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Home My WebLink About0551 LUMBERT MILL ROAD a 4 z r e�� x L ha i{' � •. 5 v = o e �I c ' c 0 e e V e � L . .. ��/ , e . e a fir' 4 ry `€'� _. c, ".i'� � y`' t �>n. � •..a =3 J �4,' n4.s � a .. 'F', �n `-,�a. � It Aa tr .44 . , z z .. ._ � •"(gin .. g�D t u • c < 'Ye a �- t . Town of Barnstable BU11Cln g' 2' s. ✓a.� i'. " z "s�''.-. . w c c� �r ,.,:x�-,y` ..;.`ss. ,::"to ,. "gyp ir. : 1: '. v,,wi ^�:e. Post This Card So That,itis Visible From'the Street A roved Plans"-Mustbe R`etatned on` ob and thisGard>Must be:Ke A>;t& a r 163P , Posited Untit Final Inspection Has Been:Made 3 � „ ,r x 3 t e � � Permit �Whereja Gert�ficate of Occupane is Re uired;such Buildm shall Not be Occu red until a Final:Ins ectton hasobeenmade. 1 ej jij�� ..,<<..A �. _� :�.�� .,. .,."". y..�,- ..:q. ,�.�. :. .. , .g ..�.�.;:. .� -. .,,.p•�<�.., _.,.. _.,�. dm.�..: ,per-.. ....,.�.�.�..".� ;: ..,.�..a�.,,.. Permit No. B-18-3078 Applicant Name: SEAN E ANDERSON Approvals Date Issued: 10/02/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/02/2019 Foundation: Residential Map/Lot: 146-098 Zoning District: RC Sheathing: Location: 551 LUMBERT MILL ROAD,CENTERVILLE r ' Contractor Name.,„SEAN E ANDERSON Framing: 1 Owner on Record: ACETO, ERICA Contractor License CS-074101 2 Address: 551 LUMBERT MILL ROAD - w c Est Project Cost: $20,000.00. Chimney: CENTERVILLE, MA 02632 Permit.Fee: $ 152.00 Description: insulate and finish existing walkout basement with'electrical& Insulation: heat � Fee Paid: $152.00 Project Review Req: GAME ROOM-NO SLEEPING IN BASEMENT:ALL final: Date 10/2/2018 a l REQUIREMENTS OF 780 CMR TO BE MET rt E :fy Plumbing/Gas Rough Plumbing: # Building Official Final Plumbing: Rough Gas: ;n This permit shall be deemed abandoned and invalid unless the work authdtiod by this permit is commenced withi ix;months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application�an pproved construction documents for which this permit his been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the work until the completion of the same. r Service: - The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: . _, -i Minimum of Five Call Inspections Required for All Construction Work: I.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed ; Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Priorto Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation ^ 7.Final Inspection before Occupancy Health Final: 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. Fire,Department Persons contracting with unregistered contractors do not have access to the gua ranty fu nd" (as set forth in MG c.142A). Final: �1► ..�3. .7F .................. C Applic�onNumber.. ..,.. �U/Lo ..................OtheaFve.................:...... MAM €SEP I'l18 2018 T Fee Paid.........:.... ....... ....................................... TOWN OF BA RNSTABI;E Pmmit ApproM by.... .. x......on.... 1.A1 �. :....:. z BUILDING PERMIT I.�2a.... .....e1............................. Map............. .........Parcel.. APPLICATION Section 1 — Owner's Information and Project Location Project Address/ Owners Name ✓ c -m Address. � ZD89&)CJ— LL.Owners Legal A �.� _ II City V/ .� State ZiP Owners Cell# E-mail Section 2—Use of Structure }Use Group Commercial Structure over 35,000 cubic feet ❑ ❑ Commercial Structure under 35,000 cubic feet - %Single/Two Family Dwelling Section 3—Type of Permit. _ El New Construction ❑ Move/Relocate ❑ Accessory Structure El Change of use ❑ Demo/(entire Aructcre) ft -Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild _ ❑ Deck Apartment ❑ Sprinkler System. ❑ Addition ❑ Retaining n�wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description loe T sict m+dstech 719/201 8 Application Number.................................................... Section 5—Detail Cost of Proposed Construction COD Square Footage of Project ,6 Age of Structure.. 06' 'lILS Dig Safe Number- # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics V FX,ring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas y ❑ Fire Suppression Heating System ❑ Masonry Chimney ❑Add/relocate bedroom ' f Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of.Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=did 2J92018 d 517W Ik `� f V v" ecod? �i SULDiNG i TOWN OF BARrVSTq�;� POS60 �15�h! G �^�(S��b • SU��- D/4- /„slr�QOw 7Q L Popes • � t . Y 1 f J , r "vsf � �- EP 1a The Commonwealth of Massachusetts Department oflndustrialAccidents 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: ,2 _44d f" City/State/Zip: Phone#: 8� Are you an employer?Check the appropriate box: Type of project(required): LJ44 am a employer with o_ 4. ❑ I am a general contractor and I 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 g, ❑Demolition working for me in any capacity, employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additionsF 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' 130Other 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: / Policy#or Self-ins.Lie.#: � 1 °' �� Expiration Date: Z/// Job Site Address:_?! Jo i� %!I lLy� 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 certi. u der p ' and penalties of perjury that the information provided a ove is true and correct. Signature: n A / Date: .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 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 pernift to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure,to fill in the permit/license number which will be used as a reference number..In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.govldia . Application Number........................................... Section 9—.Construction Supervisor Name 9g_,9mz. - Telephone Number- b w Address J ^ 3eyi-Achy MM, _State AV- Tip i License NuniberiCL102YW License Type Expiration Date Contractors Email - `=YY� iQ,PCJCo' a. Cell# I understand my sP re onsibilities under the rules and re . gulatians for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation rV' b780 the Town of Barnstable.Attach a copy of your license. Signature -Date: Section 10 -Home Improvement'Contractor Name —,Lo j Telephone Number D9 •A® ?3:Z Address (A6CCity v( rL State I;Vj-'Tip_ ? 3 Registration Number Expiration Date1- DAVeD 1/9 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation d by 780 the Town ofBarnstable.Attach a copy of your EUC... Signature Date l $ Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date C t _ APP CANT SIGNATURE Signature Date 1 Print Name Z Telephone Number E-mail permit to: At :. T e..r.....i..a�.i.11 mnni 0 , Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historio District ❑ Site Plan Review(if required ❑ Fire Department ❑. y Conservation ❑ "' h For commercial-work,please take your plans directly to the fire depw*nent for approval Section 13—Owner's Authorization L as Owner of the-subject property hereby authorize C. to act on my behalf, in all matters relative to work authorized by this building permit ap lication for: r(.L (Address of job) eo Print Name - .,. Last udatut 2J92018 Town of Barnstable Buildin 9 r. t• MNitiS�CAQcB.c I�..E 1�.$* WPLo`hs'#T�P l63 ?erd h.iUs n"Ct:aii lr dFa�in.S Laol l"�'T�l,"�.nh�saup�t'e ite2c.,t:t:�i'si2o'Vn,,�isisH.rx'i ab-.-aslne,oB sFce reomn'M: haed-.eSxt.'4r�e et a.,Awrsp.>pe rov.e,.d`. Pla¢n�s:'w;M- � u3s�t�b'Sse."�'1'Ret'ai.nsed Permit .. #,'-s.*.r,'.�.:� u4:#uLa..-�,..�.e �:�.,...�'.Y:.N��.e.,..-«.s4'a;....,.-+,:,�.�«v.,t.�,,.::.+:�.w-�:..,.,....a�...,:sa;,:.+.k...--,.:,.«,:°a�.,.:.:.,e-.s�+.?�.,•:t:,s"wts^itF+�.-�-..<,:�tza.,,...o-..,mow.�t,te..w.:e:,,a8,:r�cH,�,�:htarfi...'...K:cb,....swu.a;�.....+... K.,2,-. Permit No. B-18-444 Applicant Name: SEAN E.ANDERSON CONSTRUCTION LLC. Approvals Date Issued: 03/02/2018. Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/02/2018 Foundation: Residential Map/Lot 146 098 Zoning District: RC Sheathing: Location: 551 LUMBERT MILL ROAD;CENTERVIL,LE . Contractc _SEAN E.ANDERSON Framing: 1 ,# Owner on Record: ACETO, ERICA CONSTRUCTION LLC. 2 Address: 551 LUMBERT MILL ROAD R Contractor Lic ense 177028 k. Chimney: CENTERVILLE, MA 02632 '� Est- Project Cost. $2,000.00 Description: Removing existing loly.column for Ping Pong Table.'Addingsteal Permit Fee: . $85.00 Insulation: beam to carry existing load ' Fee Pad $85.00 Final: _ m° ProjectReviewReq: � �� =,E �,Date:�' 3/2/2018 Plumbing/Gas Rough Plumbing: :Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work.authorrzed by this permit is commenced within six months after,issuance. Rough Gas: All work authorized by this.permit shall conform to the approved application'and the'approved construction documents for which this permit has been granted.' All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and_codes. Final Gas: This permit shall be displayed in a location clearly visible from access� streetor road and shall be maintained open for public ins'ection for the entire duration of the p work until the completion of the same. r ' Electrical The Certificate of Occupancy will not be issued until all applicable sign atures:by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final:. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection tow Voltage Rough: . 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation - Low Voltage Final 7.Final Inspection before Occupancy Health 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT CF tHE l��O Application Number..................................................:...... * BAR,, , . �. y M"S. �, Permit Fee....... ...... .....................Other Fee........................ i639. Total Fee Paid........................................... I�Nk TOWN OF BARNSTABLE Permit Approval by.......... ...............On......... CC?.... BUILDING PERMIT, II Map.............`... ...............Parcel.......... ......................... APPLICATION Section 1 — Owner's Information and Project.Location Project Address (/ / Village Owners Name Owners Legal Address_ City State �d - Zip Owners Cell# �� ys E-mail �- �?�e' -t %11 /l f Section 2— Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑`-'Commercial Structure under 35,000 cubic feet Section 3 Type of Permit C®/41G ❑ New Construction ❑ Move/Relocate ❑. Accessory S� ctt&e& Change of use O c] 19AlarmE Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnes' ry Rebuild ❑ Deck Apartment � �tSp4 der System ❑ Addition ❑ Retaining wall ❑ Solar Renovation. ❑ Pool. ❑ Insulation Other—Specify Section 4 - Work Description . Application Number.......................................•.........r .... Section 5—Detail Cost of Proposed Constructi ' '�' ✓ Square Footage of Project i Age of Structure Dig Safe Number z # Of Bedrooms Existing y'r► Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design j i i Section 6 —Project Specifics i ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ElHeating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7--Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8 —Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard J Required Proposed No Has this property had relief from the Zoning Board in the past? El Yes. ❑ =rom:Kathleen Geddis FaxID:508-754-1885 Page 2 of 2 Date:2/12/2018 02:19 PM Page:2 of 2 '4co�iw® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 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 ADDRIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,subject to the terms and condiflons 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 endorsements). PRODUCER C AGT NORTHWOOD ESHBAUGH INSURANCE AGENCY INC ME: Erica Morin — PNONE (5�453-2514 FAx E-MAIL ._.—L[A/C.No): . 540 MAIN ST ADDR kathlee^9sgdins.com_ INSURER(5)AFFORDWG COVERAGE NAIL S S MA 02601 INSURER HARTFORD UNDERWRITERS INS CO INSURED uREo 30104 SEAN E ANDERSON CONSTRUCTION LLC INSURER B_: INSURER C: [NSURER D 50 TROWBRIDGE PATH INSURER EREE W YARMOUTH MA 02673 INSURER COVERAGES CERTIFICATE NUMBER: 238779 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE I POLICY NUMBER MID�P MID EXP LIMITS - COMMERCIAL GENERAL LLNM7Y EACH OCCURRENCE $ CLAIMS-MADE 17OCCUR PREMISES(Ea oacyrtenca) $ MED E%P(Any ate parson) $ WA PERSONAL AADVINJURY $ _ GEN'L AGGREGATE IJtdRAPPLIESPER: GENERAL AGGREGATE $ POLICY E] JEC LOC PRODUCTS-COMP/OP AGG $ OTHER: - f AUTOMOBILE LIABILITY !COMBINED SI IMI $ (Ea amIdentl ANY AUTO BODILY INJURY(Per person) $ AUTOS OS D AUTOS LED N/A BODILY INJURY(Per accident) $ HIRED AUTOS gUT06W1tE0 PROPERTY DAMAGE .(Pet aocidentl $ UMBRELLA LU1B OCCUR EACH OCCURRENCE E EXCESS,LJAB CLAIMS-MADE N/A AGGREGATE _ $ DED I RETENTION$ $ WORKERS COMPENSATION X PER O _ AND EMPLOYERS'LIABILITY Y I N TUTE ER I A CE RMEMSEREXCCLANYPROPRIETOR/PARTNUDEW NIA NIA NIA 6S60UBBH35092317 09/11/2017 09/11/2018 E.L.EACH ACCIDENT $ 500,000 (MandIII"In NMI - Ifyes describe under E L.DISEASE-EA EMPLOYEE $ 500,000 DI SNIPT)ON OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT ,$ 500,000 i I NIA I DESCRIPTION OF OPERATIONS I LOCA71ONSI VEHICLES(ACORD 101,Addhional Remarks Schedule,may be aNached if more apace Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B.no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This Certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored dally by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/had/workers-ompw"Uon/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Bamstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St AUTHORIZED REPRESENTATIVE Hyannis MA 02901 .I d `p.- Daniel M.Crgw�ey,CPCU,Vice President—Residual Market—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD -rom:Kathleen Geddis FaxID:508-754-1885 Page 2 of 2 Date:2/12/2018 02:13 PM Page:2 of 2 ANDER-5 'ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 02/12/2018 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 508-771-1632 c CT Kathy Geddis SG&D Insurance Agencies, LLC PHONE 508-771-1632 FAX 540 Main Street,Suite 9 WC,No,EA: (AIC,No): Hyannis,MA 02601 A.MDDARESS: INSURER AFFORDING COVERAGE NAIC A INSURER A:Western World Insurance Co INSURED Sean E Anderson Const,LLC -INSURER B:The Hartford Insurance Co. 50 Trowbridge Path W Yarmouth,MA 02673 INSURER C: INSURER D: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTIRNSD MMIDD MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR NPP1463545 04l13/2017 04N3/2018 DAMAGE TO S(Es cc rr $ 50,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,ODD GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jpeT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS yy Ep BODILY INJURY Per accident $ AMR ONLY AUTOS ONNLY Pfge'cc dent AMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY AA NY PROPRIIETgO�R/PARTNERIEXECUTIVE Y� CERT WILL FOLLOW FROM CO 09/11/2017 09H 1/2018 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH)EXCLUDED? NIA ITHIN5.DAYS, 500,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HO D CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N0710E WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 Le 'bl Name(Business/Organization/Individual)' Address:_ Al-�— City/State/Zip: �V 6 3 Phone#: Are you an employer?Check the appropriate bog: Type of project(required): 1.�I am a employer with 3 4. ❑ I am a general contractor and I 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.�modelmg ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work r 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.❑Other comp.insurance required.] *fury 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: s r 1 Policy#or Self-ins.Lic.#:�I �.S - V S Expiration Date: 7�zl o Job Site Address: ! / j c,L City/State/Zip:eX2&`f///j��a�3 2— 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 un r pains and penalties of perjury that the information provided above is true and correct. Signafore: Date: 112/J Phone#: - Official use only. Do not write in this area,to be completed by city or town offccial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents, Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit,for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitilicense number which will be used as a reference number. In addition, an applicant that must submit multiple permMicense 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 firiure permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depart nent's address,telephone and fax number: The Commonwealth of Massadhuse is Department of Tndustnal.A=dents Office of Investigations 600 Wasbington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-977-MASSAFF, Fax#6.17-727-7749 Revised 4-24-07 wmass.goy/dia Application Number.... ..... Section 9— Construction Supervisor Nam Telephone Number Address - l` �f�� City t/ /� *State,< Zip License Number ZO License Type' 5 Expiration Date ?1,,2,Llll Contractors Email SCSI (� C' � �.x —� Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation jreq1 by7Cand the Town of Barnstable.Attach a copy of your license. Signature Date Section 10 —Home Improvement Contractor ' Name Telephone Numbers a? D � Address fD ,j City State Ik)q—_Zip e�P,4 Registration Number Expiration Date I understa4my responsibilities under the rules and regulations for Home Improvement Contractors'in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req ' ed by 7 0 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date 6?1,1,3 Section'11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date r. APPLICANT SIGNATURE Signature Date Z 3//9 Print Name y-r)w- 14a,_-4VV Telephone Numbe b 932, E-mail permit to: Last undated: 12/28/2017 Section 12 —Department Sign-Offs J Health Department ' ❑ Zoning Board (if required) 1 Historic District Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval. Section 13 — Owner's Authorization as Owner of the subject property hereby authorize G� 4,oe7 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) "gna e of er t date l Print Name r T net imrNtPA• 17/7R/7(117 I } I y pl I toe Al New pair of Bolting; 5/8" ` L7"x4"x5/8" angles ` 16" o/c top and against existing 32" o% bottom ` 3/2"x 12" girt and . sub-block beamXY `gti�3 I ..� .. -. _ - � y# ?"..�a�- ��ry raw ,ar° a .. /� y„ •fi� �� ,y. • � ms, ��'.� � g' .�'a � i� 1� `` f sz1 v~' { � III I w tt�� Reuse 3-1/2" tally. *, Increase plates to 5/8x7x7 ° 44 / 10"x 2'611 � are conc. pad Massachusetts Department of Public Safety V Board of Building Regulations and Standards License: CS-074101 Construction Supervisor KM SEAN E ANDERSON T ' 50 TROW13RIDGE PATH M - WEST YARMOUTH MA:'102673'_ Expiration: Commissioner 02/24/2019 ` Vhe cpo7rurrzarzwea�i a�C�acfuieeL7a Office of Consumer Affairs&Business Regulation i HOME IMPROVEMENT CONTRACTOR TYPE:LLC Registration;,, Exaltation 177028 10/22/2019 SEAN E.ANDERSON_CONSTRUCTION LLC. SEAN ANDERSON 50TROWBRIDGEPATFI WEST YARMOUTH,MA 02673 Undersecretary Et Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition ofthe Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit:WWW.MASS.GOV/DPS Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,M 02116 N alid wi r I 1 PHILBROOK ENGINEERING:. 107 BEACH STREET Project: '551 LUMBERT MILL R.d DENNIS;MA.02638 Projet N cai P1"3 1-508-385-8682. Date 27'J"anuary 2018 GENERAL DESCRIPTION: Deiisis Aaeto - Developer, 364441-6 9tih ed 65735. Narrative 1>1/2 Hill Dormer`ed Cape Styie" Hou§e w/ Walkout ;Basement Location: GANNON, 511 Lumbert Mill Road; Cen-terville kh DESIGN ANALYSIS: . #lr APPLY to Existing; 3/2'!x 1211s (#.I K/D-Fir) a .pair of Steel L-Angles Wul 1st" Floor & 2nd, Floor [-(40+.15)':+(30+15)Jx 28'/2+ 20 '= 1,420" lb/if Span 14!0" post-to-post, Mmax 3'4,79:0 ft-lb EI: ("3 ea 211x 121's) =`3 x 1:1x 10^.6. x 178 in3 -r 587.4 `x 10^'6- EI. (2 ea :.L7x4x5/8) 2 x 29.Ox10^6 x 32.4 1,879..02t 10^6 Ratios. Wood 23..B% (338 lb/lfj) 6 Steel '_ 76.2 (1;082. 1b/af) Wood f' (b) req; 1,,0.4.8 psi < F'b _. 1,121 psi (Savail .94.8 sin^'3) Steel f'"{b) .req = 22,,401 psi < ":F'b 23,S.OQ pss (Sa�au i`c..2 in^3) Note Assembl is y Co"mp act 'S ape:'b y Symmetry: 6 Bracing Bola Spacing (top & bottom) = 18" o/.c, round do*h to 16" o/cs staggered use 5/811x. 6" bolts:: Holies Wood - :5I8" d a: . steel = ll/i6" di a. Provide pair of bolts (top'b bottoin) each end DEftax :60" (@ 850 DEFact -- ' for,Flitch OK by Design._ NOTE, .,requires 3-1/2"x 4`-1/2"{;rip), D=Fir bottom- applied beam. Space.`these fasterners. 1.6'" o/c off-set 'from thru=bolts #2. -.. Column, 3-1-/2" Concrete Tube: column. increase top,;plate to .:accommodate the Width of.°the built-up as (12,kV):: I j.nstall :5/8" 71 square top plate= Pmax T Post =. 12,425 lbs: Pallow 1-4;200 lb: OK by_':Mfg:: Stub=Post;• KD SPF w/ .Fc(11) 850. P:$I & E> 1.ax 10('6;) Psi _. Pmax @ Post = 9,,940 .lbs; Leff ="4'6" ,&. L/d 8..3 f.':c-(il)req 457 PSZ F'c(allow) 850 P.Si (Old NDS;. Zone T Set. tight to PT sillplates OK by Design #4.r Lally .Bearing,; Chds:ei Most Heavily'Loaded Front Outside Corner Pmax @ .Footer 12,425 lbs Aavasl. 6.25 sq It Bearing Act #i 1;9B8 1b/sq ft w/ Bearing .Allow 2..,275 lb/sq :ft. OK by DesignYAln O/,yNOP y , r r PHILBROOK ENGINEERING 107'BEACH STREET Project: 551 LUMBERT MILL Rd DENNIS MA 02630 Project No: P18-03 1-508-38"682 Date;_ 2.746huary 2018 a _ GENERAL DESCRIPT:ION;. Dennis Aceto: Developer, 364-8.416' ci5735 Narrative. 1=1/2 Full. Dormered Cape. Style House w/ Walkout Basement Location: GANNON,. 511 Lumbert Mill Road, Centerville., MA Construction:: 21* 4"/6" @ 1611 o..,c. :Platform Frame w/ Concrete Foundation. --- ---- --- and Stick•-built Wood Framed Floors &; -Roof SPECIAL CONSIDERATIONS:: Use Group(s) - R :3 (1 'Fam ly Residence') ------------ Construction. Type: v-B. (unprotected) see ,separation 'bel:ow• -------------- Misc, or Comments;: o Site: Check, Note. Sizes & Layout -- - - - o Design Review - Flitch Beam &:Supports o Layout Notes: & Design Submittals DESIGN CONSIDERATIONS:: Soil Data SiteI . Plan or Boring. Log available- NO ----- Preparer: ;of plan or log- Direct Direct Observation.: NO from CC Atlas Qmp - Gravelly-Sand;, Some. Cobbles USCS = _SP(;SM);� SHC Class 9 Specifics: Br(allow) _ _2,400 lb/sq ft w/ 20, allowable width & depth increases Fire Data 20 min. , Standard 1/2 On., Skim-Coat or :3/4" Solid Wood ------- Loads SBC Location. #%sq f.t Du= Note list Floor - Residential/Living 40 1-6 Tbl. R301.5 2nd Floor - Residential/Bedroom 30 1.0 Tbl. R301.5 Attic non-E:xpansion 5 1.0 Tbl:. R301.:5 Partitions: 2x4/6 12 1,:.0 Bear/Non-Bear Snow - m. 5-5/12 �.(24.6*) 30 1.15 Tbl. R301:2(4) (MA) Loadings lst Floor 2nd: Floor Attics Roof . LIVE LOAD 1 40 40' 5 30 -- DEAD LOADS' l 12 13 8 8 -Rise 1 2"x 10" Joists and 2'111x V Ceiling/Rafters @ 161, o/c DESIGN TOTAL I 55 55 13 40 w/ round I w/ 5% on DL- :.NARRATIVE; Jack slightly and remove lady column. Support floor :joists w/ temp. -- _ wall and remove existing column. Clear sidev below joists of all wiring ;and obstructions.., Fit-up a continuous 'V!x 6" :D-fir 'ripped to the width of the 3/2"x ;12" girt amd continuously attach to. "the. underside w/ pairs of 8"Head-lok screws spaced 1;6" o/c. Fit-up a pair of continuous L7''x 411x: 5/8" angles, long-leg up, 'short-leg ,turned out tight to the underside of the joist hangers. Thru=bolt the: :top @: o/c w/ 5/:8'" dia. bolts thru 11/16" dia. holes in, the angles, and. 5/8" holes in the wood. This noun down 1-l/2;" from the tops of the angles, run thru the girt. Thru bolt the bottomm @ 32." o/c w/ same 5/81 dia. :bol:ts and the sized r.h0les, thru the steel and.:wood.. The angles: should be matched and drilled tbgetherin the shop before delivery.. Reinstall the `tally column using new '5/8"x' 7" Square plates top ,& bottom. Solid shim girt void .at top. a Install, 2/2"x 8'! KD stub column at,.outside ;wall beneath :the angles, set tight on: the foundation sillplate:. Remove wall; slightly lowering girt Town of Barnstable Building ;•a.. , ....y 4U+?.Yw+TM ,at+SRY3C°'1p,.'.'�n'„".$°�° YF "w'r '.w'a"yr";l"°tN"`5:^Y""r"' - eARNSTARIR; Posf This Card So That it Visible From;the Street°Approved Plans.Must be Retained on"Job and this�Card Must be.Kept; rof Until Final Inspection Has Beer a! 6 ti k Pe�rtn1t Where a,Certificate of Occupa� ncy,isRequired,-such Buis Iding shall Not be.Occupiedunt I@aFinallnspection has'been„made , ....k.._d"a" .,, Permit NO. B-18-434 Applicant Name: TIMOTHY CABRAL• Approvals Date Issued: 03/01/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/01/2018 Foundation: Location: 551 LUMBERT MILL ROAD,CENTERVILLE Map/Lot: 146 098 Zoning District: RC Sheathing: Owner on Record: ACETO, ERICA Contractor Name ALTERNATIVE WEATHERIZATION, Framing: 1 INC. Address: 28 HAYES RD 2 CENTERVILLE MA 02632 "__Contractor License 175683 e Chimney: ' Est. Project Cost: $2,479.00 Description: weatherization �. : v l Insulation: Permit Fee: $85:00 21, Project Review�Req: a' x Fe e�jPaiti: $85.00 Final: J a � Date: 3/1/2018 Plumbing/Gas r u Rough Plumbing- a V , Final Plumbing:.: Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by,this permit is commenced within six-months=after issuance. All work authorized by this permit shall conform to the approved applicatio a n nd the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and.changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or eoad,and shall-be maintained:open for public inspection for the entire duration of the Electrical . work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on his permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing 2.Sheathing Inspection Final; 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # . - ' q3 Health Division Date Issued Conservation Division Application Fee Planning Dept.' Permit Fee Date Definitive Plan Approved by Planning Board .�v Historic - OKH _ Preservation/ Hyannis Project Street Address 551 1-Urhit-f �� Village Owner 67rl no- 'Ce Address Telephone ' 7J� b � Permit Request Alr- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District `` Flood Plain Groundwater Overlay , Project Valuation V •I -) Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ z C O m F Commercial ❑Yes ❑ No If yes, site plan review# ®n00 ao Current Use Proposed Use ct APPLICANT INFORMATION r _----_---(BUILDER OR HOMEOWNER) Name lljbily&4 C Telephone Number Address a S - License # �q f A`Y 97A Home Improvement Contractor# Email' � •�VG �` @ Worker's Compensation # j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 61��s - (V P.e oL SIGNATU DATEZla- ��!� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED t MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING k DATE CLOSED OUT ASSOCIATION PLAN NO. ,DocuSign Envelope ID:874BA47C-7F8C-48D1-ACA7-9FD07F919789 Town of Barnstable Regulatory Services DAXNSTA LE, Richard V. Scali,Director Building Division g Paul Roma 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 1, ERICA E AC 11 ETO ................................____.._.........................._._.___._ as Owner of the subject property hereby authorize�� to act on my behalf, ................... in all matters relative to work authorized by this building permit applicaattioUnfofor: 551 Lumbert Mill Road Centerville, MA 02632 (Address of Job) DocuSigned by - 1/5/2018 1 8:04 AM EST --E ............ ............. _..._................._..._.._._......................................_...._ ........................_........_.................................._..__................................. .... Signature of Owner Date EriCa ACeto Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Usersidecollik\AppData\LocalIMicrosoft\windows\lNetCacbe\Content.Outlook\L7U69LF2\EXPRESS(2).doc 0.1/25/17 The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia NA.%rkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apulicant Information Please Print Legibly Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): I.�✓ I am a employer with 16 employees(full and/or part-time).* 7� New construction 2.FJ I am a sole proprietor or partnership and have no employees working for me in 8 ❑Remodeling any capacity.[No 6rkers'comp.insurance required.] 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.[:]I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole l l.❑Electrical repairs or additions proprietors with no employees. 12.M Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14.�✓ Other I NSULATION 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no 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:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18 Job Site Address: �S^� �Gf�J'l� '�' /�y1 `� City/State/Zip. 6&&�Ljl Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may.be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde lh ins an es p rjury that the information provided above is true and correct Signature: Date: Phone#:508-567-42 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#: ...r� ALTEWEA-01 SNERONHA ,©►+�'t� t � CERTIFICATE OF LIABILITY INSURANCE DATE(MM=/YYYY) 0512612017 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A Statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER 'cW,CT.Christine Costa Mason&Mason Insurance Agency,Inc. 1 JHcoN�,,Eli):(781)v23-0067 rAlc.No): 458 South Ave. M ccoStB asoninsure.eam Whitman,MA 02382 INSURE S AFFORDING COVERAGE ! NMC 0 INSURER A;Evanston insurance Co. 136378 !INSURED INSURER a:Safety Insurance Company 139454 Alternative Weatherization,Inc. INSURER c:Star Insurance Comnanv 18023 " 2 Lark Street 11N5URER D: Fall River,AAA 02721 l INSURER E SURER F: m l COVERAGES CERTIFICATE N MBER• REVISION NUMBER: jTHIS 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;j TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REST ECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (iNSR 'ADOL SUBRI POLICY EFF POLICY EXP i LIMITS TYPE OF INSURANCE POLICY NUMBER 'imbffloffl A ! X 1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 9,000,000 i DAIIAGETORENTED 0,000 3C42088 0610712017 IESIEasccurrene)CLAlNS-MADE OCCUR 06/fl7/3018 S S --� M{ ED EXP An one oersor, i S S,fl00 j ! PERSONAL&ADV INJURY <s 1,600,000 i 2,0fl0 0()0 GEN AGGREGATE LIMIT APPLIES PER: 3 _GENERAL AGGREGATE S PRODUCTS-COMPIOPAGG 1 S 2,fl0fl,fl00 POLICY j JE i LOC I OTHER' ! S 3 { 1 1 COMBINED SINGLE LIMIT ; 1,000,0#30 AUTOMOBILE LIABILITY ' ANY AUTO _ j 237702 i 0410812017?0d1081201$ BODILY ftgBR Pe v sod!s ,OWNED SCHEDULED AUTOS ONLY X 'AUTOS 3OD' ILY INJURY Per aceidenli S 3 "x H1R �X NON pVJNEp 1 oaPatECRWSTMRAMAGE S I AN&ONLY AUTOS ONLY i j 1 S A i i i 11000,000 UMBRELLA LIAB X;OCCUR !EACH OCCURRENCE S IllXOBW6619616 1 06107/2017'06107/2018 1 AGGREGATE S 1, 41000 7(i EXCESS LIAB CLA3MSMADE j { 'DED RETENTION S { i ' S ! C i WORKERS COAAPENSATiON i ; !X i PTER ? i OTH j AND EAAPLOYERS•NSATI N YIN i ANY PROPRIETORiPARTNER'EX'cGUTIVE !�♦i ' �C 0849257 00 04IW2017 04 W2018 E.I..EACH ACCIDENT !S 60i3,0fl0 {F rFICERIbIEMa R EXCLUDED? : I li N 1 A 1 t600,000 Mandatory itI NH) r ' E.L.DISEASE-EA EMP O'9E S ! IfDt yesSCR,ae{PT{OscroNee unOFr PERATIONS he cv ( ' E.L.DISEASE-POLICY 1JMIT 5 500,000 ! deO I DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES(ACORD 101,Addlrwmai Remarks Schedule,maybe aCached If more space is requiredl !Action Inc.and National Grid USA,its direct and Indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General 'Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02 16).Forms Available Upon Request. CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POI:ICIES.BE CANCELLED BEFORE 1 i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid ! ACCORDANCE WITH THE POLICY PROVISIONS, i 40 Sylvan Road Waltham,AAA 02451 .. i AUTHORIZED REPRESENTATIVE ACORD 25(2..... ) 01988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD v'o' �ss v. ..s"r, m 1 xF J. Y +:f r, Office of Consumer Affairs and Business Regulabon `y 10 Park Plaza Suite 5170 Boston, Ma usetts '02116 Home lmprovemoOMMtractor Registration x T •on ALTEATIVE wEATHERrZATION;INC N � Region: 175683. RN 2 LARK ST " Expiration:' 05/28/2019 FALL RIVER;MA 02721 ' S. Update Address and return card: Mark reason tor'change. «`.,,.....�, ..,.... .....:.......a._-....__.r -.:...........W \ Office ofcpnw!y rAffairs>'susineesR"U10 rn HOME IMPROVEMENT CONTRACTOR Registration valid for Individual;u09 oMy r� TYPE.-Ca'Doratim before ft exph2don date.-if foul return to. Office of Cortsuf m Affalm and Susirumi .goo4on A u, y✓" 05l2 mi g 10 Park Plaza-Suite 5170 AL TERNATI'VE i+Y �, TION;INC. }MA 022116 TIMOTHY CABRAL, eq rt tQG� 2-tARK-ST C. FALL'RtVER,MA 02721 Undersecretary � re I oFt r Town of Barnstable Regulatory Services BAMSTABM Mnss. $ Thomas F. Geiler, Director �p i639• ♦0 rFDH1o. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 21, 2009 Ms. Donna M. Muncherian 551 Lumbert Mill Road Centerville, MA 02632 Dear Ms. Muncherian: We have received the Rescind Notice and Decision from the Growth Management Department rescinding the Comprehensive Permit for an affordable apartment at 551 Lumbert Mill Road. As you know, a building permit is required to restore the property to a single-family dwelling. Enclosed is the building permit application for you to complete and submit to us. Please call me if you have any questions. Sincerely, Lois Barry Division Assistant Enclosure cc: Robin Anderson Zoning Enforcement Officer , t - - i g ! 3s -_s i_6 y—1 _ i i i_i P-AR STAPLE LAND, COURT REGI:.—MY - - Y7BARN3[ABLE, ' y MASS g. �p i639. Town of Barnstable 09 IN 18 11 :42 Zoning Board of Appeals Rescind Notice and Decision ` Comprehensive Permit No. 2006-021 Muncherian I Summary Comprehensive Permit No. 2006-021 is Rescinded ( � Applicant: Donna M. Muncherian �t Property Address: 551 Lumbert Mill Road, Centerville, MA Assessor's Map/Parcel: Map 146, Parcel 098 Zoning: RC Zoning District Recording Information: Deed Reference: Document No. 536,043 Certificate of Title 124531 Permit Reference Document No. 1,045,971 C-- Background: Donna M. Muncherian did apply to the Town of Barnstable for a comprehensive permit under the Accessory Affordable Apartment Program, pursuant to Article II of Chapter Nine of Part I, General Ordinances of the Code of the Town of Barnstable on January 18, 2006 The applicant was seeking to create a one bedroom accessory affordable apartment in the lower level of the principal dwelling. Comprehensive Permit Number 2006-021 was issued to the applicant on March 23, O 2006. A duly executed Regulatory.Agreement and Declaration of Restrictive-Covenants, along with J the Comprehensive Permit were recorded at the Barnstable County Land Court Registry on October 6, 2006 in Document No. 1,045,971. On March 19, 2009 a letter was sent to Ms Muncherian stating the intent to begin rescission of comprehensive permit 2006-021. The conditions of the comprehensive permit have not been fully executed and Ms Muncherian has not made contact with this office to extend the time frame specified in the conditions of the comprehensive permit. As Comprehensive Permit No. 2006-021, was issued to Ms. Muncherian on March 23, 2006 and is required to be exercised within twelve months of its issuance or it shall expire, this action to rescind the permit was taken. Procedural & Hearing Summary: A public hearing to�rescind Comprehensive Permit No. 2006-021 was duly advertised and notice sent to abutting property owners all in accordance with MGL Chapter 40A. The notice was published in the Barnstable Patriot on April 24, 2009 and May 1, 2009. The Public Hearing to rescind the Permit was opened on May 20, 2009 at which time the Hearing Officer ruled to rescind Comprehensive Permit No. 2006-021. Findings of Fact: At the hearing on May 20, 2009 the Zoning Board of Appeals Hearing Officer made the following findings of fact: r Town of Barnstable,Zoning Board of Appeals Decision and Notice to rescind Comprehensive Permit No.2006.021-Donna M.Muncherian 1. On March 23, 2006, Comprehensive Permit No. 2006-021 was issued to Donna M. Muncherian for property at 551 Lumbert Mill Road, Centerville, MA. The Permit was issued pursuant to the Town's "Accessory Affordable_Housing Program", Article.11 of Chapter 9 of the General Ordinances. 2. Comprehensive Permit No. 2006-021 authorized Ms Muncherian to develop a one bedroom accessory affordable apartment unit in the lower level of the single-family dwelling. 3. A duly executed Regulatory Agreement and Declaration of Restrictive Covenants, along with the Comprehensive Permit were recorded at the Barnstable Land Court Registry on October 6, 2006 in Document No. 1,045,971. 4. As of March 19, 2009, Comprehensive permit No. 2006-021 for the property at 551 Lumbert Mill Road Centerville had not been fully exercised. Ruling: Based upon the findings the Hearing Officer ruled that Comprehensive Permit No..2006-021 issued to Ms Muncherian is.rescinded and the Permit no longer valid. Ordered: Comprehensive Permit No. 2006-021 is null and void. The property at 551 Lumbert Mill Road Centerville, MA is to be restored to and used only as a single-family dwelling as permitted as-of- right within the Residential RC Zoning District. A building permit is required to restore the property to a single-family use. The Building Division will take all action necessary to assure compliance with zoning. A written copy of this Rescind Notice shall be forwarded to the Zoning Board of Appeal as required by the Town's Administrative Code Chapter,241, Section 11 of the Code of the Town of Barnstable. If after fourteen (14) days from that transmittal and the Members of the Zoning Board of Appeals takes no action to reverse this action, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the. date of the filing of this decision in the Town Clerk's Office. I, Laura F. Shufelt, as Hearing Of for the Zoning-Board of Appeals certify that a copy of this decision was transmitted to the.Members of the Zoning Board on June 3, 2009 and'that 14 days have elapsed with no action taken by any member of the Board to reverse the decision. kai :LSkl� 7. 06 Laura F. Shufelt, Hearing Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, -Barnstable County,, Massachusetts, h�eby certify that twenty (20) days have elapsed since the Zoning Board of Appeals fired this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day o under/the pains and penalties of perjury. Linda Hutchenrider, Town Clerk °tTME 1p 'Town of Barnstable. ti Regulatory Services * BARNSfABLE, 9 MASS. Thomas F. Geiler, Director n;9. Building.Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MAr 02601 www.town.barnstable.mams Office: 508-862-4038 Fax: 508-790-6230 June 23, 2009 Roberto Rios & Juliana Nunes 43 Eldridge Avenue Hyannis, MA 02601 Re: 356 Megan Road, Hyannis Dear Property Owners: In April 2008 the Town of Barnstable Zoning Board of Appeals issued a Comprehensive Permit to Davi de Melo approving the creation of a one-bedroom accessory affordable apartment in the lower level of 356 Megan Road. Our records show that you are now the owners of the property. Please contact this office to let us know if there is an apartment at the property and who is living at the address. You may direct your response to Lois.Barry of this office by mail or by phone (508 862 4039). Sincerely, .� Thomas Perry Building Commissioner jMeganRd356 • Dot-: 1 s 123 9'639 09-14-20 09 4 :13 i BARNSTABLE LAND COURT REGISTRY f B STABLE, y M 39. 8, 1pD W',4 Town of Barnstable 09 JUw 13 �11, 1 :42 Zoning Board of Appeals Rescind Notice and Decision f` Comprehensive Permit No. 2006-021 - Muncherian 7. I Summary Comprehensive Permit No. 2006-021 is Rescinded Applicant: Donna M. Muncherian Property Address: 551 Lumbert Mill Road, Centerville, MA Assessor's Map/Parcel: Map 146, Parcel 098 Zoning: RC Zoning District Recording Information: Deed Reference: Document No. 536,043 Certificate of Title 124531 Permit Reference Document No..1,045,971 C _ Background: Donna M. Muncherian did apply to the Town of Barnstable for a comprehensive permit under the Accessory Affordable Apartment Program, pursuant to Article II of Chapter Nine of Part I, General Ordinances of the Code of the Town of Barnstable on January 18, 2006 The applicant was seeking Lf) to create a one bedroom accessory affordable apartment in the lower level of the principal 4- dwelling. Comprehensive Permit Number 2006-021 was issued to the applicant on March 23, O 2006. A duly executed Regulatory Agreement and Declaration of Restrictive Covenants, along with J the Comprehensive Permit were recorded at the Barnstable County Land Court Registry on October 6, 2006 in Document No. 1,045,971. On March 19, 2009 a letter was sent to Ms Muncherian stating the intent to begin rescission'of comprehensive permit 2006-021. The conditions of the comprehensive permit have.not been fully executed and Ms Muncherian has not made contact with this office to extend the time frame specified in.the conditions-of the comprehensive permit. As Comprehensive Permit No. 2006-021 was issued to Ms. Muncherian on March 23, 2006 and is required to be exercised within twelve months of its issuance or it shall expire, this action to rescind the permit was taken. Procedural & Hearing Summary: A public hearing to rescind Comprehensive Permit No. 2006-021 was duly advertised and notice sent to abutting property owners all in accordance with MGL. Chapter 40A. The notice was published in the Barnstable Patriot on-April 24, 2009 and May 1, 2009. The Public Hearing to . -rescind the Permit-was opened on May 20, 2009 at which time the Hearing Officer ruled to rescin& Comprehensive Permit No. 2006-021. ` Findings of Fact: At the hearing on May 20, 2009 the Zoning Board of Appeals,Hearing Officer made the following findings of fact: oFt Tq,,, Town of Barnstable * Regulatory Services . BARNWABLE, 9 MASS. Thomas F: Geiler; Director �p 1639. �0 TEn r,►v�a Building.Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-40.38 Fax: 508-790-6230 MEMORANDUM TO: Cindy FROM: Lois DATE: 12/11/08 RE: Amnesty Please let me know the status f these properties.o f e p o ert es. , A 53 Connemara Circle, Hyannis I have a note on this that the Comprehensive Permit was to be revoked in July 2008 and that you would be sending me the recorded documents. Has.it been revoked? 108 Greenwood Avenue, Hyannis We have a Comprehensive permit dated 10/11/07 and a Regulatory Agreement dated 1/8/08. The documents were recorded 1/17/08. Walsh Fisher has not applied for a , building permit. Do you know if she is planning to go forward? If so, do we need an extension? Otherwise, will the Comprehensive Permit be revoked? 551 Lumbert Mill Road, Centerville The Comprehensive Permit is dated 3/2/06, recorded 10/6/06. I have a note that there are septic issues. Have the issues been resolved? The Comprehensive Permit refers to a Comprehensive Permit issued in 2002 and revoked as the unit was never constructed. ' We've never had a building permit for an apartment. Has the Comprehensive Permit been extended or revoked? 600 Phinney's Lane, Centerville The Comprehensive Permit was issued in August 2006 to create a one-bedroom unit on the second floor: We have not had a building permit application., Has the Comprehensive Permit been extended or revoked? I have a note that something was approved on 4/08 and recorded documents would be sent, but I do not have them. amnmemo Message Page 1 of 1 Barry, Lois From: McKean, Thomas Sent: Wednesday, June 04, 2008 1:03 PM To: Dillen, Elizabeth Cc: Stanton, David; Barry, Lois Subject: RE: amnesty - new construction 551 Lumbert Mill Road The issue is/was that there is no double compartment tank at this location. The installer misinformed the health inspector that there will not be an accessory apartment there. The installer was apparently only focused on getting the job done at that time. y -----Original Message----- From: Dillen, Elizabeth Sent: Wednesday, June 04, 2008 11:41 AM To: McKean, Thomas Cc: Stanton, David; Barry, Lois Subject: amnesty - new construction 551 Lumbert Mill Road HiTom - This applicant, Donna Muncherian, was attempting to create an accessory apartment at this address and ran into some septic issues. Can you let me know the status of this property? Bali DU.leii special Projects coordinator Growth.Manageoient Department Town of Barnstahie 367 Mainstreet,Hyannis MA Tel 508,862.4683 fax 508.862.4782 12/11/2008 Barry, Lois To: Taylor, Madeline Subject: Extensions Maddy, Thanks for the 3 extensions. Two of them, 369 Mitchell's Way and 551 Lumbert Mill Rd., have not pulled building permits. I sent letters reminding them of the building permit requirement--to 369 Mitchell's Way on 4/27/06 and to 551 Lumbert Mill Rd. on 10/17/06. Are you working with them on the building permit paper work? Do you know when we can expect the building permit applications? Lois 1 .�.�i AW Town of Barnstable BARNBMBIE.: Zoning Board of Appeals Gail Nightingale-Chairman ' ,f 3g,6 200 Main Street,Hyannis,Massachusetts 02601 Phone(508)862-4785 Fax(508)862-4725 Growth Management Department 367 Main Street,Hyannis,MA 02601 Ruth J. Weil-Director In accordance with the attached request of Donna M. Muncherian, dated June 13, 2007, regarding Comprehensive Permit Appeal #2006-021, and upon the vote of the Zoning Board of Appeals taken at their public hearing on July 11, 2007, I hereby grant a six-month extension of this appeal. The original decision on Appeal #2006-021 was certified by the Barnstable Town Clerk on March 23, 2006. Construction of the accessory unit was delayed due to problems in having the septic design completed. The owner has now resolved this issue and is ready to apply for a building permit. Approval of this extension request is necessary to complete construction of the apartment in accordance with the Building Code and the requirements of the Accessory Affordable Apartment Ordinance. Said Comprehensive Permit#2006-021 is hereby extended until January 10, 2008. Signed, it C. Nighting l aring Officer �1 Zoning Board of Appeals Dated: %% / 16Z Town of Barnstable o� BARNSMBLE. * Regulatory Services v� • .•� Thomas F. Geiler, Director RFD MA'1 A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 17, 2006 Ms. Donna M. Muncherian 551 Lumbert Mill Road Centerville, MA 02632 Re: Proposed Accessory Affordable Apartment Dear Ms. Muncherian: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment to be created at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant J040616a Doc: 1 :045 r?71 1 D-D6-2006 S': 12 BARNSTABLE LAND COURT REGISTRY BARN STAB LE TO n TOWN ! 9Qp 6 1M 999: ,fig. . O rf03 • •06 MAR -2 A 9 :1.8 Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2006-021 —Muncherian Decision -Chapter 40B Comprehensive Permit Applicant: Donna M. Muncherian Property Address: 551 Lumbert Mill Road,Centervi 11EMA Assessor's Map/Parcel: Map. 146, Parcel 098 Zoning: Residential C Zoning District Applicants: The applicant is Donna M. Muncherian,who resides at 551 Lumbert Mill Road,Centervi1161A and was granted title to the property by deed recorded in the Barnstable Land Court Registry on October 3, 1991 as recorded in document numbered 536,043 and Certificate of Title 124531. Relief Requested: The applicant has applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the"Accessory Affordable Housing Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9- 15 of the Code—Amnesty Program to permit the creation of an accessory apartment unit within a single- family owner-occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment unit in the lower level of the principle residence. Locus and Background: The property at issue is a 1.43 acre lot located at 551 Lumbert Mill Road in Centervi 11fhe lot was developed in 1985 with a single-family home. The effective living area of the main residence is 2,229 square feet. The accessory apartment will be a one-bedroom unit in the lower level of the principle residence. The square footage of the rental area will be approximately 966 square feet. The lot is served by private well and on site septic, and is located within a Groundwater Protection Overlay District. The town of Barnstable's Public Health Division reviewed the application on January - 18, 2006 and approved a total of four(4)bedrooms at the property,provided that the septic system is upgraded prior to occupancy. Procedural Summary: Donna Muncherian was issued Comprehensive Permit 2001-125 on March 8, 2002 for the creation of a one-bedroom accessory affordable apartment in the lower level of the principle dwelling. That permit was revoked on March 25, 2005, as the unit was never constructed. A new site approval letter was issued for the property by Elizabeth Dillen of the Growth Management Department on January 18, 2006, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on January 20, 2006 and January 27, 2006, and notices were sent to all abutters in accordance with MGL Chapter 40B. On February 15, 2006 Hearing Officer Gail Nightingale presided over the public hearing.The applicant, Donna Muncherian,was present at the hearing. Elizabeth Dillen,Program Coordinator of the Growth Management Department, was also present. Ms.Nightingale reviewed the file with the applicant to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on February 15, 2006 the Hearing Officer made the following findings of fact: 1. The applicant is Donna M. Muncherian, who resides at 551 Lumbert Mill Road, Centerville, MA. She is requesting a Comprehensive Permit to create a one-bedroom accessory affordable apartment in the lower level of the principle residence. The creation of an accessory affordable unit within a single- family owner-occupied residential dwelling qualifies for the "Accessory Affordable Housing Program." 2. Donna Muncherian was granted title to the property by deed recorded in the Barnstable Land Court Registry on October 3, 1991 as recorded in document numbered 536,043 and Certificate of Title 124531. .3. The proposed accessory affordable unit will be approximately 966 square feet, and will be located in the lower level of the principle dwelling. 4. The house is served by private well and on-site septic, and is in an identified Groundwater Protection Overlay District. Thomas McKean, Health Director of the Town of Barnstable,reviewed the application on January 18, 2006 and approved a total of four(4)bedrooms at the property, provided that the on-site septic system is upgraded prior to occupancy. 5. On January 18, 2006 a site approval letter was issued for the property by Elizabeth Dillen of the Growth Management Department, in accordance with MGL Chapter 40B and 760 CMR.Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of CMR 760,,and no issues were communicated from the Department on this particular application. 5. The applicant is aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 7. On December 9, 2005 the applicant signed an Accessory Affordable Housing Program Agreement Affidavit that commits,upon the receipt of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as a year-round residence. 8.The applicant understands that the affordable unit will be rented to a person or family whose income is 80% or less of the Area Median Income(AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and further agree that rent(including utilities) shall not exceed 30% of the monthly household income of a household earning 80%of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 2 9. According to the Massachusetts Department of Housing and Community Development, as of February 15, 2006, 6.8%of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. Finding Summary: Based upon the findings, the Hearing Officer ruled that the applicant has standing to apply for an affordable housing Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is also deemed consistent with local'needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the.Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings, a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B to the applicant, Donna M. Muncherian. It is issued to allow for the creation-of a one- bedroom affordable housing unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two people. 2. The on-site septic system must be upgraded prior to occupancy of the accessory apartment. 3. The property owner shall occupy the principal dwelling as her primary residence. 4. This unit shall not be occupied by a family member of the owner(s). 5. All parking for the accessory apartment and the main dwelling shall be on-site. 6. To meet the requirements of affordability,the cost of housing (including utilities) shall not exceed 30% of 80% of the median income for a single individual for the Banstable-Yannouth MSA. In the event that utilities are separately metered, the utility allowance established by the town.of Barnstable shall be deducted from rent level so calculated. 7. All leases shall have a minimum tern of one year. 8. . The Growth Management Department shall serve as the monitoring agent for the accessory apartment. The Department may, at its discretion, conduct an annual inspection of the property. The applicant also agrees.that the Town may enter and inspect the property with appropriate notice to ensure compliance. 9. The applicant must apply for a building permit for the accessory unit, whether the unit-is new or pre-existing. Before securing an occupancy permit and certificate of compliance, the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 3 10. The applicant may select her own tenant,provided the tenant meets the requirements of the program as cited above and provided that person's income is reviewed and approved by the.Growth . Management Department of the town of Barnstable as a qualified individual. The applicant will be required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual or family. Whenever a vacancy occurs, notice must be given to the Growth Management.Department and the unit must be listed with the Town. 12. Every twelve months the applicant shall review the income eligibility of the individual occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the Growth Management Department of the town of Barnstable an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicant shall provide the town any additional information if deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 13. This Comprehensive Pen-nit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred, the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 14. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. 4 Ordered: Comprehensive Permit 2006-021 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen(14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision, if any, shall be made to the Barnstable..Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Chapter 214, section 11 of the Town of Barnstable Administrative Code, the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on February 15,2006. Fourteen (14) days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. ail Nightina e,Hearin Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this�� day of :;' 4, 6 0 under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk a 5 Doc: 1 P U45 F'972 10-06-2006 9= 12 BARNSTABLE LAND COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS R�GULATO Y.AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this�day of (� 1,t%�� ,2006,by and between Donna M. Muncherian, of 551 Lumbert Mill Road, Centerville,MA,02632 and its successors and assigns (hereinafter the "Owner"), and the TOWN OF BARNSTABLE (the "Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated.Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: A. . The terms of this Agreement and Covenant regulate the property located at 551 Lumbert Mill Road, Centerville,MA,02632 as further described in deed recorded herewith as Barnstable Land Court Registry Document 536,043 and Certificate of Title 124531. B. The Project,located at 551 Lumbert Mill Road, Centerville,MA,02632,will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance.with the terms of comprehensive permit Appeal No.2006-021 and anyplans submitted therewith,and all applicable state,federal and municipal Iws and regulations.Said permit is recorded herewith as Barnstable Land Court Registry Document o Certificate of Title 124531. D. The Owner agrees to occupy the principal dwelling unit located on the property as their principle residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A- THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable-Yarmouth MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable- Yarmouth MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or, as applicable,has f S t not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body, and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending, or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted (and as now contemplated by this Agreement) or would materially. adversely affect its financial condition. B. COMPLIANCE 1. The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI)of Barnstable-Yarmouth Metropolitan Statistical Area (MSA),and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable-Yarmouth MSA- In the event that utilities are separately metered, a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the . Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units."Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The-Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. IV. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable-Yarmouth MSA.In the event that utilities are separately metered, a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. V. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of " registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court (collectively hereinafter the "Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the 2 Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. VI GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VIII. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,onto such other place as a party may from time to time designate by written notice. IX. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. X. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments-or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be,and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL_Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry Document 536,043 and Certificate of Title 124531 and shall be binding upon the Owner and all successors in title.This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement.. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable Land Court Registry Document 536,043 and Certificate of Title 124531. XI. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 XII. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares, and covenants on behalf of itself and its successors and assigns.(i, that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merely personal covenants of.the Owner,and (iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XIII. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to.the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XIV. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this day of 6A 32006. OWNER: BY: onna M. Muncherian COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss tk On this day of 2006 before me,the undersigned notary public,personally appeared . UOhVI-0- I r ULA e.Owner(s),proved tome through satisfactory evidence of identification,which were l-v OAA V, ,to be the person(s) whose name(s) is signed on the preceding or attached ocument and acknowledged to be that he/she signed it voluntarily for the stated purposes., MADELINE P.TAYLOR Notary Public Notary Public Printed: M Commission Commonwealth of Massachusetts y p vii commission Expires December 4,2009 r.��3 TOWN OF BARNSTABLE BY: TO MANAGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this 1�ay of aqf,- 2006 before me,the undersigned notary public,personally appeared KL1Mwj e Town Manager for the Townof Barnstable,proved to me through satisfactory evidence of identification,which were pe0'uma.)&f(nnu�il ,to be the person whose name is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. ------------ Notary Public Printed: NINDA / I° 0)'q6E4b6 My Commission Expires Z' UNDA R WHEEU)EN - ROTARY Pmuc C0IMION WALTH OF YASSACH MM My Coam EOW02 U07 5 . 3 Town of Barnstable BAH Regulatory Services AjEDMA�� Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 30, 2003 Donna Muncherian • 511 L umbert Mill Road Centerville,MA 02632 Re: �511,Lumbert Mill Road, Centerville Dear Ms. Muncherian: We have been notified by Paulette Theresa McAuliffe at the accessory affordable housing program that your Amnesty Comprehensive Permit has expired. Therefore, you are hereby ordered to discontinue the use of the above-referenced property as it is now being used and restore it to a single-family home. You are to accomplish this work and notify this office to inspect within fourteen (14) days of receipt of this letter. A building permit must be applied for to restore the layout to accommodate the conversion. You must do this before you make any changes. If you have any further questions,please call Lois Barry, Division Assistant, at 508 862-4039. Sincerely, Thomas Perry - Building Commissioner TP/lb J x cc: P. McAuliffe CERTIFIED MAIL:7002 0510 0003 5436 1894 Q030730c Dos 9, 053 Q'4 Cf BE TABLE '"AND CO APT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 2-b day of M c,n e h ,2002,by and beta=Donna Muncherian,-of551-Lumbert=Mill Road, Centerville MA 02632,and imsuccessors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit";and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other J good and valuable consideration,the receipt and sufficiency of which-is.hereby acknowledged,the parties agree as follows: I I. PROJECT SCOPE AND DESIGN: A. The terms of this Agreement and Covenant regulate the property located at 551 Lumbert Mill Road, Centerville,MA,as further described in Exhibit"A"hereto annexed. B. The Project located at 551 Lumbert NO Road,Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or.family(the"Designated Affordable Unit" or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of the comprehensive permit, Appeal No. 2001-125 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations (A copy of the comprehensive permit is annexed hereto as Exhibit"B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A- THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons of low income (herein defined as 80% or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuityto a household with a maximum income of 80% of Area Median Income or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and that rent(including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established by the Barnstable Housing Authority shall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be retained as permanent,year round rental dwelling units with at least one-year leases. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, ~ �I EXHIBIT' Town of Barnstable Zoning Board of Appeals '. Comprehensive Penn it Decision and Notice Appeal 2001-1.25-Muncherian Applicant: Donna Muncherian Property Address: 551 Lumbert Mill Road,Centerville,MA Assessor's Map/Parccl: Map 146,Parcel 098 Zoning: Residential C and Groundwater Overlay Protection Districts Applicant: The applicant is Donna Muncherian with an address of 551 Lumbert Mill Road,Centerville,MA She is the entity to which this Comprehensive Permit is issued to create an accessory apartment unit within the basement of a single-family dwelling as an affordable rental unit in accordance with all conditions of this permit. Relief Requested: The applicant,Donna Muncherian has applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts,Chapter 40B-§20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III,Article LXV,Pre-existing&Unpermitted Dwellings,more commonly termed the"Accessory Affordable Housing Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 3-1.3 - (2)of the Zoning Ordinance—Accessory Uses to permit an accessory apartment unit to a single4amily owner-occupied residential dwelling.The issuance of this Comprehensive Permit would allow for an owner- occupied single-family residence with an accessory affordable apartment unit located within the existing structure. Lochs: The property at issue is a 1.43-acre lot that was developed with 3 bedrooms,1&1/2 bathrooms with 2,029 sq.ft.of living area. The applicant has owned the property since October 15, 1991 as documented and recorded at the Registry of Deeds as Certificate C124531. The applicant seeks to create a new affordable accessory apartment. The unit is to be developed in the basement area of the dwelling. It is to be a one- bedroom of 966 sq.ft. The site is served byprivate on-site well water and on-site septic disposal. Procedural Summary This appeal was filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on October 17,2001 and continued to November 28,2001 at which time Ms.Muncherian requested another continuance explaining the engineer hired to do the septic test upgrade had not yet completed the job. The hearing was continued once more to January23,2002 at which time the Comprehensive Pemut was granted with conditions. The Hearing Officer,Gail Nightingale presided over the public hearing. The applicant Donna Muncherian was present at the hearing. Also present were Paulette Theresa-McAuliffe,Accessory Affordable Housing Program Coordinator,Kevin Shea,Director,Office of Community and Economic Development and Michelle McKinstry,Barnstable Housing Authority. At the October 17,2001 hearing,issues arose concerning the on-site septic. The on-site septic is approved for a total of three bedrooms as permitted by Septic Permit No.85-396. The creation of the family apartment would constitute a fourth bedroom Some neighbors appeared in opposition of the permit and presented a petition signed by 33 people. The Barnstable Housing Authority submitted its review and support. It agreed to be the monitoring agent for the affordable unit. The hearing was continued to resolve the issue of on-site septic disposal. Findings of Fact on the Comprehensive Permit: At the hearing of January23,2002,the Hearing Officer made the following findings of fact: 1. The applicant is Donna Muncherian with an address of 551 Lumbert Mill Road,Centerville, MA. She is requesting a Comprehensive Permit to create an affordable rental apartment to be accessory to the single-family owner-occupied residential dwelling. The applicant has submitted a copy of Certificate No.C124531,documenting her ownership of the property. 2. The applicant presented pertinent paperwork regarding a perc test of the property. The applicant is also aware that on-site wastewater disposal must meet requirements of Title V. (Daniel B.Johnson, R.S.,C.S.E.of Domestic Septic Design,Inc.,804 Main Street,Suite E,Osterville,MA sent a written report). The report states,"...it appears that the proposed leaching area will be able to maintain a 150 foot offset from the on-site well and abutter wells...note that I have not yet had opportunity to complete all research on abutters well to definitely confirm their locations" Town Health Inspector,David Stanton submitted a written report regarding the perk test on this property. The report states"the property allows for a four-bedroom home as long as there is a minimum of 1.33 acres at this property." In addition,Director of Public Health,Thomas McKean presented the following written statement: a.Regarding four bedrooms—"this 1A3 acre site is limited to 471 gallons which means the applicant is entitled to four(4)bedrooms maximum, provided the septic system capacity is sufficient;"and b.Regarding the upland situation—`Both the State Environmental Code(310 OAR 15.214)and the Town Ordinance,REGULATION OF . WASTEWATER DISCHARGE,are worded in such a manner that entitles the applicant to utilize the total land area(not upland)of his/her property." One of the neighbors expressed concern regarding upkeep of the applicant's property,and concern that the applicant is employed at the Barnstable Housing Authority that monitors the program The applicant explained that the rental income from the affordable unit would allow her to pay a landscape company to care for her yard. She also said that she announced at the original hearing that she works at Barnstable Housing Authority,but that fact has nothing to do with the requirements that she would have to follow as a participant in the Amnesty Program Michelle McKinstry stated that she is in charge of enforcing the monitoring aspects of the Program once applicants are referred to the Housing Authority,and she said that during her day-to-day tasks that she and Ms.Muncherian do not interface with each other. Hearing Officer,Ms.Nightingale said that she did not believe there was any conflict of interest here or any problem with Ms.Muncherian participating in the program. 3. The applicant was issued a site approval letter dated October 15,2001 from Kevin Shea,Director, Office of Community&Economic Development,qualifying the application for the Accessory Affordable I-Iousing Program. The source of the subsidy is the federal Community Block Grant (CDBG)program. 4. The proposed accessory apartment is to be a one-bedroom unit of approximately 966 square feet and is to be developed within the basement area of the dwelling. 5. The applicant is aware that a building pernut shall be required and that the Building Division of the Town of Barnstable shall inspect the unit to assure it meets with all state building codes and fire protection requirements prior to the issuance of an occupancy permit. 2 A 6. On October 4,2001 the applicant signed an Accessory Affordable Housing(Amnest} Program Affidavit that commits,upon the receipt of a Comprehensive Permit,to the recording at the Barnstable Registry of Deeds,a Regulatory Agreement and Declaration of Restrictive Covenants. That document includes restricting the unit in perpetuity as an affordable rental unit and that the dwelling will be owner occupied and her year-round residence. The subsidizing agency has determined that the signing and recording of the regulatory agreement qualifies the applicant as a "limited dividend organization"as that term is used under M.G.L.c.4013 55 20-23. 7. The applicant understands that the affordable unit will be rented to a person or family whose income is 80%or less of the Area Median Income(AM)of Barnstable-Yarmouth Metropolitan Statistical Area(MBA)and further agrees that rent(including utilities) shall not exceed the rents established by the Department of Housing and Urban Development(HUD)for a household whose income is 80% or less of the median income of Bamstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered,the utility allowance established bythe Barnstable Housing Authority shall be deducted from HUD's rent level 8. The Barnstable Housing Authority has committed to the monitoring of this affordable rental unit. The maximum allowable rent for one person for this one-bedroom unit in today's dollar is$774.00 (including utilities). The tenant's annual income for one person cannot exceed$29,250.00 and for two people cannot exceed$33,400.00. 9. According to the Massachusetts Department of Housing and Community Development,as of October 1,2001,4.7%of the town's year-round housing stock qualified as affordable housing units. The town has not reached the statutory minimum under M.G.L.c.40B§§20-23 or its implementing regulations. Under the town of Barnstable's Local Comprehensive Plan,the use of existing housing to create affordable units and the dispersal of these units throughout the town is encouraged. 10. Based upon the findings,the project is also deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings,the Hearing Officer ruled that the applicant has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's program for Pre-existing Dwelling Units in Existing Structures,Article LXV(65)of the General Ordinances. Further,based upon the findings,a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B. The granting of this Comprehensive Permit is to the applicant Donna Muncherian. It is issued to allow for the creation of a one-bedroom basement apartment unit of 966 square feet as an accessory affordable housing unit to an owner-occupied single family dwelling subject to the following conditions: 1. The property owner shall occupy the principal dwelling unit as their year-round residence. 2. Occupancy of the affordable unit shall not exceed two people. 3. To meet the requirements of affordability,the cost of housing(including utilities)shall not exceed the Department of Housing and Urban Development's(HUD) (or any successor agency)80%rent limits as published from time to time. Eligible tenants shall have an income at or below 80%of the Area Median Income,adjusted by household size. Both the rent limits and income limits can be secured from the Barnstable Housing Authority or from the agent of the town implementing this program 3 .Y 4. All leases shall have a minimum term of one year. 5. The applicant shall create the unit in accordance with all of the Town's required codes for health and safety,and upon completion of the building,the owner shall present the unit for re-inspection by the Building Division to assure that all necessary measures are made to meet minimum state building and fire codes. The site shall comply with all applicable Tide V regulations. 6. The applicant may select his/her own tenant(s)provided the tenant(s)meet the requirements of the program as cited above and provided that person(s)income is reviewed and approved by the Barnstable Housing Authority as a qualified individual. The applicant will be required to work with the Housing Authority to provide information necessary to document that the tenant(s)qualify. The unit shall be rented on an open and fair basis. When a vacancy occurs,the unit must be listed as available with the Barnstable Housing Authority and Housing Assistance Corp. The applicant must notify the monitoring agent of a vacancy whenever it occurs. 7. Eve twelve months the applicant shall review the income eligibilityof those individuals occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit shall the applicant file with the Barnstable Housing Authority an annual affidavit listing the rent charged and income level of the occupant(s)of the unit. The applicant shall provide the Barnstable Housing Authority any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the Barnstable Housing Authority that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 8. The Accessory Affordable Unit shall be affordable(as affordable is defined herein)unless this Comprehensive Permit is rendered void. 9. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred,the Barnstable Housing Authority shall be notified within 60 days the name and address of the new owner. 1.0. This Comprehensive Perrrvt must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Transmission of the Decision of the Hearine Officer to the Barnstable Zonine Board of Appeals Otdered: Comprehensive Permit 2001-125 has been granted with conditions. Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A,Section 17,within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk The applicant has the right to a peal this decision as outlined in MGL Chapter 40B,Section 22. G Nghtingal , aring icer Date Signed I da Hutche er,Clerk f the Town of Barnsuole,Barhstable.Counry,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zonip� rl4( peals filed this decision and that no appeal of the decision has been fil the 'ce of erl¢T6vA'.c Jerk Signed and sealed this —day of tfhe pe ties of perjury .07 Linda iutchenrider,Town Clerk - BAHNS1At�tt rttul5inr Ur VEEpS BARNSTABLE LAND COURT REGISTRY DISTRICT JOHN F. MEADE, REGISTER LC425RP: LAND COURT COPY REQUEST Delivery: Pickup Dated: 4-23-2002 @ 14 : 21 : 05 Wkstn: LCX48 Req by: MAIL Local Trans #: 102901 ------------------------------------------------------------------------------ Document #: 869 , 053 Pages requested: *All # of pages printed: 11 Fee: 8 . 25 ------------------------------------------------------------------------------ Customer will pick up ------------------------------------------------------------------------------ f g f,,: .�i t C • TOWN OF BARNSTABLE .!,,Permit No. 8Gfi8_______________ .UUNM _ Buil" Inspector - Cash OMIL e7a - - OCCUPANCY PERMIT„ Bond Issued to , Alfred & Donna Munch Tian Address Lot 52, 551 Lumbert Mill Poad, Centerville, Wiring Inspector ley" in date ref�f` Plumbing Inspector' � 1) Inspection date1 Gas Inspector � i Inspection date Engineering Department`k"-,7" ' Inspection date Board of Health ¢ � f � Inspection datea--�� THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 11/9.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT t »a°T TOWN OFFICE BUILDING rua erg' i639' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit -� J-lG a�1^f�, v'# �0,achlor iAir� �fi Z . issuedto ................e.........�.... .. ................................................_...........................:...........................................,, ........ ......... .... ....... ._. L Please release the performance bond. ;F • Assessor's map and lot number ................................... .... ... - FTHEt b �o Sewage Permit number ...... .. .... .?. ,.................... ISYSTEM MUST INSTALLED IN COMPUA House number. ............. .Jc.:s.. NAM /....... ............. y . WITH TITLE 5 90o 1639.AENT TOWN ;OF BARNS � � AM—i -, &i TI NtS BUILDING. . INSPECTOR o�� NO Wco� v�NV1N APPLICATION FOR PERMIT TO .........V .5.�?.........I1Z..-6��t3 119�.�........................o.......�...Nl)........... TYPE OF CONSTRUCTION ..........�.Pv.�...... Aoif�'...............................:.............................:........... ....... 193�! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according''to the following information: Location .... ............ .�1 �7�5....... ............. ...........F. ......a.4e.................... ProposedUse ....... e.................................................................................................................................. Zoning District .....:..... ............................................................Fire District .. f' !.... ............................. m 18 .T1sf11.�tie S/:/! Name of Owner .��R�4�... �fl"..J.!I!j' cl z(AN.Address 'Q.•.�l®x....1 1......./X.X..RZM A914 ...... Nameof Builder ............ .Cr—'......................................Address .................................................................................... Nameof Architect ............N i,.................................:.........Address ..................................................................................... /1 b Number of Rooms .............Foundation `..f�....... ��11�P"'. ....... ..Q/U.G.I.� � .......... ............... ..................................... Exierior ......�1.6.r..60. ..kgt>....O.N... Roofing .....QS�G QL.� ....S a!11�x.�.f . .................... T .............Interior ....... h��! Zrx t'L Floors ........ .�.r.... .... 1..�-:.�.......................: �..............1........................................................... _. Heating .r.....cl-I....!:;;�Al..............................Plumbing ........:.................................. ....................................... Fireplace ...�R?C?' .b... �Q�l ...��........................Approximate. Cost .......... � .. ` ............../........................1 ........... 0)�sonu1 / CcftwtN& Y _ Definitive Plan Approved by Planning Board ------19 Area .......� `��.................. Diagram of Lot and Building with Dimensions Fee Z ,r.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a ve construction. Name . . ......... ....... .. Construction Supervisor's License ��d 1......... NliWIERIAN, ALFRED & DONNA vY 2 No ..28068.... Permit for ............. Single Famly...D�?��,ln ........................ Location .......LOt.52.......55J.•.LVUbextJ1i 1...R0ad ...................Cmtexv.i 1p.................................... Owner ......Alf g4..6S..D.QMA.i`.?=Qhe M.... r Type .of Construction ..FrMmo............................. -, Plot .....................:...... Lot ...........:.................... Permit Granted June 21, ..............19 85 ....................... Date of Inspection ...................................719 Date'-Complete :` 19 fU � C � / - o Assessor's map and lot number ...:.......................0'... ' uF ro s Sewb a Permit number g v..................../....,.,.................... ..................................... Z BABHSTABLE. i House number .............. ......... .. / v rose 039- /TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ U.�.1.,.�........ �S l��' 1�� ................................................................... ..................... TYPE OF CONSTRUCTION .......... :�CTr'� .. �1.�'?�.f ................................................................. ................... .................. ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /?!Location ...../.,...�?.l .....�`2..z............ l j ......1'� /.�. ..... f ........ ,/Ls:t' '..................... Proposed Use t, l� I`. ��.................................. Zoning District �................................................Fire District .. �t! G'1 L Lv ....................... ....................................... Name of Owner t F�� .. X� 7�lJ.fl ..i.�11�14JC,il.r7(��.Address td, vL I„SjI�✓��/Uf�l:s. .1:�1 r ......... Nameof Builder ............j1./?:►.. .......................................Address .................................................................................... Nameof Architect ............N!.. ...........................................Address .................................................................................... r Number of Rooms ...............1..................................................Foundation ../0...... :reY............ Exterior .....:..... .� C`SC� �� >......(5.�...�!a r�r1 t. ....Roofing .... aS' C�?�.L.�......: .1.i A,)� L�4.. 5......................... . Floors ........6p. .. .... ..7 L <.`"_. Interior ...... n&C,�..1� (-.............................................. j ....� ...................................... Heating -' E {L3d.... � ` .....L�:..............................Plumbing ............................................ :............................ r ...... . . .. Fireplace ...I�t;C.r�,.v.. � f� ........................Appr oximate Cost ................................f.........�....-�..... �;............ vy Definitive Plan Approved by Planning Board ------ Area ................. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO ;APPROVAL OF BOARD OF HEALTH 1 f t )0 Z=, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '• * _ R I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................... /.,/. ;•�...... ''................ Construction Supervisor's License. .................................... MUNCHERIAN, ALFRED & DONNA A=146-098 28068 One Story No ...11............ Permit for .................................... Single Family Dwelling. ............................................................................... Location .... ......551 Lumbert Mill Road ....................................... ...................Centerville................................... Owner ....A Alfred & Donna. muncherian .......................................................... Frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......J.une...2.1..................19 85 Date of Inspection ....................................19 t Date Completed ......................................19 i i S'/ I N P�'A Of M-0..... F�G?Y,; y�E ss !1 ` ✓� � WAR U 710 y ►STE��` p y SURV�