUGH FINAL FINAL BUILDING I0 Li lt, r�lA �I ►i ` DATE CLOSED OUT I S ASSOCIATION PLAN NO. 37te Co;r mo nwdth of Massachusefts• Deparmm t of bt msftial Accidents 60fO Washzrigtcrn&7—t r Boston,,MA 02111 Workers' CampensatianInsurance affidavit:Builders/Contra:ctors/EIectricians(P umbers AppEcant Information p Please Print Legibly. Name(Bosmesftanizationff idividnal): f Address.- AVYI6?Y-- ' CitytState/Zip:�� rm - Vo3 Phones _ -2"1 -&J Arte you an employer? Check the appropriate box; T)W of project(required): 4_ I am a contractor and I ❑ 1_ I am a employes with general 6_ New cions ;e[ot2 employees(full and/orpart-tune)* Ahavehired"the sub-cone actors. 2_❑ I am a sole proprietor or partner- listed on the attached sheet 7- ❑modeling ship and haze no employees These.sub-contractors have g_ ❑Demrolitios , w forme in an capacity- employees and have workers' working Y 4_ ❑Building aaditiatx [Not workers'comp-instance comp-insurauce_l reTnired-] 5..❑ We are a corporation and its 10-0 Electrical repairs or additions 3.❑ I am a homeowner doing all work• officers have exercised their 11_0 Plumbing repaus or additions myself [No workers'comp- right:of ex mption per MGL 12❑hoof repairs insurance required_] t c_ 152,§1(4),and we have no employees_[No workers' 13_❑Other comp-insurance required.]:' *Any appUc mt dial checks boa€l toast also fill out the section below showing ihe5r wo ceis'compe�satia�policg infurmzfim5_ T Homeowners who subuiit this sfhdavit indcxti+g they ate damg ail zroA and then him outside cantracmrs mast subs a new of davit indicating mcB_ ;Cmttactos that check this box must attached an additional sheet showing the name of flee sob-moors zed slats whether or nut those _cities have Epinyees. If the sub-contasctas have employees,they most provide their workers'comp.policg number. lam an employer ihat is proiidi g tt orkers'c"omperrsrrlion irivuratrce for rtry employees: Below is tat e policy arrd}ab site in.fotmahom Insurance Company Name: Policy#or Self-ins-Lim Expiration Date: Job Site Address: CityiBtate/Zip: Attach a copy of the workers'compensation policy declaration page(shomiug the policy number ind eTpII•ation date). Failure to secure coverage as requiredunder Sectioaa 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 hgreby certi rtrrder th its and penul#ies ofpeduty that the iriforrrudian prodded above is and correct \ ( 9 � . Signature: Date:'Phone 9: 001cialuseonly. Ikr riot mrite in thiss area,to be completed by city or town officiaL City,or Town:. Permitucense At Issuing Authority(circle one): ' 1.Board of Health 2.Building Department 3.City]Towa Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: _ Phone#: _ 6 { r Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 is 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." Applica.iits — Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessay,supply sub-contractor(s)name(s), address(es)andphone number(s)along with heir c4--li.ncatc-(s) of insurance. Limited Liability Companies("LLC) or Limited Liability Partnerships(LLP)with no tan,, loyees other than the members or partners, are not required to cant'workers' compensation insurance. if an L LC or L LI'does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Depa-tinent of Industrial Accidents for confirmation of insurance coverage. AIso 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. Seli insured companies should enter their self-insurance license number on he appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at hie 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 most submit multiple permitllicense applications in any given year,need only submit one aflzda.vit 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 rite for future permits or licenses. A new affidavit must be fi.11ed out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit- - Office o f 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: Tho Commanvrt-,alth of Massachusett-s Department of Industdal Accidc:i" Gffx,ee of%Vestigattions 600 Wasl i gta a Stet Boston,MA 421 I I TeI.9 617-727-4900 4-06 or 1-977-MASSAFE Revised 4-24-07 Fax#617-727- 149 www.mas&gov1di'a • r r'_ I _ Client#,.42347 2LOPESALI ACORD- CERTIFICATE OF LIABILITY INSURANCE ��.TE� 02104Z015 TMIS CERTOTCATE tS ISSUED AS A UA LTfER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER.THIS CERTIFICATE DOES NOT AFFIRMATWELY OR"NATIVELY AMEND,EMEND OR ALTER INS COVERAGE WORDED BY TI'm P011ClES- BELOW,THIS CERTIFICATE OF 9NSURANC'E DOES NOT CONSTITUTE A COR MACT 6EMEN THE ISSWRIA INSURER(S),AUTHORISED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER. ttiPOATAIIT:0 Me ceranem holder is eN ADOMONAL INWREO the poticylies)mu61 oe endorsed.It SUBROOATWN 15 WAIVED,stibfgtt t0 the terms and eondlUOns of die poesy,certain policies may require an endorsement.A 6tatemefit On this cemifeate doe61161 Comer r19613 to the certificate holder In Neu of such endo►ssmwA(s), ROOMER Xnvting 6 O`Nefl �e$+N j 508 773-1628 5D 781218 Is a£SII t s nL 12 nsurenlae Agency I tbMnl 173 fyannough Ad., PO Box 1990 Ixan6- iyanrde MA 02601 u�res; iuYnls>Hxatmeaare akc. � w�Fsq Piet6orea9 Grange fdutuat Gistlrenc eTAssociated Employers Insurance Alessandro LopeselsvP�e j ( 9 Timber Way Sandwtchr KA 02563 ORWR✓IN193 049URER E I OVE RAOE3 CEFTIFICATE MUNtBER: REVISION NUMBER, THIS IS TO CERTIFY MAT THE POIICIC^S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO`THE INSURED 0404EDABOVE FOR THE POLICY PERIOD INDICATED.. NOTWMSTANDMG ANY' REOUIREMENT,TERWI OR CONDITION OF AW CGIGFLACTOR OTHER DOCUATEifr WITH RE'SP CT To I%MCH HMS CEWIFICATE MAY HE ISSUED OR MAY'PERTAM, THE INSURAME AFFORDED"6Y THE POLICIES OESCFWED t£REAN is 9-WECT TO ALL THE TEFVS CXCWSWNS AND COIiDITION3 OF SUCH POLICIES. LI4tiTS SHOWN MAY HAVE-BEDa1 REDUCED'OV PAID OIAtIA& 'Y'Ywl6Y a 31MAICe I—R yryp i _aKiLitY;fil FN La UNIft .. q GB/ERALUA9YRY MPT0605H ��� a128/2015 D1l=0161:nCtlnewimEr4ce 1.000,000 Xi O&MAElY_uLSAL UAItWTY � d}YEk"1@B;f����^?a�IL�e4 500�000 rcuvds-WADE L.XJtSoctffl WEt�Ez_ PEP-16a,AL A AW Wiin'Y 11,000 0'00 . 0&4BA.AdeAECATE' s2,000,000 WTLAti VELMIT'iJitetE§AM - dROLutIt-edupiip.4aa1t2,000,000 1 POU �g Loo WOMOD&EuARVIV t0WOM0 SINCLEUA7. AW AM BOOLY'MURYjpavasr# fie' ALL. NE6 A� sOOIIY`E:ItiIRYlPetu¢I2:-�Y,I!5 lta#bAeiYa}.3 �}AWW lC/ED P-#f,Yn l M1yA{k . uuaftL"JJAIS i y om1/R EAC"OL't°iiPIAEN^E Uct.RS Lab t(t•••=r CiJiit3YJ1I7� F 3 3warufllescaxnr/AAnGI WCC5DD50117152{I15A 1f28P2D15 0112$/2096 Xly sRls AND:EY1nSDYPRm'tJAC11:tYY Arf PpovRErQgnn wEXEc�lTPh�rf N'Q EL,EAS3*pAcsieEt[ ^�� s50D,000 drttt�'�Y�rttHEr�eel+1 ( L.9FnNMI EL. SEASE-c49YFLME S500.000 & Cmpbi urir - n �a c�ecailetis_�.r.�_ rI OrsEx5E- iLwnT s609 000 _ i siimv di anEfiaiics�!Laeatsix3xvfs+iyr3 fAs��*�cnaa lot,aa61iww n,ma:b x>�a o am.�.h..yulr.a� nsurence coverage is IJmtted to the terms,conditions,exclusions,other limitations and endweements. bothing contained in the certificate of Insurance shaif be-deemed to have altered,waived,orextended the ; :overage provided by the policy provisions. MaCAM CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATiDN t1ATE THEREOF, NOTICE WILL BE OBJVERtD IN 200 Main Street ACCOROANC6 WIrfI THE POLICY PROVISIAN&. Ifyannis;MA 02601 AIIYIiJI0�171FJ+Itf�llYAilV@ D 1900-20t0 ACORD CORPORATtON.All rights feserved. ►LORD 25 i2010M) 1 all The ACORD(mama end logo are registered mLarM of ACORD #S1490511IN14SO57 LS1 From: Alessandro Lopes alehlopess@gmail.com Lf p Subject: License Date: April 25,2014 at 7:28 PM To: telogalomelo@hotmail.com Massachusetts � ,Dep rtment of Publily. Safes Board of$vii lnq Regulations and Standards WAY.,- Sudwich MAO b *` ' ems 0510912016 + �C'onstt�x tr Affair's& 1usi "'NOME IMPROVEMENT CONTRACTOR iShrat ova: 166744 'TVA: T_ . E.xpiratio 7 112015 fn iiv dUai ALESSANDRO LOPES ALESSANDRO i_oP,ES 9 TIMBER WAS' SANDWICH, MA 6256 L� der t wa Please forgive any typographical errors sent from this mobile device.Thanks t From: Alessandro Lopes alehlopess@gmail.com Subject: t.ic Date: April 29,2014 at 3:44 PM ; To: telogalomelo@hotmail.com Lice " ` tad I Win- A3'�iMM+`A #P: �� r 5w wr, a t . 16 m � a 00 T77VU7II 1 n M� 4 est w Jib M a C 91 y3 � a ;y,- 01w . " r' a y � �� _ $ � � , yµrr 2u - i' L �`edf .r 6 g r.�� '�'� .," 3"E"➢�� � 'S i E'v Waf -• �,4 4'�`#Y " �:. Please forgive any typographical errors sent from this mobile device.Thanks J r �IHE Tp� Town of Barnstable Regulatory Services yA SS. Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, F1t Q , as Ovmer of the subject property"; ' hereby authorize A'zb to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. igne-4 Owner d�gatureepffpplicant Print Name 13iint Name i Date Q:FORMS:O WNERPERMISSIOI\IPOOLS Town of Barnstable, Regulatory Services ��oF cKe rosy Richard V.Scali,Director rt ' Building Division snxxSTnsr E Tom Berry,Building Commissioner NIA v� 1639- ��� 200 Main Street, Hyannis,Na 02601 ArE0 NtPt A www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE'FXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER':_ narne home phone# work phone r CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-_o_crupied 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 simcrvisor. 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 bi>11din�permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town ofBarnstable Building Department minimum.inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building 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 persou(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,RuIes &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious probleras, 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 cu rrently used by several towns. You may care t amend and adopt such a forty certi.fi.cation for use in your community. AWPFILES\FORMS\bui]din m.it fo=i \EXPRESS.doc Q gPer Revised 061313 6;?r-3 5 SMOKE 'TORS REVIEW D B BUILDING DEPT. DATE x FIRE DEPARTMENT DATE EI BOTH SIGNATURES ARE REQUIRED FOR PERMITTING D ioic-kld COTv► � Q 00 o' f, o THE FOLLOWING IS/ARE THE BEST" IMAGES .FROM POOR QUALITY ORIGINALS) im D ATA a� TOWN OF BARNSTABLE OFIKE 20150i--.05.63 , '* MUMffABLE, Issue Date: 03/03/15 (_p MASS. � Ww- Applicant: LOPES,ALLESSANDRO° Pei AEG MA'I A Proposed Use: MULTIPLE HOUSES ONE PARCEL Ex ' Location 30 TY-DEE LANE Zoning District RF Permit Type: RESTORE TO SINGLE FAMILY Map Parcel 023028 Permit Fee$ 51.00 Contractor LOPES,ALLESSANDRO Village COTUIT App Fee$ 50.00 License Num." `156744 ' Est Construction Cost$ 10,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RESTORE GARAGE TO SINGLE FAMILY HOME BY REMOVING STO THIS CARD MUST BE KEPT POSTED UNTIL FINAL KITCHEN AND KITCHEN SINK INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: KELLEHER,JARED J BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 185 MAIN STREET INSPECTION HAS BEEN MADE. COTUIT,MA 02635 Application Entered by: JL Building Permit Issued By: 49 THIS PERMTr'CONVEYs NO RIGHT TO OCCUPYANY STRBET ALLEY OR SIDEWALK OR'ANY PART THEREOF EITHER ORARII Y 0 Y ENCROACHMENTS ON PUBLIC PROPERTY NO SPECIFICALLY PERMITTED UNDER THE BUE.D CODE MUST BE APPROVED BY THE JURISDICTION: STREE'I.OR ALLEY GRADES AS'WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED`FROM T MDEPARTM OF PUBLIC WORKS-THE ISSUANCE OF THIS PERMrr DOES NOT:RELEASE THE APPLICANT FROM:THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.,: RESTRICTIONS } # y f MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. w 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.. e 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE.. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 1 Heating Inspection Approvals Engineering Dept Lk Fire Dept 2 Board of Health y , 0p-THE A Town of Barnstable *Permit# a Expires 6 nionihs from issrre dale X-PREr*o. regulatory Services iee �p t63q � Thomas F. Geiler, Director JUL 2 T Building Division (� OF BARNSTABL�. Tom Perry,CBO, Building Commissioner TOW 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint 1 Map/parcel Number 3_ . Property Address 30 TV F ❑ Residential Value of Wor Minimum fee of$2S.00 for work under$6000.00 Owner's Name&Address Contractor's Name� �Telephone Number U'3(Oz'oq,?,y Home Improvement Contractor License#(if applicable) („ Construction Supervisor's License#(if applicable) �orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [(have Worker's Compensation Insurance Insurance Company Name �7 Workman's Comp. Policy# L 'lya-3.7 i!20A Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) t Re-roof(stripping old shingles) All construction debris will be taken to ❑•Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U=Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro sign rope � ner Letter of Permission. pr ent Contract Lice se nstruct Supervisors License is required. SIGNATU Q:\W PFILES\FORMS\Express\EXPRESSPERMIT.D Revise06O4O9 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + d 600 Washington Street Boston, MA 02111 =�•y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: (ATV 1 hone#: �a� Are you an employer? Check the appropriate bog: Type of project(required): 1. I am a employer with 4. ❑ 1 am a general contractor and I have hired the sub-contractors 6: ❑New construction employees(full and/or part-time).* 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have 8.-"❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp. insurance comp. insurance: required.] 5. ❑ We are a corporation and its "10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp_ right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �y( / Policy#or Self-ins.Lic.#: �0_a: Z?�o Expiration Date: 1 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 ' ce c erification. I do hereby certify ai sand pen f perjury that the information provided above is true and correct Si ature: Date: -76>1,-)� Phone#: Official use only. Do not write in this area, to be completed by city or town official. .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing.Inspector 6. Other Contact Person: Phone#: Information and- In4tuctions 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 on 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 a genc y 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-con&actor(s)name(s),-address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense 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 a_fdavit 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 maybe 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 born 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. #617-7227-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia sTti Town of Barnstable ' Regulatory Services BLA `M Thomas F. Geiler,Director ibs¢ �w a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4638 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property r hereby authorize ��h r:Z? to act on my beb.alf, m all matters relative to work authorized by this building permit application for: T Z.7F Addx ss ofrob) Signa e of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town. of Barnstable Regulatory Services stitexsr.►s3i.e. Thomas F. Geiler,Director MA3S Building Division plfD A Tom Perry,Building Commissioner ......200 Maiii Streeter Hyanitis,MA 02601 _...... www.town.barnstable-ma.us Office: 508-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER 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.L 1) The undersigned"homeowner"assumes responsibility for compliance with the-State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner"certifies that.he/she understands the Town of Barpstable,Build 4g Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner pertorrmng 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 rngagcs 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 assuring the responsrbtlitics of a supervisor(sex Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hire 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 msponsibiilitics,many communities require,as part of the permit application, that the homeowner certify thiLt 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 caremen t ad and adopt such a fami/certification.for use in your corrmunity. I DATE(MM/DDN 6 ACORDTM CERTIFICATE OF„LIA81 ITYaINStiURANCE r 6/30/2009 , wxa. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A AIM MUTUAL INSURANCE COMPANY INSURED COMPANY PETER D. FIELD B DBA PETER FIELD BUILDING& RESTORATION COMPANY PO BOX 16 C COTUIT, MA 02635 COMPANY D COVERAGES Tr ,' r_..� :..a„ —2—,,.w.all;THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) - GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY - PRODUCTS-COMP/OP AGG $ CLAIMS MADE ❑OCCUR _ PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT - EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) HIRED AUTOS - - BODILY INJURY g NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ _ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - - - OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE - $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKER'S COMPENSATION AND TORY LIMITS OER A AWC 7023784012009 05/16/2009 05/16/2010 EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 - THE PROPRIETOR/ e INCL EL DISEASE-POLICY LIMIT $ 500,000 TIVE PARTNERS/EXECU OFFICERS ARE: EXCL - - - EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 4CERTIFICATEw HOLDER, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE _ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL JARED KELLEHER 10 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, - - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY - -OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHO p REPRESENTATIV§ ///:"" r+ . . M az z I a7 g � .a '( �. .�....o. .. .> w� r CACORD CORPORATION 1988` Board of Building Regula ons and tarJls One Ashburton Place, - Room.1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 120362 Type: DBA 5 Expiration: �1/30/2009 Tr# 261156 PETER FIELD BUILDING & RESTORATION PETER FIELD P. O. BOX 16 COTUIT,.MA 02635 Update Address and return card.Mark reason for change. (� Address Renewal Employment I—] Lost Card DPS-CA1 0 50M-07l07-PC8490 • Nlassachuwtts- Department of Public SJON Board of BuikHm- Reuulations an(] Standards — Construction Supervisor License License: CS 65638 Restricted to: 1G PETER D FIELD PO BOX 16 COTU IT, MA 02635 Expiration: 7/15/2011 (' nnni�si nxv Try: 19280 r Don Hecht Broker Associate 1997offm Cape Associates 3220 Main Street,Route 6A a' P.O.Box 528 Barnstable Village,Massachusetts 02630 Business(508)362-4421 Y, Fax(508)362-4354 a Residence(508)420-4246 Each Office Is Independently Owned And Operated Q . F 9�! �rl a se wf���wf � � csnal a� , ,�, , . t . } ` � .,p � ... �I { ` � ,_ � r -_ ' •� , �.. � � 4 MIKE NZIYE ENGINEERING February 23, 2010 CONSULTANTS Mr. Jaime McGrath st—mml•civil•environmental Pine Harbor Wood Products 259 Queen Anne Road Harwich, MA 02645 RE: Framing Inspection and Review of Photographs, Kelliher Barn, 30 Ty-Dee Lane, Cotuit Dear Mr. McGrath, - McKenzie Engineering Consultants, Inc completed an inspection of the framing and reviewed photographs of the building during construction for the barn constructed at the w Kelliher residence located at 30 Ty-Dee Lane in Cotuit. The purpose of the inspection was to review the connections constructed in the field that varied from the requirements of our letter dated September 1, 2009. � g The following variations from our letter were constructed and found to provide a 01 k substantially equivalent level of resistance to the design wind loading of 110 mph in g exposure B: STHD hold downs were used to coiinect_ail=posts intlieu`of the'AB `post_b-ases - ¢r specified in the letter. The installed hold downs provide an increased uplift V. capacity from those specified. ® Plates were used to connect the posts to adjoining members along with p Timberlok screws. The plates installed had an equal or greater number of nails into the members than the specified Simpson post caps specified. • The roof rafter were installed into the top plate beam using 7 Timberlok screws (6 toed into the beam and one through the top). These have an equal or greater uplift resistance than the specified clips. If there are any questions on this matter, feel free to contact me. OF AqQ ; Sincerely, go MA A.INZE t�\ No. 390� ' Mark A Mc' Pres `McKer e Ift onsultants; Inc.`- .L?` T]Lf €it i R e iT�;� . r, 1279 Millstone Road Brewster, MA 02631 t 774.353.2144 f 774.353.2142 www.mckengineers.com i T0M1 OF BAR, LE L 0 26 Pm 1- 13 DOLT � 4 east cape engineering, inc. 44 Route 28 P.O. Box 1525 -CIVIL ENGINEERING Orleans,MA 02653 LAND SURVEYING WATER RESOURCES - - - LAND COURT - ENVIRONMENTAL SITE PLANNING 508-255-7.12U PHONE' SANITARY - � CERTIFIED PLANS STRUCTURAL 508-255-3176 FAX WATERFRONT - February 26,2009, . t • Mr. Jaime McGrath S Pine Harbor Wood Products I� 259 Queen Anne Road d® Harwich, MA 02645 RE: Structural Requirements for Wind Loading, Pine Harbor 16'x20' Barn in 110 MPH Wind speed in Exposure B Dear Mr. McGrath, East Cape Engineering,Inc has completed structural review for your standard 16'x20' single story barn based on plans provided by your office that we'dated 2/15/09. The purpose of the review was to provide connection and framing requirements to be used for construction of the 11 ft. high wall barn structure that will meet the new wind requirements of the 74 edition of the Massachusetts Building code for wind:speed 110 MPH in Exposure B. Y Based on our analysis,the following requirements for connections and framing are to be applied to this structure in addition to your standard framing notes: 1) The sill beam/plate requires connection to the frost wall using 5/8"anchor bolts spaced 32" on center imbedded a minimum of 7"into the concrete and attached to the sill with 3'x3"x1/4"plate washers. 2) The maximum spacing between vertical posts in any wall is 4 feet and posts, tie beams, and roof rafters should oppose each other front to back to create bents where ever possible. Minimum post sizes is 6x6 in the gable ends and 6x6 in the mid-spans. 3) All posts connected to beams shall be connected using Simpson AC,ACE, or' LICE post caps (depending on if the post is midspan or at a corner)installed in accordance with the Simpson C-2009 Catalog p g .. 4) All purlins,angle braces, and other minor elements to be connected to posts or beams using a minimum df 5 Timberlok screws. 5) Tie beams must be hung on the posts using Simpson concealed flange hangars WSC68). 6) Roof rafters shall be connected to the top beam/plate using Simpson H10-2 clips: 7) The small open shed roof structure attached to the building must have a continuous load path from the roof rafters to the sonotubes using Simpson H10-2 clips,AC or LCE post caps to connect to roof support beams,and PBS post bases for connection into the sonotubes. If there are any questions on this matter, feel free to contact me. Sincerely, gr { Mark A.McKenzie,P} ' , Treasurer,East Cape Enginee ng,IriC. Message Page 1 of 2 Anderson, Robin To: Schlegel, Frank Subject: RE: Multi-dwelling on Map 023 parcel 028 Frank, I just confirmed that the ZBA approved this structure as a detached family apartment. It is still within the appeal period but the approval was awarded so you can go ahead and address the units as A& B. W96in Robin C. Anderson Zoning Enforcement Officer 7'own of 23arnsta6Ce 200 .Main Street Hyannis, wlA 02601 5o8-862-4027 -----Original Message----- From: Schlegel, Frank Sent: Tuesday, December 15, 2009 3:54.PM To: Anderson, Robin Subject: RE: Multi-dwelling on Map 023 parcel 028 Hi Robin, Cotuit Fire wants 30A&30B. I'll be sending out notice to the owner. Please keep me informed on this. If it goes back to an out building, I'll pull the unit designations. The Fire Dept. wants separate 911 identification. Apparently, they went to the wrong building during a 911 call. Thanx Again, Frank -----Original Message----- From: Anderson, Robin Sent: Tuesday, December 15, 2009 3:00 PM To: Schlegel, Frank Subject: RE: Multi-dwelling on Map 023 parcel 028 Hi Frank- You have a good memory! That property has a dwelling and an accessory building which has been turned into a family apartment without the benefit of permits. I believe it is one property and Assessing identifies that structure as an out building. It should be 30 &30A Ty-Dee. I will have to check with Bob McK about the status of the building to legitimize that unit for a family apartment. They need to go to the ZBA because it's a detached structure. Merry Christmas to you and yours..... Wp6in Robin C. Anderson Zoning Enforcement Officer Town of Barnsta6Ce 12/15/2009 E - r & ?' DATE(MM/DD/YY) CERTIFICATE OFLIABI)LITY-�INS� DANCE ACORD� � 6/30/2009 7, ,s �. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY AIM MUTUAL INSURANCE COMPANY A INSURED COMPANY PETER D. FIELD B DBA PETER FIELD BUILDING&RESTORATION COMPANY.. PO BOX 16 C COTUIT, MA 02635 -COMPANY D ;COVERAGES ._ aol k"7,: � " i- , y THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY_EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) - - GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY _ PRODUCTS-COMP/OP AGG $ CLAIMS MADE F—]OCCUR - - PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT _ - _ - EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $- AUTOMOBILE LIABILITY -COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN AUTO ONLY: .EACH ACCIDENT $ AGGREGATE $ - EXCESS LIABILITY - EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM - - $ - WCSTATU- OTH- A WORKER'S COMPENSATION AND AWC 7023784012009 - 05/16/2009 05/16/2010 TORY LIMITS I I ER EMPLOYERS'LIABILITY - - EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ HEXCL INCL - EL DISEASE-POLICY LIMIT $ jQQ,000 PARTNERS/ExECUTIVEOFFICERS ARE: - - EL DISEASE-EA.EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE-HOLDER CANDELLATION > SHOULD ANY OF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL JARED KELLEH_ER 10 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHOp R TATIV�j„�A ACORD 25-S 1/95 ®ACORD CORPORATION 1988 _A 3o T A� - C 7 i Rto 0 S 87'05'10" W 165.29' 15.7ft / -___ -______= 15.4ft SHED ------------ m =COTTAGE= =_HSE_#30__ -- n EXISTING Z m  ------- FOUNDATION -' LA PARCEL B 27,700t SQ. FT. (P_ PARCEL A 0 .!X_ -:Vic:{.:' ,:.+�• l 00 N 89.21'20" W 113.29' N 84'53'50" E 11 TY-DEE LANE FLOOD ZONE C FO UNDA TION CERTITICA TION RES ZONE. RF TOWN COTUIT SCALE 1"=40' PL REF` 271-47 ELEV N/A SETBACKS:- 30'-15'-15' ME FO SHOWN ON THE PLAN YANKED' LAND THE GROUND. o �G" ERFo c,�Gn o SURVEY CO. , INC. f PSTEPHEiJ ® c) . Lrl ® 40 INDUSTRY ROAD a Dom FE ® MARSTONS MILLS MA 02648 ® �� ® TEL• 508-428-0055 FAX 508-420-5553 ►vv®�° JOB DATE.• 0112812010 NUMBER 54515 JOB . 259 Queen Anne Rd: HARWICH,MA 02645 ADDRESS G ` PINE HARBOR (508)430-2800 WOOD PRODUCTS FAX(508)430-1115 pineharbor.com E-Mail:info«pineharbor.com PHONE# DATE E-MAIL 1 .. ....__ _— _..... .. : � I i I i1f .__._-_...... i1t1ti t i i I ; L : I i s i ; vo 4 : ` 1 -- - - .- . ------------ 1 - -- - _ .._._ I E 6 - - - f i E i -- r t � I � i I : : eorder From NERS CUSTOM'"nrintinn cpruir e_ann.rar,..cvo- All—�...,o.....,,,_,_.._..,, ........_... .... - TOWN OF ARKS LE r {0 FEB -8 AM - 37 DIVISION�.� , w cabs t 4fo I � 4170 oA � � II it i4 Ti j IL If - _ PerL - y . t t 1 1J O S' 30 - ✓F^1-. ->; ti .KR..,i nri.--e1 ....-.3-i ..r.r„,:. _. a r �aF.ME T � Town of Barnstable BARNSTABLE. Regulatory Services MASS. 1639. Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection / FPIM — 1 N Location 30 ):�cApp ZAA/�- -7 Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: e'--b SS— )0 D Please call: 508-862-4d138 forr�e-inspection. Inspected by UI`- Date Town of Barnstable Building Department- 200 Main Street t RARNSTABLE. * Hyannis, MA 02601 9 MASS. 1639. , (508) 862-4038 CFO�•�a _ Certificate of Occupancy Application Number: 201000043 CO Number: 20100087 Parcel ID: - 023028 CO Issue Date: 06/14110 Location: 30 TY-DEE LANE Zoning Classification: RESIDENCE F DISTRICT' Proposed Use: SINGLE FAMILY HOME Village: COTUIT Gen Contractor: PROPERTY OWNER Permit Type: R000 . CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO JARED KELLEHER FOR MOTHER, M. A. KELLEHER Building Department Signature Date Signed Town of Barnstable Regulatory Services BAMWnaLE, 9 MASS. Thomas F.,Geiler, Director Eoi ArA�� Building Division Thomas Perry, CBO, Building Commissioner , 200 Main Street,' Hyannis, MA'02601 i www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 15, 2010 Mr. Jared Kelleher - 30 Tydee Lane Cotuit, MA 02635 Re: Family Apartment Dear Mr. Kelleher: Enclosed is the Certificate of Occupancy for your family apartment. Also enclosed is the Family Apartment Affidavit for you to complete and return. If you have any questions, please call me at 508 862 4039. Sincerely, r Lois Barry F Division Assistant Enclosure r K faco Town of Barnstable Regulatory Services sAMSeABM v MASS. Thomas F. Geiler, Director rE039. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstabI,e.ma.us Office: 508-862-4038 Fax: 508-790-6230 f February 25,2013 Jared Kelleher 185 Main Street Cotuit,MA 02635 Re:Family Apartment(30 Ty-Dee Lane) ' Dear Mr. Kelleher: Thank you for the Family Apartment Affidavit,and informing us that your mother has left the Family Apartment for a nursing home.You need to restore The Family Apartment back to a single family. For your convenience,we have enclosed the Restore to a Single Family Building Application and the Family Apartment Variance 2009-067 for your review. As you know using a single-family as a two-family home is contrary to the Town of Barnstable Zoning Ordinance. Violation of zoning ordinances is a misdemeanor,conviction for which results in a criminal record and you could be fined up to$100.00 per day,per violation. We must hear from you by March 15,2013. Please call me at 508-862-4039 to discuss the necessary steps towards compliance with the Zoning Ordinance. Sincerely, Brenda Coyle Division Assistant Enclosure c:Robin Anderson Zoning Enforcement Officer TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -Application 0; n"(4 Map"�11� Parcel 1 '13 ""Date Issued Health'Divisioin Q7, "Appic on 66 Conservation Division Application Fee th Planning Dept' Permit Fee' Date Definitive Plan Approved by Planning Board P� Historic OKH Preservation Hyannis . d Project Street Address 3 -Y 40Ej5F Village C 0 rO,/7- Owner T)at&_-q s, tE-CL� #iE�9— Address 6+me Telephone -7 V�R 919�1 Permit Request e- D��7-4 C)e_r A- 577 7,1' V X 2-0 4 L3 U Square feet: 1 st floor: existing proposed Z 8 0 2nd floor: existing proposed Total new Z6ning District. Flood Plain Groundwater Overlay Project Valuation /:Q, oe)o,o o Construction Type $ 1 Lot Size A-7 00, Grandfathere'd: Q Yes U No If yes, a' ttlacItsu portingqocu%ntation. n' t-a old Dwelling Type: Single Family Q Two Family LJ Multi-Family (# units) Age of Existing Structure Rio,��,a Historic House: LJ Yes LJ No On Old King's ighwayvU Y69 LJ No Basement Type: LJ Full U Crawl LJ Walkout L3 Other, -,::5L-4A Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fu as I L3 Electric LJ Other Central Air: Ll[-Yes----�- ---F•ireplaees:-Existing New Existing wood/coal stove: LJ Yes Ll No /Y'A Z Detached garage: ❑Ll existing ❑Ll new size_Pool: ❑Ll existing t4 new size OBarn:4 existing 0 new size Attached garage: Ll existing LJ new size —Shed: Ll existing LJ new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded L] Commercial LJ Yes Ll No If yes, site plan review# Current Use Proposed Use --APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- Name TVINC--5 /;1 6-%,4—nic Telephone Number -"W My 2-6 0 D Address 05 9 9 L)x--A) /-)7t//— If-� License# C- 5 '7,30ela!j 0#x W Home Improvement Contractor# Y32-93's- Worker's Compensation # tu, c .c-),5-7295-VY ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 7VWAJ oF &04t.0j0# SIGNATURE DATE 4)p 9 z FOR OFFICIAL USE ONLY APPLICATION# s DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: o FOUNDATION FRAME - /zGLc �� ��o��o i kuCiE INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4>ICIAJO 3 D/ d DATE CLOSED OUT ASSOCIATION PLAN NO.. Now F(N eN� I Tlte•Comrrtonwealth of Massachusetts Department vf1tidustria1.*,4ccide7jts Office of,tisvestigations. 600 Washirsgton Street 'Boston,M.4 021.11. www.niass,)o Idia Workers'=Compensation Insurance Affidavit: Builders/Contractors/Electncians/Plumbers Applicant Information. Please Print Y,e>?ibly. Name($asitiess/organizat onandividual)' �( �( =Address: uzn �1 nC�. 1204t� City/State&ipjji��i if-� D �A� Phone#: Are you an-employer?Check, the appropriate box: 4." I Type of prof ect(required): am a employer with,. �J fl . am a general contractor'and I� i, employees(full and/or part-tithe).* • -have hired the sub-contractor's 6. B�kw constiuefion 2..❑ I aru a sole proprietor or partner- listed on the,attached sheet 7: ❑Remodeling ship and haye no employees -These sub-contractors have . ElDeMol. working for m�in' tion a-y capacity. employ%ees.and havc worker's' [No walkers comp.•uLsurance comp•insurance i .9• 0-Budding addition.. . re uircd_ 5. We arc a corporation and its. 10. $ q ) ❑ rP • ❑ lectrical re airs or additions ns 3.❑.I am a homeowner a doin ll work officers,have exercised-aieir g ' '�1.❑Plumbing rcpairs'or additions myself.[No workers'comp. right of.exemption per MGL insurance required.]•t c. 151 §1(4),and we have no 12•[]Roof repairs y emp to ees. [No.workers 13.❑Other .-.N• comp.insurance required.]. -. Any applicasit-ihat checks box#1 must also fill out the section"below showing their workers'eompcsuatioa poGcyitifortrhtion t Honxowncri who subnvt this af riidavit indicating they are doing all work and thch1hire-outside contractors must sdbniit a new affidavit indicating such. iContnetors that cheek ibis box must ittaehed an additional sheet showing the name of the sub-eonhaetors and state.whdhcr.ornot(hose entities have employees- If the sub-contractors have employees;thcym'astprrrvidt their workers'comp.policy.number. I am an employer that is providing workers'eornpensalion,insurance for my employees.Below is-the policy and job site -information. " Iwura4cc Compaq Name: A Policy#or$elf-ins.Lic.#:_ ��q-q.4qBzpiratiortDatc: Job Site Address: City/State/Zip: Attac _here copy of the workers compensation policy declaration page(showing the policy number•.and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of ' ftne tip to t$f;5©0.00 and/or one-year imprisonment,as wdl.as civil penalties in the form of a•STOP WORK of up to S250.00•a day against.the violator. Be advised that a copy of thi ORDER and a fine s staternent may be forwarded to the Office of . Investigations of the DIA-for insurance coverage verification - I do hereby cc i under the pans and Pe al es of p / at the linformation'provided'above is true and correch. i ' Si nature: • Phone M r Offcre only. Do not write in this area, l' b omplefed by city or town officiaL City ot';Tb-Wn- Permit/ucens.# IssuinfXtithority(circle one): 1. Board of Health 2.Building Department 3.City/'I'otxn Clerk 4. Electrical Inspector'5:Plu.mbing Inspect'ot 6.- ONier f j Contact Person: Phone #: a 4t Boa+roff, ui in e ulay"ons an an ar. s . g g. One Ashburton Place Room 1301 Boston Mass chusetts 02l Q8 Construction pervisor License License CS 13865 Rest fit tion. 1 G Expi'ration. :3 14%2010 Tr# 19647 JAMES R. MCGRATH _ . 204 CRANVIEW RD - BREWSTER, MA.02631 y� \gip Update Address and return,card.Mark reason for change € Address ; Renewal Lost Card DPS-CAI 0 5OM-07/07-PC8490 Board of Building Regulafions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement;Contractor Registration Registration: 132935 w t Type: Private Corporation j. . Expiration: 10/31/2010 Tr# 275309 MCGRATH POST & BEAM CO. ' Y JAMES MCGRATH - - - 259 QUEEN ANNE RD. .........._ _ - -- - ---- -- ------- HARWICH, MA 02645 - Update Address and return card.Mark reason for change. Address L Renewal I Employment U Lost Card DPS-CA1 0 5OM-05/06-PC8490 ✓1ze Vaminwncae� a���ac�ivaelZa . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registgatiotl-: 132935 One Ashburton Place Rm 1301 Expiration 10/31/2010 Tr# 275309U9 Boston,Ma.02108. Type Private Corporation MCGRATH POST&tEAM CO ri JAMES MCGRATH 259 QUEEN ANNEtiRQ �.�Cbx .` Not valid without signature HARWICH,MA 02645 '- Administrator g r Client#: 20245 MCGRPOS ACORD, CERTIFICATE OF LIABILITY INSURANCE F 0DATE 7/23/09° ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1601 South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Prop.Casualty Co. of Amer McGrath Post&Beam Corp INSURER B: ACE Property&Casualty Ins. Co. dba Pine Harbor Wood Products INSURER C: 259 Queen Anne Rd INSURER D: Harwich,MA 02645 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILITY 16600368B196IND09 01/31/09 01/31/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMIS occurrence) e $100 000 CLAIMS MADE 51 OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,060 X POLICY PRO- JECT LOC A AUTOMOBILE LIABILITY BA4487B68609SEL 01/31/09 01/31/10 COMBINED SINGLE LIMIT $1 OOO OOO ANY AUTO (Ea accident) , ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND C45779944 07/08/09 67/08/10 X I WC STATU- OTH- EMPLOYERS'LIABILITY TORY LIMIT ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S44991/M44815 MEE O ACORD CORPORATION 1988 4 l Town of Barnstable Regulatory Services 9 1 EBAMMB KAS& $` Thomas F.Geiler,Director i63 ♦0 - 9' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, re C/ K11444e-l", ;as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. ?O / ee ►► (Address of Job) Sig tur o r Oate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP ERM I S S I ON Town of Barnstable 3 Regulatory Services sMwsrnBLE ; Thomas F.Geiler,Director MASS �m� Building Division ATFD�,Ip Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code • t'f The current exemption for"homeowners!.'was extended to include owner-"occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER ' Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there'is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. 'Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section,109.1.1:)� The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and.other applicable codes,.bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will-comply with said procedures and requirements.` - . r , 1 Signature of Homeowner n`' 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. t HOMEOWNER'S tXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor..The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Town off��Barnstable Geographic Information System September 21,2009 009009 0 131 i- r � 7 +�•� a \��.� . ��� _• �� �f ` 0230-7 r : 009008 :.., , lr �F `0730?G 4, _ \ r, � + "err. �..•t.` 171 f.- 30 009025 C. Xt .�� �• .mac �` � _5 ,�, �� r � .. �„ ou _. - � i �'•�_ ,�� • ;ram ��.��� ��. � �> � � -+ �• ' DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:023 Parcel:028 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:KELLEHER,JARED J Total Assessed Value:$292000 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.63 acres Abutters w-; I` boundaries and do not represent accurate relationships to physical features on the map Location:30 TY-DEE LANE such as building locations. Buffer J Aerial Photos Taken April 28,2001 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ",: Map Parcel' Applicat ion # Health Division ;Date Issued Conservation bivi8"i 6'n AppIicati6h Fee Planningbept Permit Fee Date Definitive Plan Approved by Planning Board --G � a Historic OKH Preservation Hyannis Project Street Address TyDe-e- Village 77-o r Owner Address 25o: T�ge 2 Teleph0 ne 9?K Permit Request On y /y, 1,Z&Ae-4� Square feet: 1$t floor: existing w proposed 2nd floor: existing/VA- proposed_Mn- Total new z6hing b.istrict. Flood Plain Groundwater.Overlay e,&,pa) Project V61uatiOn � Construction Type Lot Size Grandfathered: LJ Yes O-No 'if Yes, attach supporting documentation. Dwelling Type: Single Family .4- Two Family L3 Multi-Family (# units) Age of Existing Structure d Historic House: LJ Yes &No On Old King's Highway: Ll Yes (-4,N o Basement Type: LJ Full Ll Crawl L3 Walkout Q Other /J-4 Basement Finished Area(sq.ft.): PA Basement Unfinished Area(sq.ft) Number of Baths: Full: existing- new f-A Half: existing __nq-# Number of Bedrooms: existing —new tO tO Total Room Count (not including baths): existing new First Floor Roo Count Heat Type and Fuel: ef Gas U Oil LJ Electric L3 Other Central Air: L3 Yes 06o Fireplaces: Existing Pl� New tA Existing wood/co stove: &Yes AINO Detached garage: LJ existing LJ new size—Pool: 0 existing Ll new size Barn: L] existing LJ new size Attached garage: Ll existing Ll new size —Shed: Ll existing LJ new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded Ll Commercial J Yes LJ No If yes, site plan review# Current Use AoTdc--Z`S 4f I Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number (0 'Address Dz..L License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Q o •` FOR OFFICIAL USE ONLY r 1 PLICATION# DATE ISSUED MAP/PARCEL N0: ADDRESS VILLAGE , } OWNER _ C DATE OF INSPECTION: FOUNDATION i FRAME r f 1 INSULATION t FIREPLACE ..1 ? ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL --� FINAL BUILDING ;1 'r. DATE CLOSED OUT, ASSOCIATION PLAN'NO. f M � i 2:9: `? ice F'�`? 5 -72981 a 12 m 0 91, THE? • STABLE. MAW 679• Town of Barnstable l` - Zoning Board of Appeals Decision acid Notice Family Apartment Variance No. 2009-067- Kelleher f Variance to Section 240-47.1A(3) Family Apartments Variance to allow a family apartment in an existing detached accessory structure Summary: Granted with Conditions Applicant: Jared J. Kelleher Property Address: 30 Ty-Dee Lane, Cotuit, MA Assessor's Map/Parcel: Map 023 Parcel 028 Zoning: Residence F Zoning District Recoding Information: Deed: Book 12948 page 338 Relief Requested and Background: The subject property is a 0.63-acre lot developed with a 1.5-story, 1,116 sq.ft., three-bedroom, single- family dwelling and a detached one-story, 975 sq.ft. accessory building. Both structures date to a 1970 construction. The Applicant is seeking a variance to allow the detached accessory building to be used as a 975 gross sq.ft., studio family apartment. The apartment is to be occupied by the Applicant's mother, Maureen A. Kelleher. Family apartments are permitted as-of-right. However, this family apartment does not conform to the requirements for an as-of-right permit and therefore a variance has been requested to: Section 240- 47.1.A (1) to allow a studio family apartment of 975 sq.ft., when zoning limits the unit to not exceed 800 square feet or 50%-of the area of the existing single-family dwelling, Section 240-47.1.A (3) to allow the apartment in an existing detached structure, and Section 240-47.1.A (3) to allow the unit in a structure that does not conform to current yard setback. Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals.on October 13;2009. " A public hearing before the,Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 18, 2009, at which time the Board found to' grant the variance subject to conditions. Board Members deciding this appeal were, William H. Newton, Michael P. Hersey, Craig G. Larson, Alex M. Rodolakis and Board Chair, Laura F. Shufelt. The Applicant,Jared J. Kelleher represented-the variance request before the Board. He gave a brief summary of the proposal noting that he resides on the property and his mother is presently occupying the detached building as a family apartment. Town of Barnstable,Zoning Board of Appeals—Decision and Notice Family Apartment Variance No. 2009-067 issued to Jared J. Kelleher for Variance to part of Section 240-47.1A The Board asked Mr. Kelleher if he understood that if this variance is granted that he would have to abide by the draft proposed conditions and all other applicable requirements for a family apartment. The Board also noted that the variance, if granted, would be restricted to him only for that of a family apartment. Mr. Kelleher stated that he understood and that he will abide by all conditions the Board imposes. Board Chair, Laura F. Shufelt noted that a letter from Leslie B. Spencer, 151 Main Street, Cotuit has been received which supports the granting of the variance. No other comment was received and no one spoke in favor or in opposition to the request at the hearing. Findings of Fact: At the hearing of November 18, 2009, a motion was duly made and seconded to find the following findings of fact: 1. In Appeal 2009-067,Jared J. Kelleher has applied for a Variance to Section 240.47.1.A Family Apartments. The applicant is seeking the variance for a family apartment to be located in an existing detached accessory structure located on the property. The location of the structure does not conform to the required yard setback, and the area of the apartment exceeds that permitted as- of-right by 160 sq.ft. The property is addressed 30 Ty-Dee Lane, Cotuit, MA. It is shown on Assessor's Map 023 as parcel 028. It is in the Residence F Zoning District. 2. The fact that the second building and use exist on the property and to compel the owners to now recreate an apartment within the home or as an addition would be impractical. In that respect, there is also a topographical feature in terms of structures as there are two detached buildings on the property that have existed for some 39 years both of which have a history of being used as habitable structures although illegally. This fact establishes a statutory requirement of MGL Chapter 40A, Section 10 for the Board to grant the variance requested. 3. To now compel the literal enforcement of the family apartment provisions would imply a substantial financial hardship as the applicant will have to duplicate an apartment unit as an attached structure. The detached building with a second living unit has existed and has been used for some 29 years. The unit and building also have their own septic system. The vote on the findings of fact was as follows: AYE: William H. Newton, Michael P. Hersey, Craig G. Larson, Laura F. Shufelt NAY: Alex M. Rodolakis Decision: Based on the findings of fact, a motion was duly made and seconded to grant Variance No. 2009-067 to Section 240-47.1.A to allow for a detached family apartment in an existing detached accessory building located on the property subject to the following conditions: 1. The family apartment shall comply with and be maintained in accordance with all conditions herein, as well as all other applicable requirements of Section 240-47.1 for a family apartment, including that the family apartment use is.nontransferable to future owners. 2 Town of Barnstable,Zoning Board of Appeals—Decision and Notice Family Apartment Variance No. 2009-067 issued to Jared J. Kelleher for Variance to part of Section 246-47.1A 2. The family apartment shall be maintained as a studio unit as shown in a plan submitted to the Board entitled.: "30 TyDee Ln. Cottage As-Is Drawing — No improvements are indicated". 3. The applicant shall reapply for a building permit for the family unit. All requirements of the Building Division shall be fully complied with to assure that the unit and building meet all applicable codes, including building, fire, and health. 4. All parking shall be on-site. - 5. There shall be no.renting of the apartment unit to non-family members and no renting of rooms (lodging) permitted during the life of this variance. 6. During the life of this variance, the buildings located on the.property shall not be further expanded nor increased in terms of bedrooms added. 7. The applicant shall be required to assure that the property is in conformance to Title 5 regulations and all local Board of Health regulations as maybe applicable and as may be legally grandfathered by state and/or local health regulations. 8.1 When the family apartment is vacated or upon noncompliance with any condition or representation made, including but not limited.to occupancy or ownership, the use of the apartment shall be terminated and this variance shall become null and void. At that time, this variance shall cease and,the Applicant or property owner shall be responsible for the removal of the kitchen and use of the building as an independent living unit. A building permit for the removal of the unit shall also be required at that time. The vote on the granting of the variance and conditions was as follows: AYE: William H. Newton, Michael P. Hersey, Craig G. Larson, Laura F. Shufelt NAY: Alex M. Rodolakis Ordered: By a vote of four in favor and one opposed Variance No. 2009-067 is.granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice.of that record i ng'subm itted to the Zoning Board of Appeals Office. The relief authorized by this decision 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. A copy of which must be filed in the office ofthe Barnstable Town Clerk: - Laura F. Shufelt, 6air 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 arid: that no appeal of the decision has P een filed in the office of the Town Clerk. G Signed and sealed"thisc da G rrder tf�e pains and penalties of per ury,' Linda Hutche ri er, Town Clerk 3 i f 10/06/09 To whom it will concern: Attached, please find a line drawing of the cottage at 30 TyDee Lane, noting the dimensions of the cottage, placement of the smoke alarm and access/egress. This is an as is drawing; i.e., how the cottage appears today, and at this time,there are no intended improvements or alterations to the cottage. If you have any questions, please contact me anytime at 617 448 9951. Thank you, Ii U l� Jared Kelleher n �l f F. F: - 3a t. av i. y. 1 � m br kiG 0 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE 3— PERMI JOBSITE ADDRESS 3 D - P,e a OWNER'S NAME K n a POWNERADDRESS _ 1 FAX TYPE OR OCCUPANCY TYPE COMM RCIAL( EDUCATIONAL RESIDENTIAL PRINT RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES[] NO[] CLEARLY NEW:Q FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 '9 10 11 12 13 L14 BATHTUB CROSS CONNECTION DEVICE - DEDICATED SPECIAL WASTE SYSTEM (-- DEDICATED GAS/OIUSAND SYSTEM - DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM �-I �I DEDICATED WATER RECYCLE SYSTEMS I g DISHWASHER ��—� I _- I = DRINKING FOUNTAIN FOOD DISPOSER FLOORlAREADRAIN INTERCEPTOR(INTERIOR) _ - KITCHEN SINK 01011 LAVATORY ROOF DRAIN SHOWER STALL - SERVICE/MOP SINK TOILET a" URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING �� OTHER oil 317 _ j I w INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. YES Z NO [ IF YOU CHECKED YES,PLEASE INDICAT7TH TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E] AGENT (� SIGNATURE OF OWNER OR AGENT I hereby cerfify that all of the details and information 1 have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com If ce ith al "nent provTion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ll LICENSE I # ^� SIGNATURE - PLUMBER'S NAME "' L MP® JP9 CORPORATIOND#PARTNERSHIP®# LLCEl# COMPANY NAME i ADDRESS 4,,k CITY ' o STATE ZIP TEL FAX CELL 7 (�'j EMAIL T..- .^-^+..r f .,. .•. R....r.� .max....r..e.'rr+�.' .H^.'w-. ,M.... ".'+. .- ..� _ -. r.". .�. ^.� �..,Ase�'..+, 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma I Parcel 02- 8 i lnl� P pp Health Division Date Issued 3 l S Conservation Division Application Fee Planning Dept. Permit Fee ' ' ob Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 30 Village ��-� �Z-(3� Owner Uy-k_ e����- L- Address d - Telephone '4 Permit Request r e e ®� ^ Square feet: 1 st floor: existing T�0 proposed ��2nd floor: existing t-J A proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ll/7,®o O, Construction Type Lot Size ® �0 _3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family %L Two Family ❑ Multi-Family (# units) Age of Existing Structure 1 Historic House: ❑Yes IWNo On Old King's Highway: ❑Yes Q�No Basement Type: ❑ Full ❑ Crawl ❑Walkout 'Other �L Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) A Number of Baths: Full: existing - new Half: existing gA new Number of Bedrooms: I CL existing aew -a Total Room Count (not including baths): existing new First Floor''R( om CoZZ unt Heat Type and Fuel: aGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �&No Fireplaces: Existing Nk New (�'C Existing wolexistinu-0 /coal stove: CPYOS �lo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: nFw size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes C2 No If yes, site plan review # Current Use ��� � - �'`�'^ �� Proposed Use ask P_ APPLICANT INFORMATION (B II:DER OR HOMEOWNER) , Name 5rtlr Telephone Number Address I JA4 License #_ tatf G 0 g � Home Improvement Contractor# Email Worker's Compensation # f��.c� 5'QO,���t C 32d�¢1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO��,ne�n �o SIGNATURE DATE ''{ ''`y 6° } z FOR OFFICIAL USE ONLY i APPLICATION# x. DATE ISSUED ` MAP/PARCEL NO. �Y #a ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. p 3 f { The Commonwealth of Massachusetts _ Department of Industrial Accidents Office of Investigations 600 Washington Street — Boston,MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: AAJ City/State/Zip: 3 Phone#: ?3 6 `r5-3 S Are you an employer?Check the appropriate box: I am a general contractor and I Type of project(required): 4. 1. ] I am a employer with ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs&additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.].t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 ce ' nder the pal s and penalties of perjury that the information provided above is true and correct. t Si mature: Date:; .02 .o / Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department.3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their , self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number..In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or 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 0211E Tel, #617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 4-24-07 vvwvv.mass.gov/dia ACOR0" CERTIFICATE OF LIABILITY INSURANCE "" JO4/201 0?/04J2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil P,UC N ,508 775-1620FAX arc No): 5087781218 Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA OZ6O1 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:National Grange Mutual insuranc INSURED Alessandro Lopes INSURER B:Associated Employers Insurance 9 Timber Way INSURER C: INSURER D: Sandwich,MA 02563 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMID MMM LIMITS A GENERAL LIABILITY MPT0605H 1/28P2015 01/281201 X COM , EACHOCCCURRENCE $1 000 000 occueMERCIALGENERALLIABILITY DEEE occurrence) $500000 CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 OOO OOO GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY El PROT El- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PReOPERTnDAMAGE $ HIRED AUTOS AUTOS P PEd $ UMBRELLA LU18 OCCUR EACH OCCURRENCE $ EXCESS LI AB CLAIMS MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050117132015A 1/28/2015 01/2&2016 X WC STATU- OTH- AND EMPLOYERS'LIABILITY C1111 Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5OO O00 OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 OOO It DESCdesc be under RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB .t500 0n0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more apace Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATEMOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. r of VKWEtpy, s�xxsrasr.�, "�: Town of Barnstable ArFD��p Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner z 200 Main Street, Hyannis,.MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Y Fax: 508-700-6230 Property Owner Must Complete and Sign This Section If Using A Builder. , as Owner of the sub l property hereby authorize &5�,A rt�..o(' to act on my behalf, in all matters relative to work authorized by this'building permit application for: 1 (Address of Job) Signa f e r . Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side.. Q:IW MESTORWbuilding permit formAsmokecarbondetectors.doc Revised 050412 j '1'own of Barnstable Regulatory Services y.... r °FttlE 1 Richard V.Scali, Director ti Building Division s�xntsr�sr Tom Perry,Building Commissioner y MASS. 1659. �m 200 Main Street, Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners'.'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building 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. c Massachusetts ,,Oepartmen - Bowd of Bufldl and $tandards . r ct' F �. Lice n. tw:' CS-09,519996, Tv"im Explirs tonerlei 0, OAR IMPROVEMEI NT CONTMUOR $6744, 7/3112015- ALESSANN ORO OPES L TIMB 02563 SA +i},� - ,,,y.r, ♦ �+,.,.,r.• 4 i"w.si w;,star 4pgFy. ,..,�,Mr+a•+. �t..uwre.rM�^.xr, ,qc�,IRyrwu�y,,.., W rr x:�� b':;. � :.. , wre R r k >►�y, '•�" aw * c ,� bt ,w ,.+►* �''` 4 *" gr^Me�n/*aa�w-�n+rr#".,;*rr..d, �"*+ w., w'�'+w'.� ;f�,..i,�r^. g. 9:. •0.Fn .. it P ".,"..`�Zes:m`�.x��' �+tp�,i�gwa.� .1l�vN� ��am,;T ,x dp ,�*� ,+ro r3 w"x� �,. 3. r ,r.•y�w.x .�...+r-i +s��'IMML"�,µ" trr ,r^� !+'^f4� + '�iN' rw:tom+• �, +�,* ��1' '�"`'�'�+e� � �r"�`E tau.� y '�F r. !r«: r Y,$qy R» •a„Mr r e* sga :""'„pyw rw.yry�myr+ rf smM'!%sj.•*anw s�Y«r-9�1d�c '*'"'+"r .ram' i J,�++►r *�•��'Ma'�4!'. ^[n�^it�' ,;.+ye'�� s-'�,'�'�.".�"..,w T$ ,�„'*1 ,gw * '+!` �''^�e�k.,' ' '~#�. , ,;��'' ^•t � � �Mrp,.AY.h� �" ,.CCU, r :�• � �� ,.,w� y r,r� � �.to+ �•!.�w .. 451,.�+.YO` � 9, '4'� 94 ;a� *,f p� ,'�'4�•kd 1�,• r •`. ..;,: s ae a. �Y :. d► k. ,c 1a - r ra. ek ` .' ` .o ,yF License ore i�������� ���� �� ��dises'dul use only, before the ite If foun, return to; P rk ply - $tt' Boston, NIA 102116 . Y :_ ► � re ,:. pooh Im ► , : �, Y .. .. - iT Z a I u re, to sus a a- J,rre dixion err th 5 IA, i - 171 TZ F . N �s �� i y. � a.4,, .:. ;. -b... +,.. ra• 1..� *:3FY"` .a'. �. t.w •ia LLV�}:'��`*�, � .ter ���"��'--, rr �'� �: +*4 �a •* �� IAOTOWN! OF BARNSTABLE DTVI"N . � a . R / ©rr ► Y - � � �--�.— �,a - . . � � y �y . - � � ���. r � � � �. _ - • � �� ice - o�, - � . • . . _ � _ . __ _ �. . . _ � . 1 { . . A . . ,_ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 12-2)5 - Parcel Permit# Health Division I �2 Date Issued Conservation Division MaA1CA � Fee i Tax Colle --*OWL Treasure - — SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE WITH TITLE 5 Dye ENVIRONMENTAL CODE AND an 4Rg9qaW_ TO BEd 9 REGUI.AT',W'S Historic Project Street Address Sri Village Q 4ul, i Owner Address .36) D-42P 4 7 N2 Telephone /a-�� -�f-�Q- !'-V-O 7 LV 29,"%'4_ —/04 0 Permit Request �P mobg )n4-er i D r Square feet: 1st floor: existing 60 proposed 4766) 2nd floor:existing 79 proposed N`19 Total newy/� Estimated Project Cost Zoning District Flood Plain Groundwater Overlay 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 J 95/ `!� Historic House: ❑Yes p-116' On Old King's Highway: ❑Yes Q44u- Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Ot7 S/ZLb Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 01141 new /V/9 Half:existing Al/ /.:;z new Number of Bedrooms: existing o2. new �/°L-P Total Room Count(not including baths): existing new' First Floor Room Count . Heat Type and Fuel: was ❑Oil ❑Electric ❑Other Central Air: ❑Yes JQ-W Fireplaces: Existing. O New - Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:❑existing ❑new size..A/40 Barn:❑existing ❑new size Attached garage:❑existing ❑new size 1V11V Shed:❑existing ❑new size 4I f)` Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes AEMo If yes,site plan review# 4Current Use �-� Proposed Use t ` BUILDER INFORMATION Name _ hw,,� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CO .MDEBW RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATU E _- DATE • FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED 4t, - [ ' MAP/PARCEL NO.A. c ADDRESS g VILLAGE OWNER DATE OF INSPECTION t FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH, FINAL Y 1- = GAS: ROUGH 7! FINAL FINAL BUILDING DATE CLOSED OUT -� s ASSOCIATION PLAN NO. r , T i _ s I ' a QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 11/15/99 PERMIT NUMBER 37111 PARCEL ID 023 028 PERMIT TYPE BMISC MISCELANEOUS PERMIT DESCRIPTION REMOVE UNPERMITED KITCHEN X LIVING AREA MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BCARN 04/20/1999 A AMAR PRESS ESCAPE TO END DISPLAY QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 11/15/99 PERMIT NUMBER 37111 PARCEL ID 023 028 30 TY-DEE LANE PERMIT TYPE BMISC MISCELANEOUS PERMIT DESCRIPTION REMOVE UNPERMITED KITCHEN X LIVING AREA CONTRACTOR PERMIT FEE 25. 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE 1 APPLICATION 03/16/1999 EXPIRATION VALUATION 3000. 00 DATE ISSUED 03/16/1999 COMPLETED 04/20/1999 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT NO MORE RECORDS IN THIS DIRECTION TOWN OF BARNSTABLE VIOL T N DEPARTMENT/DIVISION 7�O REPORT ' NAME (LAST, FIRST, MIDDLE) RACE ,J n SEX ) BIRTHPLACE' Al. ADDRESS (permanent) --~ City/Town r:3 0 •=;'""',` .."' `:-.,-~ —: w � .C. ----.. �-�. State ZIP -c� OPERATOR LIC. # 0 S.S# °a 6 3 STATE TELEPHONE # EMPLOYER ADDRESS LOCATION OF VIOLATION >'" ^ { v lLi» TIME e, DATE y . DATE & TIME OF INVESTIGATION PHOTOGRAPHS TAKEN OFFICER NAME `O e;e VEHICLE/BOAT INVOLVED YEAR ( . MAKE, MODEL, V.I.N, f REG. #, STATE) EQUIPMENT, I.D.#S (FISH & GAME ETC. ) HELD EVIDENCE TAG Al # it-1 MAKE, MODEL SERIAL # / .t1,6- OFFENSES _d CH/SEC. ORDINANCE/REGULATION v . r• � v �f - DETAILS & OBSERVATIONS: ' ! i k9 SUPPLEMENTARY REP HT DONE? 1 CITATION #S, TYPE WITNESS: TELEPHONE # . SUBMITTED BY: DATE: TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) DIVISION /DHPT NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SE IAL =S ETC. e — /a - a7 - /� ze SUBMITTED BY FPAGEE • �SHe rqk, + BARNSrABLE, " 9�A MASS.9. ��� The Town of Barnstable rFD MA'1 A Department of Health Safety and Environmental Services Building Division 367 Main Street, l-lyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 16, 1998 John&Linda Swan 30 Ty-Dee Lane Cotuit MA 02635 RE: 30 Ty-Dee Lane,Cotuit(Map 023/Parcel 028) Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring your home to a single- family dwelling. Since you do not want to comply to the Zoning Board of Appeals,we are forced to seek a complaint in District Court. Sincerely, Gloria M. Urenas Zoning Enforcement Officer GMU:kI g981116a ALBERT J. SCHULZ ATTORNEY AT LAW WILLIAM CHARLES PLACE 7 PARKER ROAD OSTERVILLE, MASSACHUSETTS 02655-2034 TELEPHONE(508)428-0950 FACSIMILE(508)420-1536 September 7, 1999 Ralph Crossen; Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 f� RE: John and Linda Swan 30 Ty-Dee Lane Cotuit, MA 0263 5 Assessors Map 23, Parcel 28 Dear Mr. Crossen: I represent prospective purchasers of the above-captioned premises. In connection therewith, I have reviewed your file, which contains, among other things, correspondence between your office and the Swans and their attorney, Bernard T. Kilroy, concerning two structures on the premises. I understand that the Swans were given three choices , as follows: 1) connect the two dwellings in order to make one single family dwelling; 2) apply to the Zoning Board of Appeals for a Variance; or 3) prove that the second structure was a legal two family dwelling. I further understand that on March 16, 1999, a building permit issued to the Swans to remove the interior partitions and kitchen cabinets, but I find no certificate that this work has been performed. I would appreciate a letter from you regarding the following matters: 1) Has the work under Permit No. 37111 been properly performed so that the property is now in compliance with the provisions of the Zoning Ordinance? 2)Will your office issue a permit to the new buyers to connect the two (2) structures on the property to connect the two structures into one single family residence ? C-4 3)Why were the Swans required to remove interior partitions ? Couldn't they or any owner use the second dwelling for bedrooms? Thank you for your attention to these matters. I-look forward to hearing from you. Sincerely, J�9 Albert J. Schulz AJS:jfs r °FZHE}� The Town of Barnstable MUMS ABM 16 9. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 10, 1999 Mr.Bernard T.Kilroy,Esq. Kilroy& Warren,P.C. P.O.Box 960 Hyannis MA 02601 RE: 30 Ty-Dee Lane(Map#023/Parcel#028) Dear Attorney Kilroy: I read your letter of February 8, 1999,and I must disagree. There have been no permits to justify the original existence of that cottage at all. It appears that it just appeared at a point in the late 1970's or 80's. Further, it is our understanding that it was never used as a single-family dwelling for the bulk of that time, but instead as an accessory building for crafts. You need to file an application to the Zoning Board of Appeals for a variance. I have included one for your convenience. Sincerely, Ralph Crossen BUILDING COMMISSIONER Enclosure RC/kl q:990210a e own of Barnstable 9 ,off' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 l Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: -)or p-f-i-g OrLS Estimated Cost Address of Work: ® -724— Tj_e_p 47Z7�p, C 7-h" �- Owner's Name: v0�1 Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under S 1,000 Building not owner-occupied pulling own permit Notice is hereby given t?'1_6wner 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 Name Registration No. O Q t4�, � Date Owner's N e q:fomu:Affidav The Commonwealth of Massachusetts �•+ == ......... Department of Industrial Accidents 1�• .f . -- Office ofioyestigatians sN 600 Washington Street Boston Mass. 02111 Workers/ //!/%f%�/',/ � sensation Insurance Affidavit riicaut—.+ rmafzFlrrz ������� � / ������������� � ,<,.... name: �/ L/ (s�a rZ location: 5 0 �� �-�-P L city Co L✓ 1 phone E Tam a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in anv ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. compnnv name: address: city: phone#- insurance cn. nnlicv# r ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors Iisted below who have the follo«ing workers' compensation polices: company name: address: city phone#• insurnnce cn. olicv# _ . _.. company name: address. CHT: phone#- ituvrancc co. oli # >:::.�::.�:.::::....:: ::;; ;.:>::;r:::>:<:�:..:>:>;>:;:.;.:.;. #Alii %%%%%%/////%%%�///%%///�//%/ /G%/% Failure to secure coverage as required under Section 15A of MGL 152 can lead to the Imposition of criminal penalties of a One up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do herehv certify'under the pains and penalties of perjury that the information provided above is tru,and correct Sitatature Date Print name Phone# ofIlcial use only do not write in this area to be completed by city or town ofIIcial city or town: permit/llcense# ❑Building Department ❑Licensing Board ❑ check if immediate response is required ❑Selectmen's OMce ❑Health Departrnent contact person: phone#; ❑Other w::.::...-.;.:.. .. (rmoa 9i95 P1AI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coan--: 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 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renews: 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Invesduatlans 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat 406, 409 or 375 SME� Department of Health Safety and Environmental Services Building Division 9ILAM M �` 367 Main Street,Hyannis MA 02601 _ 1659. �0 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: '-16 —47 67 JOB LOCATION: -3® �C.I D� Z-77hp �"�U number h , y street �r village "HOMEOWNER": O/ I YI �`-V�IZ_ d �©"��O 7 O Q B 3 name home phone# work phone# CURRENT MAILING ADDRESS: / Q 57 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum ' pection pr edures and requirements and that he/she will comply with said procedures and require en s. Signature of omeo ner 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 to amend and adopt such a form/certification for use in your community. Q:FORM&EXEMPT i KILROY & WARREN, P.C. ATTORNEYS AT LAW 67 SCHOOL STREET BERNARD T. KILROY P.O. BOX 960 BANKRUPTCY COUNSEL LAURIE A. WARREN HYANNIS, MASSACHUSETTS 02601-0960 WILLIAM G. BILLINGHAM TELEPHONE (508) 771-6900 TELEFAX (508) 775-7526 February 8, 1999 Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, MA 02601 Attention: Ralph Crossen Re : 30 Ty-Dee Lane (Map #023/Parcel #028) Our File No. 98-01-385 Dear Mr. Crossen: This office represents Mr. & Mrs . John J. Swan who purchased the above referenced property on August 24, 1989 from Edgar L. Davignon et ux. Enclosed herewith please find the following: 1 . Copy of plan filed in Plan Book 271, Page 47 dated May 1973 showing the above property as Parcel B; 2 . Mortgage plot plan dated November 10, 1992 showing the above property; and 3 . Barnstable Assessor' s Field Cards for each of the two dwellings located on the above property. As I understand the matter, your office received a complaint from a neighbor of Mr. & Mrs . Swan and you have issued an Order to the Swans to restore the Swans' home to a single family dwelling. From information I have, it appears that both single family dwelling have been in existence and used as such for more than ten years prior to the date of the Notice to the Swans . Since the use of each dwelling, namely that of a single family dwelling conforms to the use requirements in the RF Zone, and since the Swans are protected against any action brought by your office to compel the alteration of either structure under the provisions of General Laws, Chapter 40, Section 7, it is my opinion that the Swans may continue to use both dwellings as single family dwellings . It is my further opinion that the limit of one principal 04 permitted building provision of Section 2-3 . 6 of the By-Law is a bulk or intensity regulation and not a use regulation. Sincerely, nard T. Kilroy BTK:bb Encs . o PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED STATE I pC5 I N2HD I PARCEL IQENTIFICA710N NUI,'B R CLASS I KEY NO. C D 7 9 Z LANDIOTRER FEA U ES D SC I ION ADJUS T�AENT FACTORS Y UNIT ADJ'D.UNIT Lano 'LOC./YR.ISPEC.CLASSI CD FF.Depin.4�r es ADJ. I CONO PE PRICE I PRICE ACRES/UNITS VALUE I I D A V I G N 0 N. E D G A R C MAP— CARDS IN ACCOUNT — 1 _0 U X D= 100 270_00; 2700_ 0 1_00 270C 8 02 OF C2LA NO BSMT S X D= 100 .7_00 5_ 1 480 2600-8 5 N (MARKET 11.3400 D iINCOME USE A D APPRAISED VALUE ' i A 171 .7C0 D � I A ! PARCEL SUMMARY T U I (LAND 73700 A T I iRLDGS 98000 i IO—IMPS M ! I !TOTAL 171700 F E I. IN CNST N RE--RE.�eE Type DATE C _ P R I O R YEAR VALUE A T _.<, Rage Ins, Mo Yr D, sa< IL 73700 T S I IBLDGS 98000 U TOTAL 171700 I I R E I i BUILDING PE MI T Smoe Dale Tyre •mo n LAND LAND—ADJ INCOME S= SP—BLDS FEATURES( 0LD—ADJS� UNITS . 100 COn51 Tola, Rale Y 9u•n A e Npm Oosr CND Loc. °!R G Rep, Coss Ne— Ad Rep Va•.e 5'p 2s Rppms ed Rms Balns •G,.Class I Vnns Dnls Base Ra,e I �I Ac,ualr EM 9 peon. Cores. I I 1 I I He.gn, I any..a•I cx 01D 000 100 100 54_50 54_50 70 70 18 85 100 85 35942 30600,1.0 3 1 1_0 4.0 oescnm— R.I. Squaw Fee, Rees Dosl MKT:INDEX: 1 00 IMP.BYIDATE: / SCALE: 1 /00-69 f ELEMENTS CODE CONSTRUCTION CE'AIL S BAS 100 54_50 480 26160 LIVING—AREA 480 SINGLE FAMILY DWELLING CNST GP:00 . .: .. T FFG 37 20_17 480 9682 ' `*-------24—=----* STTL=---__---- _0_LCOTTA6E__ 0-0 DESIGN ADJMT 00 0_0 R EXT_R_NALLS OIWOOD FRAM_ 0.0 u I- --------- ---�------- --` C 20 BASE 20 (HEAT/ACTYPE_ 02G_AS 0_01 T ! ! INTER_FINISH 1 0 0.0 ! ! INTER.LAYOUT 01— 0_0 --------------- - U -- --------- --I_Oy - --------------------- R INT_ER.9U_ALTY_ _0 SAME AS EXTcR_ O_4 AX-------24------* FLOOR STRUCT ----------------------- 0_❑ L p W ! ! FLOOR COVER_ l Oa 0_0 E Tp,al Areas Aos . 4 Baae. ---- BDI DING oIMENSIONs R 00 F T Y?E _ 0-0 4 0 T ! ! ELECTRICAL__ _ 00 0_0 ,q BAS N20 E24 SZO W24 __ FFG S20 20 20 fOUNDAT_I0N--- bd 99_9, E24 NZO W24 SOO __ ! ! _______________ ___C_______ L ! ! ! LAND TOTAL MARKET FFG ! PARCEL *-------24------* AREA VARIANCE +0 +0 STANDARD S TOPOGRAPHY I LEVEL * TOPOGRAPHY * UTILITIES 2 PU8 WATER * UTILITIc"S 4 GAS * UTILITIES 6 SEPTIC r f70P=RTY ADDRESS .I I ZONING DISTRICT CODE SP:DISTS.I DATE PRINTED I STATE CLASS I PCS I NBHO PARCEL IDENTIFICATIONNUMBER KEY NO. 0030 MAIN T 1 R F 200 0 1 CT 3/14189 1011 00 06A8 IR023 028. 11793 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ'D.UNIT D A V I G N O N P E D G A R C M A P- .tana BvlDale 5:e Dmens.on 'LOC:/Y R.SPEC.CLASS ADJ. COND. P PRICE PRICE H ACRES/UNITS VALUE Dyyesenonon CD FF.De InlACes E LAND 1 73,700 CARDS IN ACCOUNT — 70 18LDG-SIT 1 X _631 =100 130 89999-99 116999-9 _63 73700 #BLDG(S)-CARD-1 1 67,400 01 OF 02 BATHS 1-0 U X.. C= 100 3500-00 3500-0 1_00 3500 8 #BLDG(S)-CARD-2 1 30,600 J - NO SSMT S X D= 100 7_00 5-46 600 3300-B #PL OFF MAIN ST SANTUIT MARKET 113400 NDL LOT PARC B INCOME HS1 11/79 21 $00039000 I USE A ERR 0951 APPRAISED .VALUE J J t A 171,700 PARCEL SUMMARY U LAND.. 73700, S : BLDGS 98000 0-IMPS M TOTAL 17170G E N CNST DEED REFERENCE T,l DATE q a� PRIOR YEAR VALUE ..T epos Page In:. Mo. D Sale Pn IL A N D 73700 S i 2853/307 00/00 BLDGS 980.00 TOTAL 171700 I- OVIL DING PERMIT NumDe Dale Type A.rqunl LAND LAND-ADJ i INC0' E I SE SP-BLDS FEATURES! 9LD-ADJS UNITS 73700 I 200 OgnSI. Tolal Yeas Ru�ll No— Obsv. Class Unns Unils else Raie i ACI Rale gClual EII. Age O.W. Conti. DND. LOc.. °A R.G. Red.Cusl New A.,.--I Value Sl o��ei Hegnl I Roomi eo Rms Balns •F�a. Panywaq Fac. 0 1 C 000 100 100 61.25 61-25 70 80 8 95 100 95 70912 67400 1.5 4 2 1 _0 4.0 Desc—l— Rare Square Feel Repi Cosl MKT.INDEX: 1-00 IMP.BY/DATE: / SCALE: 1 /00_8 2 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 1_25 600 36750 IVING-AREA 1536/ SINGLE FAMILY DWELLING CNST GP_00 T 815 42 25.73 600 15438 *--------24---------* STYLE .. 04CAPE COD 0-0. ----=---------- -- --------------------- FSF 90 5_13 336 18524 ! ! DESIGN ADJMT 0C L0-0 ! ! EXTER_WALS 01WO0DF_R_A_M_E0_0 --------------- --- 14 14 HEAT/AC TYPE 02GAS 0_0 --------------- --- ------------------ T _ INTER_FINISH 00 _ 0-0 FSF ! INTER_LAYOUT 01 0_0 *-5-*-------30---------- * INTER_QUALTY 62SAME AS -E XT_ER. IS_0 FLOOR STRUCT 0� --- -- -- --- 0.0 ----------- - -- ------------- L p EfL00R COVER 00 Q. --------------- --- ---------------------- E -glal A.eds Aua- ease- 936 ! ! R O O F T Y P E 0 0 0_0 BUILDING DIMENSIONS ELECTRICAL_ 00 _______________ 0_0 A BAS N20 E30 S20 W30 __ FSF N20 20 BASE 20 FOUNDATION 00 99_9 E05 N14 E24 S14 W24 W05 S20 FSF ! ! ------- --- - - - -----_ _ ! _ NEIGHB6 H66b 06A8 CO1UIT L _ ! ! LAND TOTAL MARKET ! PARCEL 73700 171700 X-----------30----------* AREA 14241 VARIANCE +0 +1106 STANDARD 25 S TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES- 6 SEPTIC ST FEATURE 3 UNPAVED * ST FEATURE * ST FEATURE * ST- COND_ * TRAFFIC 1 LIGHT DWELL LOC_ 2 MIDDLE « LOCATION * AMENITIES * AMENITIES * NUISANCES `!VISANC'S ' w oo•aiv o E- . h v 14 � q h1 0 t*A � n 612 � z o � x T 0 T Y ,. PR/VArF - 'q t �Z7¢.oa B. dW d 7 S3.E' At L! J 3 SCAL. E APPRAVAL B r TWE ro WW AF lorEEOvi'P �PL.BY OF LAND /IV sgNrZ1/7- B,46_ MAss D�4 TF. MAY 2 C'oTUIT REALTY AS6-001A7",E'S ROBERT�� AF H f WA17a .�N p i.asi � .3L-AL,C: .IVAEE7"a' o/f'E'/NCM MA Y /973 c'HARIfs N s.�fYBRY,�"E•,f'LANBo•k///- F?oM ,esi/rrE/Pfo L�►nrD r�,rr�ya+P B Ff 1f9 C,.:, M,E57 TN MAss . I N/r= WN,_ H,4 X. L. P'T �RR'Y ?IZ . 1 GAS. T �. I35 l �� STCR� '. S�bRJ '11 �• I� I I LOT? --:APg1ttEL A t FARCEL e + i 91.5J TT- DEE LANE n _ , *430, / sL vv G �>> LID j nz A PROFESSIONAL LAND SURVEYOR. AMERICAN SURVEYING COMPANY DO HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION 77 Rumford AVenue, Waltham, MA 02154 (617)893-6477 PLAN WAS PREPARED FOR f ?✓•giCK r O'RECAN JR, c50 IN CONNECTION WITHA NEW MORTGAGE . Mortgage Inspection Plan AND IS NOT INTENDED OR REPRE- SENTED TO BE A LAND OR PROPERTY 9A RN STA-RL E LINE SURVEY. NO CORNERS W1=RE THE LOCATION OF THE ORIGINAL RECORDED AT COUNTY REGISTRY OF DEEDS SET. IT CANNOT BE USED FOR ES- DWELLING SHOWN HEREON EITHER BOOK '2957s. PAGE'�' L.C. CerL! 4 7 7 0`/ TABLISHING :FENCE, HEDGE OR WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE: B H 271 PC , Y 7 BUILDING LINES.THE LAND AS SHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSESSOR'S HEREON IS BASED ON CLIENT FUR- FECT WHEN CONSTRUCTED WITH RE- MAP# PARCEL# DATED NISHED INFORMATION AND MAY BE SPECTTOHOR¢ONTALDIMENSIONAL ADDRESS; l&S MA/A! ST-REE i SUE.ECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY),OR IS EXEMPT COT-urT'. nAR . TAKINGS,EASEMENTS AND RIGHTSOF FROM VIOLATION ENFORCEMENT AC- BORROWER: 5 kMA A/ WAY. he RESPONSIBILITY IS EX- T10N UNDER MASS.G.L.TILEVII,CHAP. TENDED HEREIN TO THE LAND OWNER 40A, SEC. 7, UNLESS OTHERWISE SUB•186T OWELIING LIES IN FLOOD ZONE OR'OCCUPANT, IT IS NOT INTENDED NOTED OR SHOWN HEREON. A CON- AS SHOWN ON NATIONAL.FLOOD INSURANCE PROGRAM FLOOD TO BE RECORDED. FIRMATORY INSTRUMENT SURVEY INSURANCE RATE MAP DATED R UC, 19, 1985` DATE IS ADVISED WHEN STRUCTURES ARE COMMUNITY_PANEL T zs0001 0921c. SHOWN TO BE 1' OR LESS FROM CLIENT n1QR7-raGE. sEcvRlTy PROPERTY OR REQUIRED ZONING FIELDED DRAFTED CHECKED CLIENT REF_# SETBACK LINES. BY 7-. p. �. C. ,QL gyp# IrOo[1� 9?_ DATE Il-lO-qE '1/�/0-R2 //-Io-SZ F.B.�D PGE. OFZME A ,r BARNSTABLE, y MASS. g �'ArE039�0. The Town of Barnstable Department of health Safety and Environmental Services Building Division 367 Main Street, Hyannis MA 02601 Office: 508-862-4038 /r4alph Crossen Fax: 508-790-6230 J Building Commissioner October 27, 1998 John&Linda Swan. 30 Ty-Dee Lane Cotuit MA 02635 RE: 30 Ty-Dee Lane(Map#023/Parcel#628) Dear Property Owner: Our records indicate that your house at 30 Ty-Dee Lane, Cotuit is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to asingle-family home 2) apply to,the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family. You must contact this office immediately to tell us which direction you wish to take. Sincerely, Gloria M. Urenas Zoning Enforcement Officer GMU/kl —�—. v f981027a r ��� - q-z r - 800P2850Fact .L�1 00133� COTUIT REALTY ASSOCIATES, INC., a corporation duly established under the laws j I of the Commonwealth of Massachusetts, and having its usual place of business at Concord, Middlesex County, Massachusetts; for consideration paid, and in full consideration of $1.00 (One) Dollar, grarts to KONKAPOT REALTY CO., INC. a ` Massachusetts corporation of Box 351, Monterey;Massachusetts 02108, with 1 QUITCLAIM COVENANTS, two parcels of land in Barnstable, Barnstable County, i Massachusetts: Parcel 1 The land, together with the buildings thereon, in the Santuit aection•of -- Barnstable, Barnstable County, Massachusetts, being shown as Lots 1, 2, and 3 on a plan of land entitled "Subdivision Plan of Land in Santuit,`•Barns table ,- --j, Mass., property of Irwin R. Dubb and Bernice Minot" dated February 1953, made by Charles M. Savery, C.E. and recorded with the Barnstable Registry of Deeds in Plan Book 111, Page 149. Parcel 2 The land, together with the buildings thereon, in the Santuit,.section.of Barnstable, Barnstable County, Massachusetts, being shown as�Parcel "B"as shown on a plan of land entitled "Subdivision Plan of Land in--Santuit, �. Barnstable County, Barnstable, Massachusetts, for Cotuit Realty Associates, Inc.' dated May 1973 from a plan by Charles M. Savery, C.E. Plan Book 111, Page 149, made by Robert H. Waite, Registered Land Surveyor, recorded with the Barnstable Registry of Deeds, Plan Book 271, Page� 47, to which plan reference . may be had for a more particular description. l F For reference to,title of Grantor, see the deed ,recorded at Barnstable Registry of Deeds, Book 1869, Page 21. i IN WITNESS WHEREOF, the said COTUIT REALTY ASSOCIATES, INC. has caused its ' corporate seal to be hereto affixed and the aa presents to be signed, -/ i acknowledged and delivereA in its name and behalf by �3,W VlCB € its Treasureg hereto duly authorized this /3 day,of_ 45CEAV1*et I in the year one thousand nine hundred andas-eventy Ga�6H T CO Signed and sealed in presence of �T�UIITT,REALTYASSOCIATES, INC: , CV 7. / t � THE.,COMMONWEALTH OF MASSACHUSETTS :/�� wA•' } `' 3 1� ' ` Barnstable, as. (�EC . /3`,"•,.h9. ``' {, Then personally appeared the above named ✓/fLe.����� ti Tre+sur Sr as aforesaid, and acknowledged the foregoing instrument to be the,E�enact, and deed:of_ the COTUIT REALTY ASSOCIATES, INC., before me, n r/.L O L'.�i. 09-1..MASS. .*Y f� oa-a• ,,�Sn., 1;7y Publiccommission expires: �Lt� 1 - _ I We, IRWIN A. DUBB, of Forest Hills, Queens County, New York; and - BERNICE MINOT JACKSON, formerly Bernice Minot, of Barnstable (Cotuit), Barnstable County, Massachusetts; both:being married,. 1174'I 296 for consideration paid,grant to COTUIT REALTY ASSOCIATES, Inc., a Massachusetts corporation, having an usual place of business in Barnstable (Catuit), Barnstable County, Massachusetts, ak with gnttdatm r MMEdo the land im , with the buildings thereon, situate in the Village of Santuit, (DcsviptiW OW eecvmbn0CM H myj in the County of Barnstable, Massachusetts, beginning at the southeast corner of the premises by the County Road and.at the northeast corner of homestead land formerly of Charles F. Green; thence Southerly 840 35' West, two hundred seventy-four (274) feet and still westerly nine hundred thirty-seven (937) feet, all by said Green's land to the center of the Santuit River or the line between Barnstable and Mashpee; thence northerly by said river or line, one hundred -thirty-two (132) feet to land now or formerly of William H: Perry; thence easterly by said Perry's land about twelve hundred forty (1240) feet to the said County Road; thence by said Countv Road in a southerly direction, one hundred ninety- _ six and V10 (196.'5)'feet to the point of beginning, containing about four and one-half acres, be the same measurements or contents more or less. z Beingthe same premises conveyed to us by Hortense A. Morgan et al, Executrices of the Will of Victor Herbert Anderson, by deed dated •. 3 September 19, 1951, duly recorded with Barnstable County Registry of Deeds, book 794, page 25. z , t< ri U. ISE z v�'i a -C*t-;z~ tp, I 1 - (� 175L �no We, Faith Dubb and Everett B. Jackson, wife and husband nf said grantor, s, XXM `6 f. Irwin A. Dubb and Bernice Minot Jackson, �. tenancy Sv tise curtesv C release to said granter all rights of cy and other interests therein.,respect ively. dower and ho:.s yread r $ittte5s.i.Rtkx....hand s and scats this..............2_6::..y.........day of....5-um —Pis.....__-19..oz-. 77 ..... ............... .__ 4.:..... r ._..._...» JV�!�,/lCl.s...��Xt—f .................. ...........................:._... ».........-......._ _ STATE OF VE'W YORK `r �/l C 19-7 t_ I Tben personally appeared the above named IRWIY A. DUBB and admowledged the foregoing insaument.to be his free act ain before me ^ , dty m on esp¢ea- NOtlq eMc .Ia. 1 New Y� sac QWI.to Qa. _u,C,n.tlkd MtA. Q~z L'.lk t.i Rot 1 .. ._._. ...._. .. _ .._ .. 11 �•� BOOK 339 4zMs QUITCLAIM. DEED EDGAR L. DAVIGNON and KAREN A. DAVIGNON, husband and wife, as joint tenants both of 180'Main Street, Cotuit, MA, in consideration of ONE HUNDRED NINETY THOUSAND AND N0/100 , M ($190,000.00) DOLLARS paid, grant to JOHN J. SWAN and LINDA M. .S . SWAN, husband and wife, as tenants by the entirety, both of 5 Settlers Path, Sandwich, MA, with QUITCLAIM COVENANTS, the V-\ Q following described property: ? y The land, together with the buildings thereon, in, the Q , tuit) -1_ Santuit section of Barnstable, Barnstable County, Massachusetts, being shown as Parc �J as shown on a plan V of land entitled ',Subdivision Plan of Land in Santuit, , Barnstable County, Barnstable,. Massachusett.s, for Cotuit s M _ 1 Realty Associates' dated May 1973 from a plan by Charles M. U Savery, C.F. , Plan Book 111, Page 149, made by Robert.H. Waite, Registered Land Surveyor, recorde.d'with Barnstable ' Registry of Deeds, Plan Book 271, Page 17,. to which plan N reference may be had for a more particular description. q .. F �arn I +fit BOOK 685664 340 f Said premises are conveyed subject to and with the benefit of all rights, rights of way, easements, covenants and restrictions of .record, if any there'be as are in force and applicable, and especially as are set forth in the deed E , of Konkapot. Realty Co. , Inc. to grantors dated January 8, 1979, and recorded with Barnstable County Registry of Deeds in Book 2853, Page 307, to which deed title reference is made. •WITNESS our hands and seals this cP 4 day .of August, 1989. E Oi- EDGfM L. DAVIGNON KAR9N X. y A IGNON r, t � ' t t 1 f b . "i BOOK .6 8 5 6 PAGE 341 COMMONWEALTH OF MASSACHUSETTS Barnstable, as. August 14 , .1989 - ,. Then personally appeared the above—named EDGAR L. DAVIG.NON and KAREN A. DAVIGNON and acknowledged the foregoing insttumerrt to be their free act and deed, before me �aryic L`Q-e� �c My Commission expires: July 9, 1993 l 4otNST� vF �E'E�S TY + At ,W f , AUG 2,189 BARNSI'ASLE C®LINTY.-- , REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER V L r BCC92853 307 KONKAPOT REALTY CO. INC., a Massachusetts corporation I with an office and principal place of business at P.O. Box'.357, i Monterey, Berkshire County,. Massachusetts 01245, for consideration paid of THIRTY NINE THOUSAND NINE HUNDRED AND N01100 ($39,900.00) z ii f DOLLARS, GRANT to EDGAR L. DAVIGNON & KAREN A. DAVIGNON, husband k ' and wife, whose residence and post office address is Best SW, d I . PSS MAIN STRC-rET 0-0Tu17-, MASS East Main Street, GeAiiey, New Hampshire , as JOINT TENANTS or as to t br th n e itre�tt�y q and not as tenants in common, w ti IUITCLA i COVENANTS, two s �! parcels of land in Barnstable, Barnstable County, Massachusetts, bounded and described as follows: �I Az 1' a�I • a�I null i i I Zr JAMES IAMME III iI u • � . anOnv[r AT LAW 11 • - j y it nta.uewaun uF.aao i 'I +l. t g e02853 F ace 308 PARCEL 1 �II The land, together with the buildings .thereon, in the `III Santuit section of Barnsta73o nstable County, Massachusetts,'_ being shown as Lo 1, 2 anda plan of land entitled "Subdivision Plan o n Santuit, Barnstable, Mass., property (� of Irwin R. Dubb and Bernice Minot" dated February 1953, made " by Charles M. Savery, C.E., and- recorded with the Barnstable Registry of Deeds in Plan Book 111, Page 149. PARCEL 2• The land, together with the buildings thereon, in the Santuit section of Bar able,-Barnstable County, Massachusetts, f ; being shown as Parce "B" as shown on a plan of land entitled "Subdivision Plan of;Ed in Santuit, Barnstable County, c Barnstable, Massachusetts, for Cotuit Realty Associates" dated ll�ti May 1973 from a plan by Charles M. Savery, C.E., Plan Book 111, i Page 149, made by Robert H. Waite, Registered Land Surveyor, I i' recorded with the Barnstable Registry of Deeds, Plan Book 271, Page 47, to which plan reference may be had for a more particular r ' description. The within lots are conveyed together with a right of F 1 I: way for all purposes for which ways are commonly used in the Town of Barnstable, Massachusetts in common with all others now or hereafter entitled thereto, including the right to install utilities, over a parcel of land 42.61 feet in width lying southerly of the lots herein conveyed as shown on the first above-described plan and bounded Northerly by Parcels "A" and ri• "B" and lots 1, 2 and 3 as shown on said first above-mentioned F-{ plan, Easterly by Main Street, Southerly by land now or formerly of Frank E. and Marie R. Fredey as shown on said Plan, and JaMEs uMn+e IIIwesterly by the southerly extension of the westerly boundary ,noxNcr AT uw line of, said lot 3 as shown on said plan. - �II_ �11[AT�AIIIIINOTOM. 5•. - . t •fryr� Il5{. j Bm2853 F:c: 309 , .. I For the grantors title see deed of Cotuit Realty Associates, Inc. dated July 29, 1975 and recorded is said Registry of Deeds in I Book 2217 Page 139. See also Release of Right of Way from the grantor herein I) to Ralph Roderigues (a/k/a Ralph Rodrigues) and Marcia Roderigues, } I { husband and wife, as, Tenants by the Entirety, both of 171 'Main } Street, Cotuit, Barnstable County, Massachusetts to be recorded a ! herewith in said Registry. II See also grant of right of way to the grantor herein from said Roderigues et ux to be recorded herewith in said Registry. sV3. G JAMES EAMME III ATTO"Y EY AT LAW' - - Tt Lt MOMt.AI\I YM\t0 i - •� .. , ` • . a 1 i ,. bm 2853 me 310 IN WITNESS WHEREOF, the said KONKAPOT REALTY CO., INC. }` has caused its corporate seal to be hereto affixed and these presents to be signed in its name and behalf by JOAN WOODARD y. /REED its President and Treasurer this �'� day of 1979. KONKAPOT REALTY CO:, INC. by: A P0 ti o n Woodard Ree , is President a d Treasurer I 7[„ COMMONWEALTH OF MASSACHUSETTS ail; County of eA,x -AdLF 3a�,�a7c _z1f1979 � rl1 t Then personally appeared the above-named JOAN WOODARD REED L ; and acknowledged the ,foregoing instrument to be the free act I& and deed of KONKAPOT REALTY CO., INC., before me, tt� ary lic. Flt commission expires: E fII ' JAMES LAMME 111 - MOA[CT'AT LAW }'I`. � 011[AT[A111.INQiOX. - • ,.. ` S - _ �u 1 _ eccF 2853 311 KONKAPOT REALTY 'CO.,' INC CERTIFICATE OF VOTE At a special meeting of the stockholders and board of directors of Konkapot Realty Co., Inc. at the offices of the corporation at Main Road, Monterey, Massachusetts on January 6, 1979, a majority of the stockholders and board of directors were then present and voting. On motion duly made and seconded, it was unanimously: i VOTED: That the corporation release all its interest . II'V in and to a way lying southerly of lots 1, 2, 3 and Parcel B, Santuit, Massachusetts as shown �I in Plan Book 111 Page 149,Barnstable Registry r of Deeds, (said Parcel B also being shown on plan recorded with said Deeds in Plan Book 271 3; Page 47), to Ralph and Marcia Roderigues, of Cotuit, Massachusetts, in return for a grant by I� said Rodrigues of a right of way over that I� portion of said way extending from Main Street, Santuit, in said County to the southerly ex- tension of the westerly boundary line of said is Lot 3; and that the corporation then sell and convey to Edgar Davignon and .Karen A. Davignon of West Yarmouth for the sum of $39,900 lots j 1, 2 and 3, Santuit, Massachusetts as shown on said. j plan recorded with Barnstable Registry of Deeds in Plan Book 111 Page 149 and Parcel B in said Santuit, Massachusetts as shown on said plan recorded in Plan Book 271 Page 47, together with the buildings thereon and together with a right of way over that portion of the way lying (' southerly of said lots extending from Main Street to the southerly extension of the westerly boundary line of said lot 3 for all purposes-for which ways are commonly used in the Town of Barnstable, Massachusetts in common with all others entitled thereto; and that the president and treasurer, Joan Woodard Reed be and hereby is authorized, directed and empowered by and on behalf.of. the corporation to sign, seal, execute, acknowledge and deliver a deed of release of said right of way, a deed of said lots 1, 2, 3 and Parcel B as shown on the aforementioned plans, , JAMES LAMNE III II and-any and all other instruments necessary and "TTOA\lt A*'"" li appropriate in the premises. .t[.,....,NA�N. f[l[.N ONt .101 YOMIO 1 � r - • f eoof-285&fw 312 - ' •�` "��� A true,record attest. Qp James M. Lamme III Clerk : as i ;•'r;. Konkapot Realty Co., Inc. I, James M. Lamme III, hereby certify under the pains and penalties of perjury that I am the duly and currently presiding clerk of Konkapot Realty Co., Inc., that Joan Woodard Reed is the duly elected and currently presiding president and treasurer of said corporation and that the above vote has not been altered, lid rescinded or repealed. Pill I C;I awes M. Lamme III, Clerk � i Kon_kapot Realty,Co., Inc. ' j�l;l ,3 . .ill! - II COMMONWEALTH OF MASSACHUSETTS �f Berkshire, ss January 6, 1979 Subscribed and sworn,to, before,me, = ff fi Nota WPublic My commission expires: /�F7/p ?' J E, I JAMES LAMME IllBARNSTABIE COUNTY ArFORN1T AT UW - _ REGISTRY OF DEEDS h. ] • ,)'•W,,,,R; ,. ., AT�RUE COPY,ATTEST - I ru�ow• • •� JOHN F.MEADE,REGISTER' 'i RE RDED J A N'8 1979 rl, it is OAMsrABM • jq- The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 27, 1998 John&Linda Swan 30 Ty-Dee Lane Cotuit MA 02635 RE: 30 Ty-Dee Lane(Map#023!Parcel#028) Dear Property Owner: Our records indicate that your house at 30 Ty-Dee Lane,Cotuit is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for., variance 3) prove that this is a legal two-family. You must contact this office immediately to tell us which direction you wish to take. Sincerely, 1'7itc, 9, Gloria M.Urenas Zoning Enforcement Officer GMU/kl i981027a • 1AENSfABI.E • 89 �Ar 19. The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 16, 1998 John&Linda Swan 30 Ty-Dee Lane Cotuit MA 02635 RE: 30 Ty-Dee Lane Cot it(Map 023/Parcel 028) Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring your home to a single- family dwelling. Since you do not want to comply to the Zoning Board of Appeals,we are forced to seek a complaint in District Court. Sincerely, ( ""j ��'- Z��- - Gloria M.Urenas Zoning Enforcement Officer GMU:kl g981116a IMPCrRTANT E GE ForA.M. Day Time P.M. Of G Phone 7 2,7 ✓`��� FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call -Special attention Wants to see you Will call again Caller on hold Message 21 a o 0 Signed unive>sal-48023 LITHO IN U.S.A. NOTES °U'WE The Town of Barnstable 0 - � sr►axsrneze. • -- 9 � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 10, 1999 Mr. Bernard T.Kilroy,Esq. Kilroy&Warren,P.C. P.O.Box 960 Hyannis MA 02601 RE: 30 Ty-Dee Lane(Map#023/Parcel#028) Dear Attorney Kilroy: I read your letter of February 8, 1999,and I must disagree. There have been no permits to justify the original existence of that cottage at all. It appears that it just appeared at a point in the late 1970's or 80's. Further, it is our understanding that it was never used as a single-family dwelling for the bulk of that time, but instead as an accessory building for crafts. You need to file an application to the Zoning Board of Appeals for a variance. I have included one for your convenience. Sincerely, Ralph Crossen BUILDING COMMISSIONER Enclosure RC/kl q:990210a leer) Map Parcel (DDg Permit# House# f Date Issued Boa of Health;(3rd floor)(8:15 -9:30./1:00- ) 'l {� Fees Lr7l Conservati Office(4th floor)(8:30-9:30/1:00 .2:00) - Planning Dept. (1st r/School Admin. Bldg.) THE Definitive Plan Approved by ing Board 19 f ) BARNSTABLE, MASS. - 9. TOWN OFBARNSTABLE 'E°" '� Building Permit Application Project Street Address Village Owner SdhnJ Address Telephone Permit Request 2�vvtm�2 -ex�s-�-�vtc !� Cc��, � rP� , s 1-►��t�(�, t�e.�.�' •k, C'��� First Floor sqi1are feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No welling 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) tNumber of Baths: Full: Existing New Half: Existing New �2 No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name C Telephone Number-. Address -71 T�2.E2�j c" Cell- License# C0AL44 mog- , Home Improvement Contractor. Worker's Compensation# & yz ,!,s !LP51'rs NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y6/)/gc 01A SIGNATURE DATE Ir w g BUILDING PERMIT DENIED FOR THE F LLOWI ASON(S) FOR OFFICIAL USE ONLY _ s tIA PERMIT NO.`� DATE ISSUED. MAP/PARCEL NO: ADDRESS a, VILLAGE OWNER ' DATE OF-INSPECTION: FOUN DATION- FRAME INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' FINAL - _ �• ' GAS: ROUGH FINAL FINAL BUILDING - P DATE CLOSED OUT ASSOCIATION PLAN NO. ' Xi PROPERTY ADDRESS I ) ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS.I NRRD PAR I NTIFI ATI N N M R - KEY NO. C - D' .. , e LAND/OTHER FEA U ES D SC ION ADJUST111W FACTORS I UNIT ADJ-D.UNIT I D A V I G N 0 N I E D G A R, C - MAP— _A Lana BY/Dale s•ne o�men..on ( I I P I ACRES/UNITS VALUE IDesc,�Plo„ - - CD FF.pePmrAu es .LOC./YR.SPEC.CLASS ADJ. CONDt E ..PRICE PRICE CARDS IN ACCOUNT L BATHS 1_0 U X D= 100 2700_00 2700_OOI 1_00 270C B 02 OF 02 . A NO BSMT S X D= 100 -7_00 5_4 480 2600—B 5 N i (MARKET 113400 p INCOME USE A ; APPRAISED VALUE p A 171 .7CO 0 UI PARCEL SUMMARY T Si i LAND 73700 A T I I IBLDGS 98000 M IT0 07ALS 1 71700 .. F E IN CNST , E N D==D 'REF-RENCE Tyce DATE � PK„ems PRIOR YEAR VALUE A T :<. Page '"" MO Y,ID I S, R,<e LAND 73700 T S I BLDGS 98000 v TOTAL 171700 R E BUILDING PER�•11T S` Dale Ty, n LAND LAND—ADJ INCOME ' ys;: SP—BLDS FEATURESI BLD—ADJ UNITS co—tloo Class I UnnS I Unitas Base Rale I• AOI Rale. AClu3'l uEII Age �¢p, CDoM_ ( CND. Loc. ab R.G ,R-1.Cosh New A.,Rep V ue 5'w•es I Hegnl I Rooms etl Rms Bans Fa Partyw.ul,=ac. 01D 000 100 100 54_50 54_50 70 70 18 85 100 85 35942 30600 1_0 3 1 1_0 4.0 DescnP Rate Sgua,e Feel R-I Cost MKT.INDEX: 1 QQ IMP.BY/DATE: - SCALE: 1 I OO_69 ELE`•+E NTS CODE CONSTRUCTION iETAIL S BAS 100 54_50 480 26160 LIVING—AREA r�4$0 ,,:S•INGLE FAMILY DWELLING CN,ST GP:00 T FFG 37 20_17 430 9682 *=------24—=----+ STYL_--------- _0_LCOTT AGE-------------0_0 R DESIGN ADJMT 001 0_0 U ! ! EXTER_WALLS 01rIW00D FRAME 0_0 .; -1'-------- - --` - I - C 20 BASE 20 MEAT/ACTYPE_ _0_ GAS 0_0 T ' INTER.FINISH 0 0_0 -- - - ----- - U ' INTER.LAYOUT 01— 0_0 R INTER.9UALTY_ _0 S_AME_ AS -EX-TER.,, 0,4 A X-------24------* FLOOR_ STRUCT_ _0_ _ - ------ 0_( L p W ! ! FLOOR COVER J_00� 0_0 E TOIaIA,aas 48 Base- 4 0 r ! ROOF TYPE _ od---------_-_-_-_-_-_--_-_-_0_0 T BUILDING DIMENSIONS ELECTRICAL 00 p_Q ----- A. SIAS N20 E24 S20 W24 ._ FFG S20 20 20 FODUDAT_ION_ -OQr--------_ 99 E24 NZO W24 SOO - L ! ! LAND TOTAL MARKET FFG ! PARCEL *-------24------* AREA VARIANCE +C) +Q STANDARD S TOPOGRAPHY 1 LEVEL + TOPOGRAPHY * UTILITIES 2 PUd WATER * UTILITIES 4 GAS UTILIT I_S 6 SEPTIC i rr cc nrl+�C 2 fl V'Jlftcn _ -- �.- �....� .•- c- �.,.._ _- __ _ _ _ i A >ROPE RTY ADDRESS - - I. cI ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD PAR DEN FI TI N N R - KEY NO. )030 MAIN STREET COTUIT 01 R F 200 01CT 3/14/89 1011 00 06AB RO23 028. _ 11793 LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADXC.UNIT - ;Land By/Date Sze o-e`on - ACRES/UNITS VALUE Desc.�w�on D AV I G N 0 N.. E D G A R C M A P CD. FF.oz ,ACreS 'LOC.tYR.SPEC.CLASS ADJ. COND. PE PRICE PRICE 1tLAND 1 73i700 CARDSIN ACCOUNT L „ 10 18LDG_SIT 1 X _63!'=100 130 89999.99 116999.98 _63 73700 #BLDG(S)—CARD-1 .1 67,400 01 of 02 . A BATHS 1_0 U X_ C= 100 3500_00 . 3500_0 1_00 3500 B #BLDG(S)—CARD-2 1 30,600, N — NO 9SMT S X D 100 7_00 5_46 600 3300-8 #PL OFF MAIN ST SANTUIT MARKET 113400 ! #DL LOT PARC B INCOME D #sl 11/79 21 $00039000 I USE y A ' YI D #RR 0951 APPRAISED VALUE= - D J A 171.700• q U PARCEL SUMMARY T S LAND 73700 A BLDGS 98000 T I 0—IMPS M ! I TOTAL 171700 r E I i N CNST r� F - I DEED REFERENCE T, DATE - R Petl 'PRIOR YEAR VALUE .. { A T I Book Paye Mo. y.b LAND 73700 T S - 2853/30T " 00/00 BLDGS 98000 U TOTAL 171700 R t F_ BUILDING PERMIT S Number Dale Typo Amount LAND LAND-ADJ INCTE SE SP-BLDS FEATURESI BLD-ADJS UNITS 73700 200.. Class CDnsi. Tolal ga-Rale Adj Rate Year Buill Age Norm. Obs•. CND. Loc. 9E R.G. Real.Cost New Adl.ReDI,Value Slones Hegnt Rggms e0 Rms.Barns F.. Panywall fac. - Un is Units Actual EII, OeD• Cond. 01C 000 100 100 61_ 25 61_25 70 80 8 95 100 95 70912 67400 1_5 4 211_0 4.0 Des-I'lion Rate Square Feel R-1 CDs. MKT.INDEX: 1-00 IMP.BY/DATE: SCALE: 1/0 0_8 2 ELEMENTS CODE CONSTRUCTION DETAIL S ' BAS 100 61.25 600 36750 IVING-AREA 1536/ •SINGLE FAMILY DWELLING CNST GP:00 T 815 42 25.73 600 15438 *--------24---------* STYLE, ,,. ... 04CAPE COD 0_0 R : FSF 90 5_13 336 18524 ! DESIGN ADJMT 00 - --- ---- - 0.0 U ! ! EXTER.WALLS . 01 WOOD- FRAME - 0.0 C 14 14 HEAT/AC TYPE 02GAS - 0_0 - --- T .. •. INTER_FINISH 00 - ---- 0.0 --------------- -- ____ U ! FSF , ! IN ------ YO-- 01 _ D.0 R *-5-*-------30----------* INTER.QUALTY 02SAME AS EXTER_ 0_0 --------- --- - -------------- ---- FLOOR STRUCT 00 0=0 A --------------- -- ----------- pi ! ! EFLOOR COVER 00 0_ L ------------- -- ------- ^ .•: - - - E j Tolal Al— Aux_ Base= 936 ! ! ROOF TYPE 00 0.0 --------------- --- ------------------- - ' BUILDING DIMENSIONS � � ELECTRICAL 00 ____ ;. .0_O- - - A BAS N20 E30 S20 W30 .. FSF N20 20 BASE 20 FOUNDATION 00 99_9 E05 N14 E24 S14 W24 W05 S20 FSF ! ! ----------- - - ----- - NEIGHBORHOOD O6AB COTUIT LAND TOTAL MARKET ! ! PARCEL 73700 171700 X-----------30----------* AREA 14241 VARIANCE +0 +1106 STANDARD 25 S TOPOGRAPHY 1 LCVEL * TOPOGRAPHY + UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES 6 S.EPTIC ST FEATURE 3 UNPAVED * ST FEATURE * ST FEATURE * ST. COND. * TRAFFIC 1 LIGHT DWELL LOC_ 2 MIDDLE x LOCATION * AMENITIES * AMENITIES * NUISANCES NUIS4NCES x 0030 MAIN . STREET COTUIT 01 RFyX '`' 200 01CT , 07/09/95 1011 00 06A8 R023 028. 11793 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS' "! Y UNIT. NIT ADJ'D. UNIT SYANs J OHM J S - LINDA M MAP- Land By/Date Sae Dimension P ACRES/UNITS VALUE Description / CD. FF-De th/Acres OC•/YR. PEC.CLAS ADJ,� COND PRICE PRICE _ #LAND 1 49.100 CARDS IN ACCOUNT 10 18LDG.SIT 1 X' .6 =10 130 E 59999.9 77999. 9 .63 49100 #8LOG(S)-CARD-1 ' 1 60.300 01 pF 02;' L #SLDG(S)-LARD-2 1 22.500U. 1519uu A BATHS 1 .0 U . X C= 1D0 .�� k. >j 3500.0 3500,.0 1 .00 3500 8 #Pl 30 T1f-DEE LANE ARKET 1'13400 N — NO BS MT . S X D= 100 D 7.8 & 12 600 3700-8 #DL LOT . PARC 8 NCOME A � #RR 2228 0205 SE a. PPRAISED " VALUE D wit 131.900 A ARCEL " SUMMARY U AND 49100 T S 1 . A T LDGS 82800 —IMPS 4 g OTAL : ; 131900 F E Y CNST E N I f DEED REFERENCEI Type DATE R�r� R I O R ' Y E A R ` V A L U E A T # � Book Page Inot. MO. Yr. Sales Prie. AND " 49100 r S z' 6856/339TEia8/89 . 190000 LOGS 82800 ,: ..4. 2853/307 : 00/00 OTAL 131900 BUILDING PERMIT S` :ear ,f Number Date Typa Amount LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD—ADJS UNITS 49100 y. 200 Const. Total Year Built Norm. «Obsv. Class Units Umla Base Rate Adj.Rate Age Coed. CND Loc %R G j Repl Cost New Adl Repl Value Stones HepM Rooms Rma Bath /fia. ParlywaN Fac. Oepr 1 01C 000 100 100 60.20 60.20 70 80 14 87'_ :: . 100 87 69292 6J300 1 .5 4 . � IA 4.0 Description Rate Square Feet Repl.Cost MKT.INDEX: 1.DD IMP.BY/DATE: / SCALE: 1/0 0.82 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 60.20 600 36120 ROSS AREA 1536 SINGLE . FAMILY DWELLING CNST GP_00 r T B15 42 25.28 600 15168 *—r----- 24---------* "TYLE_- 04 APE_COD ---____ FSF 90 54.18 336 18204 w " � : r ESIGN ADJMT_ 00 .__________________ p.0 ! XTER.WALLS 01 000 FRAME 0.0 14 14 EAT%AC "TYPE 02 AS ------ 0.0 n ! NTER.FINISH 00 ------------------ 0.0 T = !' FSF NTER.LAYOUT -BY ------------------O.Q J i-NTER.QUALTY- - - - ---------- --- ---------------------- *-5-*-------30------�---* : 02 ANE_AS EXTER. 0.0 0.0 p W ! E -LO69 COVER__ -0-0 ------------------ - E Total Areas A _ Base _ 936 — 0 _ _OOF TYPE 00 _ 0.0 BUILDING DIMENSIONS 1 1 A BAS N20 . E30 S20 W30 .. FSF N20 _LECTRIGAI-- - 00 .----------------_-_ pip 20 . BASE 20 OUN�ATION 00 99.9 E05 N14_ E24 S14 . W24 W05 S20 FSF ! _ - --- L •- ! ., NEIGHBORH66D . 06A8 COTUIT --"------ k ! LAND TOTAL MARKET PARCEL , 49100 131900 X---- 30----------* " AREA I : 14241 ;R. . VARIANCE +0 �826 ` ;K } STANDARD 25 OD30 MAIN STREET COTUIT 01 R 1CT SYAN� JOHN J S LINDA M M P LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y " f 'UNIT ADXD. UNIT VALUE D°eCr'pt1Otl COND. P PRICE PRICE ACRES/UNITS CARDS�N ACCOUNT _ Land By/Date Sr:e Dimens'on OC•NR. PEC.CLASS ADJ. Q 2 D 2 CD. FF. tvwcres _ �y2700.0 2700.00 1.00 2700 t3 h� .. L BATHS S X D= 100 7.8 6.11 480 2900-8 ARKET 113400 A .; INCOME :. Rq �,� SE ��� 4 I 0i PPRAISED VALUE fix+ - A 131.900 p - ARCEL SUMMARY p AND 44100 A U _ LDGS 82800 -IMPS 'A T " OTAL ' 1319.00•_ " 3 M CNST F E DEED REFERENC Type DATE Recorded R I O R YEAR VALUE N Inst. Mo. vr. sales Prioa AND 4 41 D Q:. E 'k Book P.ge A T ` LDGS 82800: rOTAL 131900 S � U Sd7 1 1 i BUILDING PERMIT R E k - Number Date Amount S LAND LAND—ADJ INC ME SE :bSP OLDS FEATURES OLD—ADDS UNITS j 200— Norm. Obsv`Y 1 Ad Repo Value Stories HepAt Rooms Rme Settle I fla. Partywall Fac. r B a CND Lor: %R G Rap Cost New 1 Class Const. Totat Sep Rate Adl itata A f Age Deer C�nO ._ units ttmta 01D 000 100 100 49.05 49.05 70 70 24 t7f4 s 100 4 ,I SC ALE: 225OOE ELEMENTS CODE 1 ClONSTRUC ON DETAIL IMP.BY/DATE: Descnpmn hate Square Foes Rep.Cost MKT.INDEX: SAS 100 49.05 480 23544 * --24_ 'TYLE S 09 OTTAGE 0.0 T FFG 30 14.72 480 7066 ES7 GA AD.iAT_ QO . ------------------ --Zf.O 'i W . I,, a ! XTR:Y7i,1LS -all-- 'f WEf6-F7tA#1E---- 20 . ,. ,;.;: BASE 120 EATfiC 'rtYPE QZ R AS - iT.t3 C NT I�:CAY6i3T CFI ------------------iT.O f I• ! T �, NTFft:iiUALTI'- IIZ 31iIfE-_A_3_ -E itTYFF�--U._0 _�'j_ ■st■ -----------�.� R LOV9 STifOCT QV --------------- . ! E COatt-CDYER-- -GO A ; ��u ! --------------- OOF-TTP-E'---- L D 480 480 ` 3 ! CEZ7RIt7fiL--- 1JO ------------------�.0 E Total Areas Aua . Base • �`Yp -------------- BUILDING DIMENSIONS • A'�r ——— — —— — � � 20 OUTf6ATIIIiI -----------------9�.9 :T 8AS N20 E24 S20 Y24 .. FFG S20 2 -------------- - --- y :F " ! --------------------- A E24 N20 Y24 . S00 .. � ���, � � �. ! --------------- ---. - r �N ,� �� ! LAND TOTAL " MARKET L � � zv_ � s ! . ' PARCEL AREA N. VARIANCE t0 40 M1 gJv y2 . STANDARD �d RESIDENTIAL PROPERTY MAP NO. LOT NO. �3 28 STREET off Main St. � Santuit FIRE DISTRICT SUMMARY f As LAND S D O }' r� C 73 BLDGS. /6 6 o O OWNER —6t.e- , ^ 02 1 70 (� TOTAL RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: -Tv #S E LAND Parcel .B $ A ' ��f 3 00 /VCK see- r. BLDGS. TOTAL Z Z 3o 0 f,() LAND Q a e $ BLDGS. A/1001v Davi 'non Edgar L: & Davi non Karen A. 1-2-79 2853 307 39290 ^ TOTAL 3 y ov n LAND d IYA i ST CO v i 0�G BLDGS. at TOTAL LAND BLDGS. TOTAL LAND BLDGS. ch ^ TOTAL LAND BLDGS. TOTAL 'LAND INTERIOR INSPECTED: BLDcb GS. TOTAL DATE: LAND ACREAGE COMPUTATIONS SEE PlA4 -83 LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE at BLDGS.TOTAL HOUSE LOT LAND LEARED FRONT ° 3 BLDGS. REAR TOTAL GODS&SPROUT FRONT LAND REAR � BLDGS. ASTE FRONT TOTAL REAR LAND Ian of Land 7-1 M-99 BLDGS. ^ TOTAL LAND .�i � BLDGS. LOT COMPUTATIONS LAND FA ORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT Fi.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. as HIGH GRAVEL RD. TOTAL .._.__. _ LOW 1NDT Dry I ANn 11d&J^a rv— U-1.6 i• u—I I w r`LUivlLjsIdb I-'FlIl:11VCd LAND COST a Fin.Bsmt,Area BLDG. COST (� Bath Room Base /� QP.•�/JLL INFO FROO? 71,UA 7F. oils Bsmt. Rec.Roomv,0001 St. Shower Bath Bsmt. —. / Bsmt.Garage St. Shower Ext. PORCH. DATE ` Walls PORCH. PRICE Attie Ff.&Stairs Toilet Room Roof RENT Fin.Attie /;j Two Fist.Beth INTERIOR FINISH I Lavatory Extra Floors 'g 1 2 3 Sink r/ Plaster Water Clo.Extra Attie 3R WALLS Knotty Pine Water Only ' Plywood No Plumbing Bsmt.Fin. Plasterboard Int.Fin. ales AAr me 4 P TILING C&A G F P Beth Ff. s Heat -1- G i0 Q /y"• 33� ��. fR. Int.layout Bath Ff.&Weins. Auto Ht.Unit 2 Q rr Int.Cond. Beth Fl.&Walls Fireplace HEATING I Toilet Rm.Ff. Plumbing 6�0 Not Air t✓ Toilet Rm.Ff.&Wains. ' Steam Toilet Rm.FI.&Walla Tiling Hot Water St.Shower 30 Air Cond. Tub Area Total Floor Furn. 1FING COMPUTATIONS. Pipeless Furn. S.F. /3 S No Heat 334 S.F. /Y. / Y 73 9 Oil Burner S.F. Coal Stoker S.F. Gas TYPE Electric S.F. OUTBUILDINGS Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 31415 617 8,9 10 MEASURED 'Mansard FIREPLACES S.F. Pier Found. Floor , Fireplace Stack Well Found. 0.H.Door LISTED D RS Fireplace i Sgle.Sdg. Roll Roofing LIGHTING Dble.Sdg. Shingle Roof � � No Elect. DATE Shingle Wells Plumbing DA A ROOMS Cement Blk. Electric / —7,7, Bsmt. 1st .8 TOTAL / 5/ Brick Int.Finish P ICED 2nd 3rd FACTOR REPLACEMENT 9 S 7S FANCY, CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funet.Dep. ACTUAL VAL. /21. --! 71 No ,�/.►J/�� J95 7S .$ /iZ 7E /� a 700 a 67a 03 v �s' zsys 33U0 /6606 TOTAL Propegt-kocation: 30 TY-DEE LANE MAP ID: 0231 028/// Other ID: Bldg# 1 Card 1 of 2 Print Date 01/26/1999 ` CURRENT OWNER , TOPO UTILITIES STRT/ROAD _.:LOCATI.ON,, CURRENTASSESSMENT, _.._ T WAN,JOHN J&LINDA M Description Code Appraised Value Assessed Value ES LAND 1090 57,400 57,40 801 85 MAIN ST RESIDNTL 1090 87,100 87,10 OTUIT,MA 02635 BARNSTABLE,MA SUP TAPLEMENTAL:DA _ ccount# 11793 Plan Ref. Tax Dist. 200 Land Ct# er.Prop. #SR VISION Life Estate DL 1 LOT PARC Notes: DL 2 B Tot- 144,50 144,50 RECORD O OWNERSXCIP, ,', , BK-VOL/PA'GE SAZEDATE ,/u v/t SALE,PRICE V G PREVIOCISASSESSIItENTS HtS7OR - _ _ _ . WAN,JOHN J&LINDA M 6856/339 8/15/89 Q 1 190,000 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code I Assessed Value AVIGNON,EDGAR C 2853/307 Q 0 1997 1011 131,9001996 1011 131,9001995 1011 131,90 Total., 131,9001 Total., 131,900 Total. 13190 EXEMPTIONS _=. 'As Es _— This signature acknowledges a visit by a Data Collector or Assessor _ ��. 'Year TypelDescription Amount Code Description Number Amount Comm.Int. APPRAISED YALUESUM1VfARY" Appraised Bldg.Value(Card) 60,600 Appraised XF(B)Value(Bldg) 0 Total 0 Appraised OB(L)Value(Bldg) 0 NOTES (Bldg) 57,400 Appraised an Special Land Value 0 Total Appraised Card Value 118,000 Total Appraised Parcel Value Valuation Method: Cost/Market Valuation Net Total Appraised Parcel Value BUILDING PERMIT RECORD :_ VISIT/CHANGE HISTORY Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result LAND LINE VAI UATION SECTION B# Use Code Description Zone D Frontajze Depth Units Unit Price I.Factor S.I. C.Factor Nbad. Ad1. otes-Ad YS ecial Pricin Ad". Unit Price an Value 1 1090 Multi Hses RF 2 1 0.63 AC 130,000.00 1.00 5 1.00 06AB 0.7010 1BLDG.SIT 919000.00 57,30 Total Land Units 0.6 A Total Land Value 57,30 Property Location: 30 TY-DEE LANE NIAP ID: 023/ 028/ Other ID: Bldg#: 1 Card 1 of 2 Print Date:01/26/1999 CQNSTR ICTION DETAYL SKETCH_ Element Cd. Ch." Description Commercial Data Elements Style/Type 4 Cape Cod Element Cd. Ch. Description Model 1 Residential Heat&&AC Grade C C Frame Type FHS[600] Baths/Plumbing tories 1.5 1/2 Stories ccupancy 0Ceiling/Wall ooms/Prtns xterior Wall 1 14 Wood Shingle /o Common Wall 24 2 Wall Height oof Structure 3 able/Hip Roof Cover 3 sph/F Gls/Cmp CONDO/CO OP Df1 TA Element ode Description ractor 14 14 nterior Wall 1 8 rypicai Complex 2 Floor Adj BAS Interior Floor 1 0 rypical Unit Location 5 3024 2 Number of Units eating Fuel 3 as umber of Levels Heating Type 9 Typical /a Ownership C Type 1 None COSTIM�IRKET�VALUATION 0 BAS 0 Bathrooms 1 1 Bathroom nadj Base Rate 8.00 Bedrooms2 Bedrooms ize Adj.Factor 1.15560 10 Full rade(Q)Index D.97 Total Rooms 4 Rooms d'.Base Rate 53.80 Bldg.Value New 72,953 Bath Type Year Built 1970 30 Kitchen Style ff.Year Built 1980 rml Physcl Dep 7 uncnl Obslnc 1VIIXED:USE __..._ con Obslnc pecl.Cond.Code 1090 Multi Hses 100 Specl Cond% Overall%Cond. 83 eprec.Bldg Value 0,600 �` OB'-OUTB;7ILDING&& YARD ITEMS(L)/XF Bl1IZDING EXTRA FEA.TURES(B) Code Description LIB Units Unit Price Yr. Dp Rt %Cnd Apr. Value BUILDING SUB AREA SUMMARY;"SECTION' Code Description Livin Area Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 936 936 936 53.80 50,35 FHS Half Story,Finished 420 600 420 37.66 22,59 e. �' ` TM Gron'LiylLease Area 1,350 1,530 135 ld Val: 72 95 PrqpeM_;.Location: 30 TY-DEE LANE MAP ID: 023/ 028/// Other ID: Bldg#: 2 Card 2 of 2 Print Date:0 1/26/1999 LOCATION TILITIEff IT OA A SWAN,JOHN J&LINDA M Description Code Appraised Value Assessed Value RES LAND 1090 57,40 57,400 801 185 MAIN ST RESIDNTL 1090 87,10 87,100 C BARNSTABLE,MA OTUIT,MA 02635 SU PPLEMENTAL Account# 11793 Plan Ref. Tax Dist. 200 Land Ct# Per.Prop. #SR Life Estate 9DL I LOT PARC Notes: VISION YDL2 B T04 144,504 144,50q! RECORD OF OWNERSHIP. GE SALE DATE; SALE -Pw r 'TO US .......... SWAN,JOHN J&LINDA M 6856/339 8/15/89 Q 1 190,000 Yr. I Code Assessed Value Yr. Code Assessed Value Yr. Code I Assessed Value DAVIGNON,EDGAR C 2853/307 Q 0 1997 1011 131,9001996 1011 131,900 1995 1011 131,900 Total. 131,900 TO 131,90(N Total: 131,90 EXEMPTIONS OTHER:ASSESSMEXT&- This signature acknowledges a visit by a Data Collector or Assessor vYear TypelDescription Amount Code I Description Number Amount Comm.Int. P" .IV,"A' , WESUMM...,MY; R. L Appraised Bldg.Value(Card) 26,500 Appraised XF(B)Value(Bldg) 0 Total . ) NOTES 57,400Aaied OB(L)Vale(Bldg Appraised n ...... .. 0 Special Land Value 0 Total Appraised Card Value 83,900 Total Appraised Parcel Value Valuation Method: Cost/Market Valuation Net Total Appraised Parcel Value BUILDING .... ...... S 1,..... .-KI, ITIC GE..,1', ST Y Permit ID Issue Date Tvve Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result ........... ............ .... .................... ........ LA ND LNRVALUATION SECTION .............. .... ....... . .............. B# Use Code Description Zone D Frontage Qepth Units I Unit Price I.Factor S.I. C.Factor Nbad. Adj. Notes- j Ad/Special Pricing Ad'. Unit Price Land Value 2 1090 Multi Hses RF 2 0.01 SF 0.00 1.00 5 1.00 06AB 0.70 0.00 10-0 Total Land—Unio— 0.00 A4q Total Land Valuel 100 Property Location: 30 TY-DEE LANE MAP ID: 023/ 028/// Other ID: Bldg#: 2 Card 2 of 2 Print Date:01/26/1999 CONSTRUCHrONDETAIL_ SKETCH. Element Cd. Ch. Description Commercial Data Elements tyle/Type 36 Cottage Element Cd. Ch. Description odel 1 Residential Heat&&AC rade D D Frame Type 24 Baths/Plumbing tories I I Story ccupancy 0Ceiling/Wall ooms/Prtns xterior Wall 1 14 Wood Shingle /o Common Wall BAS 2 Wall Height 0 20 oof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp C 0, Mm OP=DATA lement " ode Description IFactor terior Wall 1 8 Typical omplex 2 Floor Adj 24 interior Floor 1 10 Typical Jnit Location 2 umber of Units Heating Fuel 3 Gas umber of Levels FGR Heating Type 9 Typical /o Ownership C Type 1 None COSH/NL4RKET VAIUA"TION"" 0 0 Bedrooms 1 Bedroom nadj.Base Rate 48.00 ize Adj.Factor .59877 Bathrooms Bathroom rade(Q)Index 0.73 0 1 Full dj.Base Rate 6.02 Total Rooms Rooms ldg.Value New 36,301 ear Built 970 24 Bath Type ff.Year Built 970 Kitchen Style rml Physcl Dep 7 uncnl Obslnc m.: MIXED.................. con Obslnc pecl.Cond.Code 1090 Multi Hses 100 Specl Cond% Overall%Cond. 73 eprec.Bldg Value 6,500 OB-OUT$Uf"LDPW& YARD ITEMS(L)%XF BCTILDING EXTRA FEAT URES(B) Code Description LIB Units Unit Price Yr. DP Rt %Cnd Apr. Value _. ___,.BUILDIIVGSUB AREA SUM1yIARYSECTION ,, " _. .: Code I Description Livin Area Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 480 480 480 56.02 26,89 FGR Attached Garage 0 480 168 19.61 9,411 f Ta r i e r 48 96 64 Bld 36 301 QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 10/26/98 PARCEL ID 023 028 GEO ID 1179 LOT/BLOCK PARC B DBA PROPERTY ADDRESS OWNER SWAN 30 TY-DEE LANE JOHN J & LINDA- M COTUIT 185 MAIN ST COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 27442 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST GP (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT The Town of Barnstable 9� ',"M •1e� Department of Health Safety and Environmental Services pry Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only Permit no. Date 6zlez2i AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost �dr�� Address of Work: I Owner's Name �� Date of Permit Application: 0 O I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE H051E 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. Did Contractor Name Registration No. OR Date Owner's Name l► i='�` The Commonwealth of Massachusetts Department of Industrial Accidents Office 9"005691900s 600 Washington Street V�,+J Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name •-y�p�/1�� �-� ����^ location 1�--W ���/�^ 1 city l r) M vhone# a s ❑ I am a homeowner performing all work myself. ❑ I am a sole roprietor and have no one working in any ca acity I am an employer providing workers' compensation for my employees cvorking on this job. company name ✓Z % �� �'"�� address: city phone#: insurance co. oiicv# S 6 of 9:.. %i///////////%/////////////i/////%//%/////////////////i////%/////////////////////////////////////// ❑ I am a sole proprietor, general contractor. or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: ............ company name: address: cih'- - phone#: insurnnce co. •///////%/ii///////r%///////////////////////////////////////////%i///%//////////////%///////ail//,%/////%////////////////////// ///////%//////////%///%/////////////////////////%///// / %///////,"�%///6; company name: address: rih,. phone#: insurance co. oiicv# Failure to secant coverage sa required under Section ISA of MGL 152 can lead to the imQoaition of crimunal pensltiw of a Me up to 51.500.00 andlor one yeah'imprisonment as well a+civil penalties in the form of a STOP WORK ORDER and a Bne of 5100.00 s day against ma I understand that a copy of thla etstement may be fon+arded to the Office of Investigations of the DIA for coverage vetiIIcation. I do hereby c r y untie the ins and ies of perjury that the information provided above is tru,-and correct Signature Date Ar Print name QCi9"" C Fv^ Phone# � official use only do not write in this area to be completed by city or town official city or town: penttit/llcense 0 Building Department ❑Licensing Board ❑check if immediate rnQonse is required ❑Sdecmten's OtIIce ❑Health Department contact person• phone#; ❑Other�� (revues 9i95 PIA) p. fN Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pi number which will be used as a reference number. The affidavits may be rearmed io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Invesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 t. , Gf TION + REGIS Mkt .r+ N d CONTRACTORS d Standardsrx r PROVEMEN at9ons • R st3 ' z HOME IM 1dinJ`;Regul _ ,Room°.,1301 r. f• + > j Y �, c _ _ of of Eau place Boar urtc�n ° One Ashb PIh , ' 2 ' goston9 .Massaa. d ra,R TOFt T 4/06/99 PROVEMENT`CONTRACTOR "IMPROVEMENT CONTRA gyration 0 kk� HOME IM 112536 2 ExP M tloll s HOME on 11 536 ; ^x F , =i �� ° Registry A �{ Reglstrati t 4 , pf n� ` �_ r , � �sPu�� ;a.. TYPE 08 04/,06/99 .., DBA, t. >� %Plration T.YP � �. t ON � 4 ,r, �1r} F Fps}�Y=w ' , ., p ,.CONSTRUCTION 4 NSTRUCTI < n >, 5,; °FRASER ASER ;.CO , , sue FRASER FR ASER F c ,�r _.r N FR , . x CIR DEA C . } + ;: 3✓�; 1 TARRA60N a TARR ON"CIR �r 71 AA `02635 t' ti x � nroa ':COTUIT .MA 02635 e T M wvM ti HAMER,BRITTANY ANN 185 MAIN ST F 10/19/1990 1 7 1 N 0 HAMER,DEBRA JENNIFER 185 MAIN ST F 08/18/1967 1 7 1 Y 0 U SWAN,JOHN JUDE 185 MAIN ST 09/29/1940 1 7 1998 0 Y MARKETING U SWAN,LINDA M 185 MAIN ST F 10/04/1946 1 7 1998 O N i .. e �� 1 ,�/ V .._ _.....� .. ... .. w � f �. � _ i �; 1 Regulatory Services ME Thomas F. Geiler,Director qn Building Division ; rt.; BARNsz'AsLE. ' Thomas Perry, CBO,Building Commissioner 3 MASS. 9`ber019. �•�. 200 Main Street, Hyannis, MA 02601 . , l www.town.barnstable.ma us Office: 508-862-4038 Fax: 508.790 6.2.30 s-V1 _ .. Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: l _ M name is �J✓ ��/� I am the owner/resident of the Y property located at: The following members of my family will be the sole occupants of the FamilyApartment 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, Twill 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: -'`-- ne-apartment-nas-beem dismantled:-- - - - - - - The apartment has been tr 'sferred to.the Amnesty Program(Appeal No: _Other tin i Sworn the parrs and penalties of perjury this. day of 2013. . P J Y.. Y Signature. Phone Number Print NameTw J q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oF � Thomas F. Geiler,Dire�tgr,; , Building Division `�` ° ' ' 14 BAMSTABL4Thomas Per CBO Building Commissioner r �. Mass. �, rye > g :t! : P $ 12. 1 ' 1639. �� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 * §Zzs Fax: 508-790-6230 Town of Barnstable Family ApartmentAffidavit I, being on oath, depose and,state as follows: My name is �1 '� ` I am the,owner/resident of the property located at: 3`' 60 t The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: A01-ul—c¢.n 610-vc i Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled.. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this , day of 2012. u Ye Signature' Phone Number Print Name q:forms/famaff d.doc rev 11/08/11 Town of Barnstable Regulatory Services �FTHE Thomas F. Geiler, Director im or y'tt T l - LL Building Division BAMSTABLZ Thomas Perry, CBO,Building Comm .ssioner 0Ad I IMASS. : u Ai 1639• 6. 200 Main Street, Hyannis, MA 02601 Eo�r www.town.barnstable.ma.us Office: 508-862-4038 l) il Fax: 508-790-6230 t Town of Barnstable, Family.Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: t� ( ��� _ I�G ;_ ,ace_ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: /' 4A""` Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately note the Building Commissioner in writing:I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also ` understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to 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 X__ 2011. U . -IK8 51 ri Signature Phone Number yx y Print Name �� � Town of Barnstable Regulatory Services F1NE goy, Thomas F.Geiler,Director Building Division BA MASS. Tom Perry, Building Commissioner v� i 200 Main Street,Hyannis,MA 02601 AIEo �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: My name is S V-e I am the owner/resident of the property located at: 30 `ry --D�—E t.4 je_ G-p`CZ-t.c r-� µA d'L-G 3� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: MAtAQ_J51G-K� hC=l.�LZtkEs00-'- Name &relationship to owner: The Family Apartment will be the primary year7round 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 "3"u.KC 2010. �-� fo�� • `�4 g . Sri S' 1 Signature Phone Number , . Print Name Q/bldg/forms/famaffid Rev:12/08 o�T"FBARNarmm rGy . - MA88 - 167q.Town of Barnstable Zoning Board of Appeals Decision and Notice Family Apartment Variance No. 2009-067 Kelleher Variance to Section 240-47..1A(3) Family Apartments Variance to allow a family apartment in an existing detached accessory structure Summary: Granted with Conditions Applicant: Jared]. Kelleher Property Address: 30 Ty-Dee Lane, Cotuit, MA Assessor's Map/Parcel: Map 023 Parcel 028 Zoning: Residence F Zoning District Recoding Information: Deed: Book 12948 page 338 Relief Requested and Background: The subject property is a 0.63-acre lot developed with a 1.5-story, 1,116 sqA., three-bedroom single- family dwelling and a"detached one-story, 975 sq.ft. accessory building. Both structures date to a 1970 construction. The Applicant is seeking a variance to allow the detached accessory building to be used as a 975 gross sq.ft., studio family apartment. The apartment is to be occupied by the Applicant's mother, Maureen A. Kelleher. Family apartments are permitted as-of-right. However, this family apartment does not conform to the requirements.for an as-of--right-permit and-therefore a variance'has been re uested to: Section 240 47.1.A (1) to allow a studio family apartment of 975 sq.ft., when zoning limits the unit to not exceed 800 square feet or 50% of the area of the existing single-family dwelling, Section"240-47.].A (3) to allow the.apartment in an existing detached structure, and Section 240747.1.A (3) to allow the unit in a structure that does not conform to current yard setback. Procedural & Hearing Summary:This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals.on October 13, 2009. A public hearing before the Zoning Board of Appeals was duly advertised.and., notice sent to all-abutters in accordance with MGL Chapter 40A. The hearing was opened November 18, 2009, at which time the Board found to grant the variance subject to conditions. Board Members deciding this appeal were, William H."Newton, Michael P. Hersey, Craig G. Larson, Alex M.. Rodolakis and Board Chair, Laura F. Shufelt. The Applicant,Jared J. Kelleher represented the variance request before the Board. He gave a brief summary of the proposal noting that he resides on the property and his mother,is presently occupying the detached building as a family apartment. i Town of Barnstable,Zoning Board of Appeals Decision and Notice Family Apartment Variance No. 2009-067 issued to Jared:J. Kelleher for Variance to part of Section 240-47.1A The Board asked Mr. Kelleher if he understood that if this variance is granted that he would have to abide by the draft proposed conditions and all other applicable requirements for a family apartment. The Board also noted that the variance, if granted, would be restricted to him only for.that of a family apartment. Mr. Kelleher stated that he understood and that he will abide by all conditions the Board imposes. _Board Chair, Laura F. Shufelt noted that a letter from Leslie B. Spencer, 1.51 Main Street, Cotuit has been received which supports the granting of the variance. No other comment was received;and no one spoke in favor or in opposition to the request at the hearing. Findings of Fact: At the hearing of November 18, 2009, a motion was duly made and seconded to find the following findings of fact: 1. In,Appeal 2009-067,Jared J. Kelleher has applied fora Variance to Section.240.47.1.A Family Apartments. The applicant is seeking the variance for family apartment to be located in an existing detached accessory structure located on the property. The location of the structure does not conform to the required yard setback, and the area of the apartment exceeds that permitted as- of-right by 160 sq.ft. The property is addressed 30 Ty-Dee Lane, Cotuit, MA. It is shown on Assessor's Map 023 as parcel 028. It is in the Residence F Zoning District. 2. The fact that the second building and use exist on the property and to compel the owners to now recreate an apartment within the home or as an addition would be impractical. In that respect, there is also a topographical feature in terms of structures as there are two detached buildings on the property that have existed for some 39 years both.of which have a history of being used as habitable structures although illegally. This fact establishes.a statutory requirement of MGL Chapter 40A, Section 10 for the Board to grant the variance requested. 3. To now compel the literal enforcement of the family apartment provisions would imply'a substantial financial hardship as the applicant will have to duplicate an apartment unit as an attached structure. The detached.building.with a-second living.unit has existed and has been used for some 29years. The unit and building also have their own septic system: The vote on the findings of fact was as follows: AYE: William H. Newton, Michael P..Hersey, Craig G. Larson- Laura F. Shufelt NAY: Alex M. Rodolakis Decision: Based on the findings of fact, a motion was duly made and seconded to grant Variance No. 2009-067 to Section 240-47.1.A to allow for a detached family apartment in an existing detached accessory building located on the property subject to the following conditions: 1. The family apartment shall comply with and be maintained in accordance with'all conditions herein, as well as all other applicable requirements of Section 240-47.1 for a family apartment, including that the family apartment use is nontransferable to future owners. 2 Town of Barnstable,Zoning Board of Appeals—Decision and Notice Family Apartment Variance No. 2009-067 issued to Jared J. Kelleher for.Variance to part of Section 240-47A A 2. The family apartment shall be maintained as a studio unit as shown in a plan submitted to the Board entitled.: "30 TyDee Ln. Cottage —Asd$ Drawing No improvements are indicated". 3. The applicant shall reapply for a building permit for the family unit. All requirements of the Building Division shall be fully complied with to assure that the unit and building meet all applicable codes, including building, fire, and health. 4. All parking shall be on-site. 5. There shall be no renting of the apartment.unit to non-family members and no renting of rooms (lodging) permitted during the life of this variance.. 6. During the Fife of this variance, the buildings located on the property shall not be further expanded nor increased in terms of bedrooms added. - 7. The applicant shall be required to assure that the property is in conformance to Title 5 regulations and all local Board of Health regulations as may be applicable and as may be legally grandfathered by state and/or local health regulations. 8. When the family apartment is vacated or upon noncompliance with any condition or representation made, including but not limited to occupancy or ownership, the use of the apartment shall be terminated and this vari'ance.shall become_null and void. At that time, this variance shall cease and the Applicant or property owner shall be responsible for the removal of the kitchen and use of the building as an independent living unit.. A building permit for the removal of the unit shall also be required at that time. The vote on the granting of the variance and conditions was as follows: AYE: William H. Newton, Michael P. Hersey, Craig G. Larson, Laura. F. Shufelt NAY: Alex M. Rodolakis Ordered: By a-vote of four in favor and one opposed Variance No. 2009-067 is granted subject to conditions. This.decision must be recorded at the-Barnstable Registry of Deeds-for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision, 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. A copy of which must be filed in the office of the Barnstable Town Clerk: Laura F. Shufelt, Chair 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 arid, that no appeal of the decisions {bnfid the office of the Town Clerk. Signed and sealed thisc da ynAer t e pains and penalties of penury. Linda Hutcherincler, Town Clerk 3 Mao UI:T y3, �s ernµ 6.1ft \ . SHED S 87°05'10 W 165.29' 15.5ft -;- % 10.4ft --_ ___-_-_ 52.3f 15.5ft 37.5 -------—— -- -------- .,{Os� bate/R Y:N�sF: COTTAGE= ==HSE- 30 __--_--__ ___- y � .Y g 'x m G4,w 0 2999 H.VlmO.'TeteA�s LOCUS MAP PARCEL B PLAN REF• 271-47 PARCEL A 27,700t SQ. FT. o DEED REF- 12948-338 .. =: } ASSESSOR'S MAP- 023—028 ZONING: "RF" 4...;'•« }: SETBACKS: 30'-15'-15' d cs FLOOD ZONE. "C" 00 PANEL NUMBER. 250001 0021 D DATED. 07-02-1992 0 a. •,'•• _ - (•r j PLOT PLAN OF LAND LOCATED AT Y 30 ; TY-DEE LANE COTUIT, MA :` N. �J'50 E 91 .90 � � PREPARED FOR: �\ N 89°21 '20" W 113.29'H 84°5 `a DARED J KELLEHER r d oc PSTEFH"rJ y_ TY D E E A 41--N U ppl�E JUNE 15, 2009 �~ __w V yr ®� REV DULY 06, 2009 REV SEPTEMBER 14, 2009 ca REV (FM) ` YANKEE LAND SURVEY GRAPHIC SCALE CO., INC. !� ! so o 15 so so 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 ' TEL• 508-428-0055 FAX 508-420-5553 �t 1 inch "_ 30 ft~ f SHEET 1 OF 1 JOB ,¢� 54515 JF i r JOB ADDRESS 259 Queen Anne Rd. PINE _.._..._..._..,.._..._...__.._Ii i: ! iIII. _..........__... ...... -O- i I!R A 02645 2645 WOODD 508)4 M 130-1115..1IIIff I - --j. I.-.P HOIjiiIIj:i!i!ijI N_�I��r �E#E-Mail:info@pineharbor.com _ ij!iijf IiIi �iII!iIiI;I : - C jiIII!ii1� l I —a IiI! i— i _ ! i - II �DATE _ ; - --- -- . 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