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0393 MAIN STREET (CENT.)
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Poll Z r1f, A.,Tt; NO e I I 71P gy Y111, A ROVO4 Oy 11� 'Yq ,�,!W y Xl�lbff 1—r 14T I ell h TS 0)v V5,91W X�0 4 -00 1.1-- 47, ,j'r 5 VA Osumi Ila to'howd V ly ry N" r7 !1"IT v/ ly�fq! 1714 v-N I , W. I;V. If t/ 11010 1*1M 10" Xj Y11" 4P!4- Town of BarnstableBuilding �n'ed on Job_and this Card.Must I wa� rn�rrr ) Post This Card So That it-is Visible From the Street-Approved Plans Must be Reta'' be Kept b therea-Certificate sted Until Final Inspection Has,Been Made.. ��m�¢ 039. �� ill 1 of Occupancy is Required,such Building shall Not be Occupied until a Final.lnspection has been made Permit NO. B-19-1324 Applicant Name: MULLEN BUILDING & REMODELING LLC �. Approvals Date Issued: 04/24/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date:- 10/24/2019 Foundation: Location: 393 MAIN STREET.(CENT.),CENTERVILLE Map/Lot: 208 121 Zoning District: SPLIT Sheathing: Owner on Record: ELLIS,SUSAN W + Contractor Name:`"-,MULLEN BUILDING & Framing: 1 REMODELING LLC Address: 393 MAIN ST �' 2 CENTERVILLE, MA 02632 Contractor License 175317 "�•. Chimney: Est. Project Cost: $ 10,000.00 Description: Repair/replace damaged floor joists and historical posts. Strip Back a Insulation: roofing and repair rafters as needed.Three new footings Permit Fee: $ 101.00 Fee Paid: j q; '`ect Review Re REPAIR AND REPLACE. $ 101.00 Final: Dater 4/24/2019 Plumbing/Gas " - Rough Plumbing: Building Official Final Plumbing: This permit shall.be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. 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. 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 road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: .* Rough: - 1.Foundation or Footing -- 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 Low 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 ------ ------ --- O Application Number............................................................. 659. Permit Fee............................ p ...........Other Fee........................ s6;¢ A�e� A CPr Fo� �I R Total Fee Paid TOWNZ 22419 ............................................................... ..:... OF TOWN OF BAItNSTA "1"UsT,gs4 Permit Approval by.... .....I..................On... MIP..9 ........ . .... BUILDING PERT E ..Map. Parcel............................................. APPLICATION t ~V-t, saw Section I — Owner's Information and Project Location - Project Address 97.2 VMA1nj — Village Owners Name �50J Owners Legal Address — City LLE State /144 Zip 0 1,&.3 ` L-- Owners Cell# 7754- q y E-mail 5V& A) k. Section 2 -Use of Structure 1 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 ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use El Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild {Deck as:�f A-'97-- Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description A-7 Vt v, 7Z;V57-5 HI�-M (Ort.- AJ&-..,� r { r Application Number.................................................... Section 5—Detail Cost of Proposed Construction 00 Square Footage of Project Age of Structure 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 ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating 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 Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No T a.+—R.t-1- 11/1 i/101 2 i w SL 1 OF c�= A �a .. R> FF. , TO PEX-73T i Y �..- .. ,... VS�^'G\ -j A'q7S0AJ r 1�LC : I oj� V -M k- c- �aa� � a Application number................................................ Fee ................................•--........................................... ram ' Building Inspectors Initials....................................... 'O�Y�oMp'l� Date Issued..................... } Map/Parcel....................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: Phone Number Email Address: Cell Phone Number Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR /, /, ` tg- _ Owner Signature: fit Date: TYPE OF WORK 0 Siding 0 Windows (no header change) # ED Insulation/Weatherization Q Doors (no header change)# Commercial Doors require an inspector's review ED Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. A0O® 712/3/2018 (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley Paiva NAME: Y Eastern Insurance Group LLC a NN (800)333-7234 a No: 233 west Central St E-MAIL ADDRESS: p a aiva@easterninsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Natick MA 01760 INSURER AArbella Protection Ins. Co. 41360 INSURED INSURER B Associated Employers Insurance Mullen Building & Remodeling LLC INSURERC: PO BOX 1274 INSURER D INSURER E: Marstons Mills MA 02648 INSURER F: COVERAGES CERTIFICATE NUMBER.2018-19 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 SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ 9520043214 9/8/2018 9/8/2019 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 M'OTHER: L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE QLOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidenlL $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 1020024224 11/12/2018 11/12/2019 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per a.Zt $ PIP-Basic $ 8,000 UMBRELLALWB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B' OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) WCC50050133082018A 4/30/2018 4/30/2019 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE R to Keyo, Kevin/APAI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r2menn gQk The Commonwealth of Massachusetis Department of IndushialAccidents Office of Invesfigadons 600 Washington Street Boston,MA 02111 wwM.mass govMa Workers' Compensation Insurance Affidavit: Bulders/Contractors/Electricians/Pinmbers Applicant Information Please Print Legibly Name(Business/Organization/individual): MV1Af N � Address: �^�� City/State/Zip:M -6-STVAP` ~V-5 ,NYC Phone#:Are yop an employer?Check thg appropriate box: Type of project(required): 1.BI am a employer with �f 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. []New constriction 2.❑ I am a sole proprietor or partner- listedon the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y aP t3'• 9. El Building addition [No workers' comp.insurance comp•insurance.: required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance ]t c. 152,§1(4),and we have no employees.[No workers' .. 13.❑Other comp.insurance require]' *Any applicant that checks box#1 must also fiA out the section below showing their workers'=4=sation policy h6nuetion. t Homeowners who submit this affidavit indicating they are doing all work and then hire oxide contractors mast 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. r lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: �// Job Site Address: X5 44ML� �7� City/State/Zip: Ll U?�-o�r-Z Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the pains and penalties of perjury that the information provided above is true and correct. Si Date: Phone#• Qfk1al use only. Do not write in this area,to be completed by city or town of trial City or Town: Permit(License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. CigfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 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 join#enterprise,and inchrding 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 constrict 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 cant'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 lime. 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 permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: " The Ccimmanweelth of Massachusetts Department of Industrial Accidents Office of fnvestigatious 600 Washington Street _ Bo"MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 wwwmaw.gov/dia Application Number........................................... Section 9- Construction Supervisor Name kj„ A&u j .nJ Telephone Number q,,Cl Address?0 ?0Q. 1 L Itf City A4W-5T A)5 A4 9ttaate A44'" Zip !' License Number 0"q'G License Type Expiration Date Contractors Email� � '_, 1?�U�!!ti_;C(�'1 Cell# 737--3-1-" 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.Attach a copy of your license. r Signature Date s Section 10-Home Improvement Contractor E Name �) a!l,%( Atj, .Drelephone Number !dA--75Z— .Q'1 Addressp—D ► City /y05qZ'V5 Mlc e S State Pam"Zip Registration Number* 9 7 Expiration Date 6 jZ f I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 i 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.Attach a copy of your H.LC... �>Signature Date y L�L-1'4(01 Section 11 —Home Owners License Exemption Horne Owners Name: Telephone Number `Work Number I understand my responsibilities yu7ne e d gulations for Licensed Construction Supervisor in accordance with 780 CMR.the Massachusetts State BCode. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signuture Date !&0/I Print Name pU(n Telephone Number 5 0E-7 7 473'lAn r E-mail permit �eymOL �3vtcpw�l eC� mit to: Section 12—Department Sign-Offs Health De ent . ❑ Zoning Board(if required) ❑ Histori District ❑ Site Plan Review(if required) ❑ Fire Department ❑ r Conservation " ❑ For commercial work,please take your plans directly to the fire department for approval • • j Section 13 — Owner's Authorization I, a46c0e4gJ , as Owner of the subject property hereby authorize -to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date a Print Name f f t AW, 7 I " t, CC01-e tpanzncar�cuea`f�i e�Vv!aylac�c�el i .'' Office of Consumer Affairs&Business Regulation !i HOME IMPROVEMENT CONTRACTOR 'S TYPE:LLC �I Registration Expiration 05/02/20.19 MULLEN BUILDINCs-�BERQDE'LING,LLC. JIMnil I: DOUGLAS MULLEN 67 HICKORY HILL 2655-' - OSTERVILLE,MA 0 3 • - Undersecretary , - Commonwealth of Massachusetts 1 1 i Division of Professional Lic ensure Board of Building Regulations and Standards �4,._ Construe,ibn-Supervisor J CS-081995 E�pires: 01123/2020 DOUGLAS W MULLEN,-yt ._ 87 HICKORY HILL CIR _) OSTERVILLE MAJ2655 l"rrI.SS'440� Commissioner__ :i Registration valid for individual use only e ?, before the expiration date tlf found ceturnao i Office of Consumer Affairs and Business-Regulation 10 Park Plaza-Suite 5170l it Boston,MA 02116 Not lid without signature Construction Supervisor 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 of the Massachusetts State Building Code is cause for revocation of this license. _ For information about this license Call(617)727-3200 or visit www.mass.gov/dpl j 's TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z08 Parcel /Z/ Application #� o Health Division Date Issued (® a 15 Conservation Division Application Fee Planning Dept. Permit Fee � - Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 39.E /�aia Village I—en;Ill Owner 6 UJ�ii� f���I Address .3q3 Az;_;1 ( -A levil- le, Telephone '508- 775- S 9¢ Permit Request relzaorZ 2_&Z Awr kAnn zw va C47V Vo Chm Square feet: 1 st floor: existing proposwc� 2nd floor: existin proposed Total new Zoning District RC-Z1Rc,1,R01FIood Plain 7o Groundwater Overlay Project Valuation 44aOXO Construction Type Lot Size •S8,4c Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure C/8.50 Historic House: $Yes ❑ No On Old King's Highway: ❑Yes No Basement Type: >(Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Z new Z Half: existing MIX new &I Number of Bedrooms: 3 existing 3 new Totd Room Count (not including baths): existing new 8 First Floor Room Count Heat Type and Fuel: 'AGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing Z New 2 Existing wood/coal stove: ❑Yes,(No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:\Ifexisting _❑ new size_ ., Attached garage: ❑ existing ❑ new .size _Shed: ❑ existing ❑ new size _ Other Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes XNo If yes, site plan review# Fj Current Use Proposed Use ----�Czne, , _.APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ,�rfr_�1/ r��jr lc Telephone Number .508-,�67-7/4/ Address 9374 o�✓/� >� License # 414 Or�Py/fie Home Improvement Contractor# /g8798 Email corn Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BETAKEN TO 7P�oyc Ui�C�� �e/ SIGNATURE �AE G�9�S FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Lr . ADDRESS VILLAGE OWNER T T ` DATE OF INSPECTION: t FOUNDATION 3e FRAME INSULATION-(® 3 lS FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL k GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ,, ', . ' Deparfinerrtaf�alAcc�enLr . Off=oflavestTgations ` 600 WYashbV=Street '.. Bostn4 MA 02M Workers' Compensation Lmr6rance Aff davit:Bmlders/Cont=br&MectddandPhm hers Aloplic ant Information Please Prmf Leajy Name tiR-�TI�� ►�' 1`t�c./f•'►�•�l�S � �� � • • C.Ryrsbkjzip: fir-, _ /"/ . E�A64 s Phone#: `C F Are you an employrr7'Chwk&a appropriateba� ' Type afprof e�(req®red): I.❑ I am 8 mmploper w1fa 4. []I am a ge�al caotrm or and I. . eoiplopees(fiiII and/or pit have hazel ffie 6. ❑ New km 2.[� I am a sole progdctar partner- listed an the aftcbed sheet 7. Remodr0mg ship mmd have no employees , These snb-- s havc8. []DenoIitiaoi wm3dng forme in any capacity. �° 9. ❑ 0ildmg addition [No worlds'COS.meimmrr. Comp.bsuranrr t 5. We are Q corpoxafinn and ifs 'I0.❑Ele-tr=Ircpans or additions 3.❑I an ahnmeoWner doing an wmk offic ms have cmrciscd their IL❑pbrobmgimpairs or addidions myself:[No wokrs'CMEP, . iaght of==Tdon per MCA, ❑ f r�sis incrnsmrr.nqp ,]t 0.,,152,,�,§§1(4).and we hate no [No wa:i=' 13.❑Of= c;Mmp.msmmcx regahrd_] .*Any qpficantfixt&c mbmc#1mastalsoMottthec cS=boluwsbowiEgibeb•woxdmss'mmpmwfion poly iafnm�nn. tHnmeasmcawlwsal�rt�ise�dev m�i�' gtheysnaoma.uwo�endtfimbaeeomdeI I oa=,A=b=ftL= xf-uaavitin(HlcfmgsuaL kkmtmlr itcbecktbis box must en eaamenal sba#sbopemgibe name aftbe sab eat,md sly wbet5ct urnottbose�itirs baps —play-&Iftbo sub-mnfmctoa brn empty—.g-y=.t1w& wd='gyp-PAY=..bcr. I am arc earployer that is prot�dircg Ivorkers'corrperrsatiatc z�rszavhre for my r�xplaJ'er.� Belmv it the paJuy and job site . u:farmatian, _ Insurance Company Name: Policy#or Self-ins.Lic.#`: Fxpaati�Da� Job Site Address: MYMBWZ . Aff zh a copy of the Workers'a mpeamfion porky declamam page(showing the policy number and eXph-Ation daft). F me,to secmz cavmav as rcquazdmder Swdun.25A ofM M c.I52 cam Imato the iumposition of mimiaalpenalfirs of a find 13P to$1,500.00 and/or ane-year impr saM1cot as WCH as civil penalties in the foam oft STOP WORK ORDER and a f= of UP to$250.00 a day as mst the violabor. Be advised that a copy of this shitmentmay be Rmwm&d to the Office of Invtsd9a&m of fhe DIA f or insmmce coycoigelcafitafton- I do hereby cafify under the paves and p o above it&UE and tarred SiMMtom. Phone�: 568- 428- RB2� . . ` 1J�...uSG.011Ly. DO J1atNrlite lJ1 thTS area,to he Ca7l�kfed by d&or tmm o�L . Chy or Town: Pe License# - - Issomg Authority(circle one): L Board of Health 2.BmldmgDepartmerrt 3.CifyfTm m CIerk 4.RlecfricaIInsp=for S.PlumbingInspector 6;Othcr CanfactPerson: Phoneme . Laform.ation and Instructions Mas ar3mse ft General Laws chapter I52 reggkcs all employers to prurlde wadc='campmszhm for ffiw e3ployees. Pm mm to this stag an m ployee is defined as'..every persor<m$e s=vice of another under ray canfr7act ofhirey eaprcss or implied,oral arwrktc n. An.aVkTer is deemed as`an individual,pameahip,assocorfiam,corporation or of m legal entity,or any two or mole of&,o foregoing aagagcd m a johrt and mclndmgte legal represcautives of a deceased empICM or the receiver or trustee of an mcIlvidnal,part=sbip,associiA m or of=Iegal mdiI7,employing mnployem However the owner of a dwelhing haose hmvingnot more than fb=apartments and who rre ssides i main,err the occopaat of the- dweilmg house of another who employs pemous to do m constrar ion or repak work on such dmIlmg house or on rite grounds or bull ft appurtenant ffiervto shzaIlnot because of such employment be deemed to be an employer." MCL chapter 152,§25C(6)also sues that'every state or local licensing agency shall withhold Ihe Issuance or renewal of a license or permit to operate a business or to construct buildings ion the commonwealth for any applicantwho has not produced acceptable evidence of cdmpr=ce with the insuran ce.coverage required." Additionally,MGM chapter 152,§25C( )stains Neither the covnwean nor auy of its political subdivisions shall eater info any coahact for theperf m mane ofpubfio wozieunztcl acceptable evidence of compliguw*th the insurance, regtzireanea f of this chapter have Been presented to the contracting sufhozity--" AppIimrb , Please fill ont the wmk='c=pmsaiion affidavit completely,by checldag 11m booms that apply to your sitaation and,if necessary,supply sub-contradnr(s)name(s), addrrss(es)and phone uumber(s)along With their certiacete(s)of fns=ca. Limited LiabnMty Companies(LLQ or LmiitedUabffity Partnerships(LLP)with no employees oilier than the members or pminers,inn not required to easy wadcar 'compensation insurance- If an LLC or LLP does have employees,apolicy is requhed- Be adYisedthatthis attidaykmaybe submitted to the Depprtment of Indusbial Acc ideofs for cow offnsurance coverages "a be sure to sign and datethe affidavit The affidavit should be retuned to the city or town that the applicaflon fur the permit or license is being requestzd,not the Department of Industrial Ar ' ectL Shouuldyou have any gnestioms regarding the law or ifyou are required to obtain a Workers' compensation policy,please call ffic Department at the number listed below. Self-imwmmd companies should eater they self-msyrance license number on the appropriate line- , City or Town Officials f ' the aidavit is Ieb and legibly. The D arlment has provided a space at the,bottom Please be sore that cxiup F� egibly eP of the affidavit for you to fill out in the event the Office of Bv�among has to contact you mgmrding the applicant Please be sure to fill m the peamit/licm se munber which Well be used as a rc&mc:e number. In addition,an applicant flrat must sabmit multiple pe nit/Ecense appEtadons in airy given.year,need only submit ooze affidavit indicating cunt policy infvnmation(if necessary)and under"Job Site Address"the applicant should wry"all locations in (city or town)_"A copy of the affidavit that has beau of ac:ially sf�ped or msdced bythe,czhy or town may be provided to the applicant as proofthat a valid affidavit is on file for fir1 peens or licenses- A new affidavit naut be feed Dirt each year.Whma a home at or citizm is obtcmimg a Ii=w or permit not related tD any business or commercial venture (i-e, a dog license or peonit to burn leaves dc.)said person.is NOT regcmzd to complete this affidavit - The Office of hvestigstions wadd hike to thank y.ou na edvaacx fir your coaperaticm and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and;ffic nmmbec ConmxnWed&of Massachusetts - Delrarbnmt of Industrial Accidents Office dkVgatio= 6UQ� SirQei: Bosom,YA 02111 Tel.#617 727-49W Cit 4€6 4r I- 77 MASSAFE Fix9 617 727 7749 Revised 4-24-07 -Mmpvlffia. Massachusetts +Department of Public Safety 'Board of Building Regulations and Standards Construction Supervisor License: CS-012414 4� STEPHEN W BRIOO)!T PO BOX 897/500 lYL�P . S,,bT W BARNSTABLL MA6 W Expiration Commissioner 07/21/2015 x Office OConsumer°Affairs•i&.B.usmess.Regula-Uon ME IMPROVEMENT CONTRACTOR- egistration rfi148798 Type xpira,on d 5 Ltd Liabil ty Corpo _ ARTISAN-KITCHENS!Lk 32 ` ' STEPHEN.aBRITTON M, r 531-A MAIN STREET OSTERVILLE MA;02$55 Undersecretary 6 r of Town of Barnstable t Regulatory Services IUSL �►� Richard V.Scab,Director Building Division Tom Perry,Bmlding Commissioner 200 Main St=e Hyannis,MA 02601 www.town.bar stable mans Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Usine A Builder , ,as Owner of the subject property hereby authorize �/�j l f�r�r to act on+my behA in all matters relative to work authorized bythis building permit application for. &o2 C>f (Address of Job) ''-Pool.fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted d l� - ignature of Owner of App ' ' r Print Name Print Date Q:F0RMs:0WNWERMMSMIQ00Is 'town ot-Barnstame Regulatory Services �oF Richard Y.Sca%Director °* Building NvWon Tom Perry,Building Commissioner NAM 200 Main Stogy Hyannis,MA 02601 . wVOw.town barnstable maus Office: 508-862-4038 Fax 508-790-6230 HOht VMER UCENSS EXEMMON --- -- ^-pinserrint DATE: JOB LOCAnua. number shed vMage HOMEOWNER`: . name ha=phone I work phone� CURRENT MAU.NG ADDRESS: - city/tam zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OFHOMEOWNEFi Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structares accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not he considered a homeowner. Such"homeowner".shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the build ;no permit (Section 109.1.1) The undersigned`.`homeowner"assumes responsibility for compliance with the Staff Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town ofBarnstable Building Dcpariment minimum inspection procedures and requirements and that he/she will comply with said procedures andrequnmments. Signahue ofHomeowner Approval of Btulding Officisl Note: Three-family dwellings containing 35,000 cubic feet or larger will be requited to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMTTON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109_1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsrbiIities of a.supervisor (see Appendix Q,Roles&Regulations for Licensing Construction Supervisors,Section 215) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certiilcation for use in your community. QAWPFILE!MFMSW&ngpermitfioau WPRESS.doe Revised 061313 120 11/16" 21 5/B" '16 1/6" I m A 1 B a 60 5/ib" 15 5/6" =4 F A -E- I r r--- full shower r i -81 �--� a 00 seat a ry 6� a m linen a closet _ m 15 5/6" 44 3/4" -521/7' .501/4" 225/16"--�i' 71 LL De4BnM EspMaBy Fw: APPROVED BY: OpTE: �j ��77��.. DESIGN PLANS A0.8 PROVIDED FOR THE CertlfieA Member ALL DIMENSIONS AND SIZE SCALE: DATE: `�'/'LRTISAN `JIITCHENS INC. Ellis Residence2ndFLbath FA[RUBBBTTNFCLIFNTOR HIS WOFTXT. m1c ,- DES[GTOVESGCATIONIVEN w-� PLANS RBNAIN TXF PROPFRTr OF THIS SUB]ER TO VERIFICATION ON H 393 Main Street FIRM AND CAN NOT BE USED OR MUSED JOB SITE AND ADJUSTMENT 937A Main Street Osterville,MA 02655 508-428-8828 Centerville MA 02632 INITHOUT PERMISSION. TO FIT SITE CONDITIONS. L 1 NOT TO SCALE Town of Barnstable °^ Regulatory Services r a BAM ft E Thomas F. Geiler, Director 9�A 16g9. A1� rFo M Building Division Thomas Perry, CBO Building Commissioner 200 Main Street;- Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 January 14, 2013 John R. Ellis 393 Main Street Centerville, MA 02632 Re: Street Address Mr. Ellis: Thank you for your recent Family Apartment Affidavit for 2013. However, the address on your Family Apartment Affidavit does not match your street or mailing address. Please contact Frank Schlegel of the Engineering Division at 508-790-6400 x4942, to correct. Please contact me if you have any questions at 508-862-4039 Sincerely, Brenda Coyle Division Assistant Enclosure i - - � - P .._ .- r -4: !3'.i '..SU'.W. ..eV. --S vy ^J Y' t ... . ..:�� _. .:P:'. +- nY . @...R'1 1.. C.•k.._. . : T� ...RbM. 3...: .,�t,....N. nF�..- r� • .,•k,:w. ,�c..„... ,�.,.Y•C•x? '...h.:.3 oe.E�., :Y.�'1S�.er�';'s7> ,.57 i:.{',.%� .t... .4� _L�. ,k.4:s.t a e x,n :•,m.77..+ L._ :/', .U. t.4 x h iss I mtranet` ro data ooku a ti P fit:'� � + Live Search� ttp l� q /R P R R ,i': ,«- �.._. 'T._�':Z::.x"-'.• = nxt' $?L4�.x'Filia' ;,�ssF<.... .�'T,p�'¢?�j-�.F3} r.1%„.-5;.�az.�'t.r*S-�i.. [t?xv _"+J'.<. �:+JV..o.R•7F�8':�?:''i?r�'•4(i@-:"'e••,4i..!•'�„C'4fFis!K•f.MK .,.H:'L^a'S.."f:.dr5. ie ST1^;4-"is`�'OSFa!"^x I'�+"'i:::R G•`". 7. ?f'4Yi�.�^,... _as-„ -p.. �. ., _. e „. r .. - c,^-x^.. -. .=Y ,x ....! ,e :, x ••;Vic..x3 .,x;., ,a'.ix. �.,4� �� -'x..... 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'. • � �t :: .. n=a„ .: �',. r. - ,., .,Y+i »,�.7. �"e�'_=rk:..x- r;s'Y� a g�. � I x 3 �. 9., �.,2> tea,. ,,. � _ r•. .. .. �i Z(/!/.I i�?.� �/[.+/ tc.'4rro c(i$ar` ,�u. ✓ 3 li Log g-d In As: Monday, 3anuary �VA. BarrowsIDebi Parcel Lookup (kRoad Looku Cando Lookup Multiple Address Looky Repo ii I Street I I_ W f; I, MAIN = Centerville Is<Prev .Next Page 5 of 10 RouvslPage_ 1 0ry»�� ' ix I? Parcel Location !Owner !Village i Index i Map � E 208-118 339 MAIN STREET (CENT_) CHAPRUT, RIFAT& MARTHA CE.N 0950 208'118 ,i _ I 208-119-001 351 MAIN STREET(CENT.) QUINN, KAREN.E & PISANO, MATTHEW T CEPJ 0950 208119001 208-119-002 359 MAIN STREET (CENT.) DAIGLE, GRACE M & PETER M CEN 0950 208119002 E j 208-120 377 MAIN STREET(CENT-) REED, STUART MALCOLM &JOAN A CEN 0950 208120 �' 1 ff �Ii 1208-121 393 MAIN STREET(CENT.) ELLIS, SUSAN W CEN 0950 208121 `` a �,..4,. .. •i,.wfxr,^^} - G -,-.. ' ,." ..t'dw.. '. �,,.- .�a• ,'�• .�°� s:si"' �"� . c3 Via,,#, .r °.h ? ati ' 'I 37 Ems, �a ��«ram,,. \Vp{'�- j .a a a_ 'Y L:�. +'.}�'6. 3ii.-. l.:_ i��_ r�*.s � ', 3' ,L t'� k M..6's.7.+:. e 13 �{.•..�iuj.TN1'f:�!. ,a .(:v e ,F v. �tGC. ...: ..svi:"me.e..cu..�....ewvii.••w+..� -.-s.aw.+�.n...maiiei.+sur.uvvrunnur .r�vw.ns.�ca-:�cv.s._-_...=:e .....v�..+.s� —'�:- '--• -_•-•J- •--... ... -Y"".z..mrs.�...,5`!j'L..�'7* n;xaxx C .:: FF'c , ..Li. .-• .? ..Y.: R -+•: - 'fit �H?' � �F aL (,� �.r ,����� -t:p +.,rr.,.. ..�::�.. _...v^�,[;k:at'a.... i 3f+i1' �` .f.�....._... + y.s....'-��Y".3..�.�a_ Ms _Y�i� SAM w t �• ' t''.3t�,S-�'� w;.�''`tq "�.'• its i s���'`�.�• y�art' r �� � i w RTOWNOF';BARNSTABLE mENOT.I C E � , to ulve it F'NIJSPECTIONOYOUR S i ` FROPERTYREQUIRES NOTICE -'rw '�tY3':h ' # 'THAT1"HE�NUMBERSSIGNED r w �A . � T® YOUR'BUILDING VMS ; k . fill � k °�FORTHE,STREET VA lit 1. 3 k; MUST B00.69TED IN ACCORDANCE.iWITH THE TOWN ' 4-1 ° CORD NANCEtAF2TICLE V I �E xN,UMBERINGof BUILDINGS" » y� x I O— WV QUESTIONSxREGARDING THIS NOTICE SSHOULD BE DIRECTED r . max TO HEENGINEERING DIVISION - T (508)468-290- MONDAY 'FRIDAY X ygy } � hi . 4 a 8 00 AM too�00 PM. 1hzg� 5�y %tr7L' t;�� �� yv;�r�+�� vTr�2��r�tiyv t6¢'�6�,: • .ae'rl Town Of Barnstable Building Department - 200 M1 in Streety BARNSTABIE, * Hyannis, MA 02601 9� b ,��' (508) 862-4038 �Fo Ma's°i 'Certificate of Occupancy Application Number: 200903446 CO Number: 20080399 Parcel ID:. 208121 CO Issue Date: 08/10/09 Location: 393 MAIN STREET (CENT.) m Zoning Classification: SPLIT ZONING Proposed Use: MULTIPLE HOUSES ONE PARCEL Village: CENTERVILLE . Gen Contractor: PROPERTY OWNER Permit Type:, RC00 w CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO SUSAN ELLIS FOR KRISTEN ELLIS, DAUGHTER c .� T Building Department Signature Date Signed TOWN OF BARNSTABLEBuilding�"ET° Application Ref: 200903446 BARNSTABLE, Issue Date: 08/04/09 Permit y MASS. 1639• ��� Applicant: ELLIS, SUSAN W Permit Number: B 20091395 'OrFp MA'I A Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration Date: 02/01/10 Location 393 MAIN STREET (CENT.) Zoning District SPLTPermit Type: FAMILY APT W/NO CONST Map Parcel 208121 Permit Fee$ 25.00 Contractor PROPERTY OWNER `Village CENTERVILLE App Fee$ License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND KRISTEN W. ELLIS DAUGHTER OF OWNER WILL RESIDE IN THE THIS CARD MUST BE KEPT POSTED UNTIL FINAL APARTMENT INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ELLIS, SUSAN W BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 393 MAIN ST INSPECTION HAS BEE MADE. CENTERVILLE, MA 02632 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY'OR�SIDEWALK OR ANY'PART THEREOF,EITHER TEMPORARILY"O ERMANENTLY. ENCROACIIEMENTS ON PUBLIC'PROPERTY,NOT SPECIFICALLY"PERMITTED UNDER THE BUILDING CODE,MUST BE,APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OFPUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. :THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE'THE"APPLICANT FROM:THE CONDITIONS OF ANY"APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). �1 0`9 E�� ;-- "r a-� ® 'D.(�.- 6^c rs ar- BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 (0q 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health PERMIT PAYMENT RECEIPT TOWN OF!-BRRNSIABIE BUTLOIN,G DEPARTMENT 200 -MAIN STREET 1 +r HYANNIS, MA 02601 F DATE: 07/24/09 TIME: 6-- -- TOTALS---------- --- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 { t APPLICATION NUMBER: 2.00903446 PAYMENT METH: CHECK PAYMENT REF: 4660/4662 1 e f { TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel --2, ./ 'Application Health Division Date Issued g y1 dt Conservation Division Application Fee : ,Tax Collector Permit Fee , Treasurer , Planning Dept. t. Date Definitive Plan Approved by Planning Board ; Historic-OKH Preservation/Hyannis Project Street Address 4 193 Village 4:2ftj. -- T'>�V% L X 11 Owner .�4t W a. . + "WS+gI-4 Val. E Lt.-V5 Address Mm 4-1 -.'> Telephone (506) --7"l C7- - 53M4- 4:!l0d_4?M*t,41L Lr= , "A•t 0 Permit Request PAAA 1 L.>l A p Ar10.. M E L_rr IW o cc�t•.t ��o rJ tl t.STE4—+ W . t..�.is o� R. D y�t-4 � �r i L.c, L>. ►.Q� �, iVl A,L 1 'TML=T. Car_oTM-Ox t L X= AA A.,Square feet:feet: 1 st floor:existing 324- proposed �� 14o� 2nd floor:existing L� proposed Total new 1 " er Zoning District Q-�: Flood Plain �+C -G Groundwater Overlay Ar-P Project Valuation NIA Construction Type 1htmD P.rk w 0 ( Gx tzr. v.) F3 o Lot Size o. 8 Grandfathered: ffles ❑No If yes, attach supportlFln document tion. ccP-t iDZ-0-D / As5t�5F Q' L.t sn Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 12oo A PT � Age of Existing Structure So Hs6 Historic House: ❑Yes 0 On Old King's H` hway: ®Res 0Y Basement Type: &f ll ❑Crawl ❑Walkout ❑Other Basement Finished Areas .ft. 1-+of-+$ `o ( q ) Basement Unfinished Area(sq.ft) 303 Number of Baths: Full:existing new ".=.s-4L'.` Half:existing NcµQe new 14 14C'�` t Number of Bedrooms: existing ► new woHE Total Room Count(not including baths):existing >inc-1,A.. new HowrE First Floor Room Count 'tWo Heat Type and Fuel: ❑Gaffs ❑ Cy Oil 'fle ❑ctric Other Central Air: ❑Yes M o Fireplaces: Existing New Existing wood/coal stove: ❑Yes O'I�o Detached garage:❑existing ❑new size Ncum Pool:❑existing ❑new size NON L Barn:❑existing ❑new size wo%Q Attached garage:❑existing ❑new size "to& Shed:❑existing ❑new size wome Other: N1a Zoning Board of Appeals Authorization C-Appeal# 'Good - dt 1 Recorded t(6^- ' Commercial ❑Yes 12 0 'if yes,site plan review#' WIA Current Use FArM tL%f A-Mammgo-rT' Proposed Use RA-A4 tol A-%0A4Ai4Vi_47 ` BUILDER INFORMATION Name Ft2 7C—:i-t-I S Telephone Number r o `f�- Address 39 3 M A-i License# i LA- M A ®1-G3 Home Improvement Contractor# Worker's Compensation# i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i—. SIGNATURE DATE - a"7 - �L4- - �Lo C=i r f FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED r4 -MAP/PARCEL NO. ADDRESS F- VILLAGE `Y `_! • *•♦ .' -' of ... r Y. r _ OWNER DATE OF INSPECTION: FOUNDATION - FRAME INSULATION FIREPLACE Ilk ELECTRICAL: ROUGH `FINAL PLUMBING: ROUGH FINAL '. }} GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. el 1 F BABNSPABLE. MASK %679. J Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal No. 2009-011 - Ellis Variance to Section 240-47.1A(3) Family Apartments To allow for a family apartment in an'ezisting detached accessory structure Summary: Granted with Conditions Applicant: Susan W. Ellin Property Address: 393 &R4-6@rMain Street, Centerville, MA Assessor's Map/Parcel:. Map 208, parcel 121, Zoning: Residence D-1 and RC-2 Zoning District. Recording Information Deed Reference: Book 9145, page 168 - Relief Requested and Background: In this appeal, the applicant is before the Board seeking a variance from a provision of Section 240- 47.1.A(3) -Family Apartments, specifically the provision that requires the unit to be "located within a single-family dwelling or connected to the single-family dwelling". The property is a 0.58-acre lot developed with,a principal building and a detached accessory building. According to the Assessor's record, the principal building was constructed in the 1850's. It is a 1.5- story, three-bedroom, single-family dwelling of 1,973 0%.1 Th accessory building i$ a !._-story structure that contains an 808 sq.ft., two-bedroom family apartment that was originally established in 1986 by a grant of a Family Apartment Special Permit No. 1986-12 to the applicants. The unit was legally established at that time in accordance with the family apartment provisions of the zoning ordinance in effect at that time. However, in November of 2004, the family apartment provisions (Section 240-47.1) were amended and eliminated the abilityfto have a family apartment in an accessory detached building. Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on February 13, 2009. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened March 25, 2009, at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were, William H. Newton, Michael P. Hersey, Craig G. Larson,,Nikolas J. Atsalis, Brian Florence and Board Chair, Laura F. Shufelt. Mr.John R. Ellis presented the application before the Board. He gave a brief history of how the family apartment came to be, citing that it had been occupied by Susan Ellis' mother until 2007. He noted that their family is again in need of having a family apartment to house their daughter. The Town of Barnstable,Zoning Board of Appeals-Decision and Notice Variance No. 2009-011 —Ellis-Variance to Section 240-47.1A(3) Family Apartments determination was made by the Building Commissioner that to do so will require the variance they now seek. Mr. Ellis noted that all other requirements for a family apartment would be complied with. The only variance would be the detached nature of the unit. He summarized that all building, health and fire requirements are met. The variance conditions are established in the factors of the topography of the buildings on the property and the fact that the use exists. The hardship is in the financial expenses if the Board were to insist on compliance w.ith the ordinance and require the creation of a new apartment unit when one already exists. He noted that.the unit has been used since 1986 and there has been no adverse impact on the neighborhood. Public comment was requested and no one spoke in favor or in opposition to the request. Findings of Fact: At the hearing of March 25, 2009, the Board "unanimously made the following findings of fact: 1. Appeal no. 2009-011 is that of Susan W. Ellis seeking a Variance to Section 240-47.1.A Family Apartments. The applicant is seeking a variance to allow for the reuse of an existing family apartment that is located in a detached accessory garage building on the property. The property is addressed 393 and 389 Main Street, Centerville, MA and is shown on Assessor's Map 208 as parcel 121. It is in a Residence D-1 Zoning District. 2. The property is a 0.58-acre lot developed with a principal single-family dwelling and the detached accessory building. The principal building was constructed in the 1850's and the accessory building in the 1900's. The principal dwelling is a 1.5-story,1,973 sq.ft., three-bedroom home. The accessory building is a 1.5-story structure with.an 808 sq.ft., two-bedroom family apartment and a garage. The family apartment unit was established in that building pursuant to a Family Apartment Special Permit No. 1986-12. granted to John and Susan Ellis,in 1986. Today, the ordinance allows for a.family apartment only as attached or within the principal building and'not as detached units. 3. There is no new construction being proposed by this application. It is an application to reuse the existing family apartment unit. That existing unit complied with the requirements'of Section 24- 47.1(A) in that it does not exceed 50%-of the square footage of the existing single-family dwelling, complies with the setback requirements for the Residence D-1 Zoning District, and it is to be occupied by a family member. 4. With regards for the statutory requirement of MGL Chapter 40A, Section 9 for granting a variance, the second building has existed on the property for over 100 years and used as a family apartment for 23 years. In that respect, there is a topographical feature created by having the two detached buildings.-In addition, a.un_iqueness situation is created by that change in zoning in which the applicant finds themselves. The earlier family apartment provisions, upon which the unit was - created, allowed the detached family apartment unit. The present family apartment provisions do not allow detached units. This fact affects this property but generally does not affect other Lots in the zoning district. 5. To now compel a literal enforcement of the family apartment provisions would imply a substantial financial hardship on the applicants because the unit already exists on the property in a detached structure. 2 Town of Barnstable,Zoning Board of Appeals— Decision and Notice Variance No. 2009-011,— Ellis-Variance to Section 240-47.1A(3)Family.Apartments 6. The desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance as the family apartment unit has existed for 23 years. To allow the use to continue as a family apartment will not constitute a substantial detriment to the public good and will not nullify or substantially derogate from the intent or purpose of the zoning ordinance as the unit remains accessory to the principal dwelling and the use of the property remains that of a single-family use. Decision: Based on the findings of fact, a motion was duly made and seconded to grant a variance to Section 240-47.1.A(3) to allow for a detached family apartment in an existing detached accessory building located on the property, subject to the following conditions: 1. The family apartment shall comply with, and be maintained; in full compliance with all other requirements of Section 240-47.1 for a.family apartment as-of-right as well as all conditions in this decision. 2. The family apartment shall be maintained as a one bedroom plus loft as per the plan submitted to the Board in 1986 with Appeal No. 1986- 012 that originally authorized the family apartment. A copy of those plans has also been entered into"this file and are so noted in the file. 3. The applicant shall reapply for a building permit for the unit. All requirements of the Building Division shall be fully complied with to assure that the unit and building meet all applicable codes, including building, fire, and health, as well as the condition imposed in this decision. 4. All parking shall be on-site. i 5. Occupancy of the family apartment unit is restricted to 2''persons only as their primary residence. One of the occupants shall be a direct family member. There shall be no renting of the apartment unit to non-family members and no renting of rooms (lodging)permitted during the life of this J Varidnice. 6. During the life of this variance, the'apartment unit and accessory garage building located on the property shall not be further expanded in area nor bedrooms added: 7. When the family apartment is vacated, or upon noncompliance with any condition or representation made including, but not limited to, occupancy or ownership, the use of the apartment shall be terminated and this variance shall become null and void. At that time, this variance shall cease and the applicant or property owner shall be responsible for the removal of the kitchen and use of the building as an independent living unit. A building permit for the removal of the unit shall also be required at that time. The vote was as.follows: AYE: William H. Newton, Michael P. Hersey, Craig G. Larson, Nikolas J. Atsalis, Brian Florence and Laura F. Shufelt. NAY: None 3 Town of Barnstable,Zoning Board of Appeals— Decision and Notice Variance No. 2009-011 —Ellis-Variance to Section 240-47.1A(3) Family Apartments Ordered: Variance No. 2009-011 has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within . twenty (20) days after the date of the filing.of this decision. A copy of which must be filed in the office of the Barnstable Town Clerk. Laura F. Shufelt, Chair Date Signed I, Linda Hutchenrider; Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. 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NnR�'LE:.FN.IrI CERIa 1%'..w'•3"HUM'eG' I - �� I P�F- I �.ac�Y x I'�0 oa, •pya.'fKD) � CrN'CE.eVy.Lf�,_14A OX63Z.. lr � � ••,••,.•� 1'�fi�l i�ta.:Avr IYi ohl� 12�MnDEJr PPI.nU� 1 " 7 -~ Sri f-taoP. 122 , l-,►r�r- -ra Sc-.�L� 1 i x Uj CE CL VL O \ k LO j BLS (D N co i ` ? Ln. NN I � OD O I A co 00 O Iq'7 3 s. N 0 LLi , M A. HcsT 'Ta ��t'L.E Q 1 f l\ 7 Lu rrr 'N !4- o � I � f N £ O ,f of Ln N j f Q O �x q Ln 3 c 0 I � O I O O (N L U) O 00 } W , O O O N O n f VL 4 , Jkuitd�etodIW4-�ood ons ucti n n cgh11(hIlreav,110 mph Wind Zone TEP441 Massachusetts Checklist'for Compliance (780 CMR 5301.2.1.1)' Q Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust).............:......................:............................. .:......................................:....... 110 mph Wind Exposure Category.....:............................................................ ............................................................B Tf 1.2 APPLICABILITY / Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories !/ Roof Pitch .............................................:.......... ..(Fig 2) .................. Q15 12:12 Mean Roof Height ..............................................................(Fig 2).................................................�'ft 5 33' Building Width,W ...............................................................(Fig 3)............................................/" :5ft 80' Building Length, L...............................................................(Fig 3) /............................................. S�ft 5 80' Building Aspect Ratio(L/W) .........2................................:...(Fig 4)................................................ t :5 3:1 Nominal Height of Tallest Opening ...................................(Fig 4).................................................6!9 5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections:...................(Table 2).............. 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...........................................................................:..............:................................... !/ ConcreteMasonry...................... ......... ........................... .............................: :............... 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)............................................... ?min. Bolt Spacing from endi)oint of plate......:.:....:.......:.......(Fig 5).................................... s 66"—12" Bolt Embedment—concrete.........................................(Fig 5)...... ......................................... ._ in.Z 7" --1z Bolt Embedment—masonry.............................:............(Fig 5)......:..... .............................. in.>_95" Plate Washer..................................: . ....(Fig 5 _3"x 3"x VV 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6)....................................-..............—ft 512' Full Height Wall Studs at Floor Openings less than.2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)......::...........................................—ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)................. ......K.- .. ...... ft 5 d LDc f; Floor Bracing at Endwatls..............................................:.....(Fig 9)......3............1.!�G.-�..�.Av�.�r-�.4,S Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)..I/..y. �. �C..T..t.Sr.. Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)......... .y..:!.... in. Floor Sheathing Fastening..................................................(Table 2).. M d nails at-A:n edge/,min field 4.1 WALLS Wall Height Loadbearing walls..........................:.............................(Fig 10 and Table 5)................. ...,..... ft 5 10' l� Non-Loadbearing walls...............'.................................(Fig 10 and Table 5)................ ft 5 20' "I'r: Wall Stud Spacing ........................................................(Fig 10 and Table 5)...............Ta—' in.<_24"o.c. . Wall Story Offsets ............................................Is...........(Figs 7&8)........................................... ft :5 d 4.2 EXTERIOR WALLS' • Wood Studs t/ Loadbearing walls.......................................:................(Table 5).............:................2x . - ft g in. ......................................(Table 5)..............................2x�- ft Gable End Wall Bracing'Non-Loadbearing walls.......... �r (S/ Full Height Endwall Studs.............................................(Fig 10)................................................................. WSP Attic Floor Length.......:........................................(Fig 11)..........................................:..° ft aW/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_,ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................................................. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)............. ......... ft Splice Connection(no.of 16d common nails)..............(Table 6)............................................. ......!Ap �/ AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone' Massachusetts Checklist for Compliance(78o'CMR 5301.21.1)1 , Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..................................................... v Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)...:...............................:..:................ Load Bearing Wall Openings(record largest opening but check all openings for compliance t Table Q) Header Spans (fable 9)...... ..:.:....:................� ft� in.5 11' d� / Sill Plate Spans ........................................................(Table 9).................................. ft_2; in.511' Full Height Studs (no.of studs)....................................(Table 9)... ... .............................. ............ 3 Non-Load Bearing Wall Openings(record largest opening but check all openings for compl�ce to Tale 9) HeaderSpans.............................................................(Table 9)...:.............................. ft_in.:5 12' Sill Plate Spans...........................................................(Table 9)... ...............................Mft—in.512" Full Height Studs(no.of studs)....................................(Table 9).......................................................— Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W /> Nominal Height of Tallest Opening :.::...........................................:.:. - ................�<6'8° !� Sheathing Type..............................................(note 4).......................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ Field Nail Spacing..........................................(Table 10).........................:......................../�L. in. Shear Connection(no.of 16d common nails)(Table 10)....................................................... 3 / Percent Full-Height Sheathing .. able 10 ...............: ° t� 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimension,L , Nominal Height of Tallest Openin z s 6'8" Sheathing Type..............................................(note 4)........................./:,fo1.. Edge Nail Spacing....................................:....(Table 11 or note 4 if less)........................ in. Field Nail Spacing...........................................(Table 11).................................................1A.in. Shear Connection no.of 16d common nails able 11 Percent Full-Height Sheathing.......................(Table 11)....:................:.............................. /0+ 5%Additional Sheathing for Wall with Opening>6'8°(Design Concepts).......:............ Wall Cladding Ratedfor Wind Speed?.............................................................. .............................................................. 5.1 ROOFS Roof framing member spans checked........................(For Rafters use AWC Span Tool,see BBRS Website) / Roof Overhang ...................................................(Figure 19) ............. L ft:5 smaller of 2'or L/3 r/ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift...................:.............:..............(Table 12)............................................U�pIf Lateral..............................................(Table 12).............................................L=4 7 pif Shear...............................................(Table 12)................. S=21 plf �. Ridge Strap Connections,if collar ties not used per page 21... (Table pif Gable Rake Outlooker..........................................(Figure 20) ............._ft 5 smaller of 2'or JJ2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).`..... ................ .. ..:11=1ik_ & Lateral(no.of 16d common nails)...(Table 14)..... ........ .... = Ib._ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59).,7�Ar./T'*G 01( Roof Sheathing Thickness:... Yr.... ... . ? in. 7/16 WSP Roof Sheathing Fastening....( `�:.�'.�. ��%. R ) r!�` ...... able 2 ..f?.......L.....1�..:..�..... ........ �L Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of . 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and held downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall,be a minimum 2 in.nominal thickness pressure treated#2-grade. oME r Town of Barnstable Regulatory Services ■ snjwsTns�.E. 9 Mnss. g Thomas F. Geiler,Director 0;..6. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 ww w.t ow n.b a r n s t a b l e.m a.u s Office: 508-862-4038 Fax: 508-790-6230 August 10, 2009 Susan W. Ellis 393 Main Street Centerville, MA 02632 Re: Family Apartment Dear Ms Ellis: Enclosed is the Certificate of Occupancy for your family apartment. Please complete the enclosed Family Apartment Affidavit and return it to me. Thanks. Sincerely, Lois Barry Division Assistant Enclosure faco r �oFtHe ram, Town of Barnstable E"MSTABLE.,+ Regulatory Services y MASS. �A 1639. � Thomas F. Geiler,Director TFD MA'S A Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 January 29, 2009 Ms. Susan W. Ellis 393 Main Street Centerville MA 02632 Illegal Apartment: 393 Main Street Centerville MA 02632 Map: 208 Parcel: 121 Dear Property Owner, Our records indicate that your house at the above-referenced location is currently being used for more multi-family units than allowed, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which may result in a criminal record. A building permit must be applied for to remove the former family apartment and the property restored to a single family home under current Barnstable Zoning Ordinances. You must contact this office within 14 days to discuss this matter. Lin dson mnesty Apartment Investigator Building Department gforms:zoning3 Barry, Lois From: Dillen, Elizabeth Sent: Monday, May 12, 2008 9:52 AM To: Barry, Lois Subject: RE: COMPREHENSIVE PERMITS They want to keep it as a family apartment she mentioned.a nephew moving in? 13 D '-roieqs -zooid-.vw%tor :T,o vv Yi ol Sid r iL s M 111 e M,,�-'67 r"s lei 1 5-i 0 8.8C)2.4-68-3 f-f,x 508.862,4 782 -----Original Message----- From: Barry, Lois Sent: Monday, May 12, 2008 9:47 AM To: Dillen, Elizabeth Subject: RE: COMPREHENSIVE PERMITS Thanks. The 5/7 minutes report that the application for.393 Main Street has bedn Withdrawn. Do you know any details? Is it being sold? Lois -----Original Message----- From: Dillen, Elizabeth Sent: Thursday, May 08, 2008 11:56 AM To: Barry, Lois Subject: RE: COMPREHENSIVE PERMITS I will put in for extensions at the next hearing, but in both of these cases it was not the fault of the applicant that these were not recorded-the does sat in files in this office SocriA.1.Projects Coar(,!i,no.tor lovvpt of Saro.sLa Ia.-' 307 Mai tree*, HLA.PMNJS;MA lei 508.862.4683 F n,x 508,862.4782 -----Original Message----- From: Barry, Lois Sent: Thursday, May 08, 2008 10:18 AM To: Dillen, Elizabeth Subject: COMPREHENSIVE PERMITS Hi Beth, The Comp. Permit for 65 Greenwood Avenue was issued on 3/15/07, and #16 says it must be exercised within 12 months. Do we need an extension? The Comp. Permit for 438 Craigville Beach Road was issued on 4/4/07, and#13 Lois Town of Barnstable Regulatory Services BARNSfABLE, ' v MASS. Thomas F. Geiler, Director �A s639. ♦0 rF039 a 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 May 13, 2008 Ms. Susan W. Ellis 393 Main Street Centerville, MA 02632 Dear Ms. Ellis: We have been informed that you have withdrawn your application for the Accessory Affordable Apartment Program and plan reinstate the family apartment for your nephew. Enclosed is the building permit application for a family apartment without construction. Please complete the application and submit it along with the plans. It's best to come in between the hours of 8:00-9:30 a.m. or 3:30-4:30 p.m. so that you can stop at the Health Department after the intake at the Building Division. After the Board of Health sign-off, submit the completed application to Building. We will then prepare the Agreement for Family Apartment for you to record at the Registry of Deeds. If you have any questions, please call me at 508 862 4039. Sincerely, Lois Barry Division Assistant Enclosure i BA"RrABM MAN& t639. Town of Barnstable Zoning Board of Appeals Notice of Withdrawn Without Prejudice Appeal 2008-041 - Ellis Variance to Section 240-14(A)- Principal Permitted Uses Residence F Zoning District Summary: Withdrawn without Prejudice Applicant: Susan W. Ellis Property Address: 393 Main Street, Centerville, MA Assessor's Map/Parcel: Map 208, parcel 121 Zoning: Residence D-1 and RC-2 Zoning District Background & Relief Requested: The property is a 0.58-acre lot developed with a principal building and a detached accessory building. According to the Assessor's record, the principal building was constructed approximately in 1850. It is a 1.5-story, three-bedroom, single-family dwelling of 1,973 sq.ft. The accessory building is a 1.5- story structure that contains an 808 sq.ft., two-bedroom residence and garage. The Assessor's record dates that building to 1900. Ownership of the property by the applicant dates to January of 1986. On January 16, 1986,John and Susan Ellis, as future owners of the property, submitted an application to the Zoning Board for a family apartment special permit. That permit sought to convert a part of the accessory structure -a "garage/barn" structure - into a one-bedroom family apartment for Susan Ellis' mother. The family apartment special permit was granted by the Board on February 25, 1986 (recorded at the Barnstable Registry of Deeds in Book 4967 page 163). The Building Division records show that the unit was occupied by Ms Janet Canning, mother of Susan W. Ellis from 1998 to 2007. In January 2008, the applicant made application to the Town of Barnstable for a Comprehensive Permit under the Accessory Affordable Apartment program to convert the family apartment to an accessory affordable housing unit. That hearing opened on March 26, 2008, and continued to May 7, 2008 at the request of the applicant. At the continuance that application was withdrawn without prejudice. Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on June 2, 2008. An Extension of Time for filing of the decision was signed and entered into the file. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 9, 2008, and continued to August 6, 2008, moved to September 10, 2008 due to a lack in quorum, and then, at request of the applicant continued to October 1, 2008 and again to October 15, 2008. Town of Barnstable,Zoning Board of Appeals or Notice of Withdrawn-Appeal 2008-041 —Ellis-Variance to Section 240-14(A)-Principal Permitted Uses Residence F Zoning District On October 9, 2008, a memorandum in support of the appeal with attachments was submitted by the applicant's representative Attorney Patrick M. Butler. At the October 15, 2008 hearing, Attorney Butler presented the appeal. He noted the buildings existed prior to the adoption of subdivision control and made the assertion that the land is divisible under MGL Chapter 41, Section 81-L based on that fact. He stated the reason for the use variance was that the owners seek to have the unit priced for "workforce housing" which is the 80 to 120% income group. He cited that approximately $80,000 had been invested in the building during the course of the conversion to a family apartment and that it would be a financial hardship if the applicants could not rent the unit for fair market value. Structure uniqueness is created in that the building has its one parking area and its own on-site septic system and is completely separate regarding utility service. Public comment was requested and no one spoke in favor or in opposition to the request. Board Chair, Laura F. Shufelt noted a letter in opposition had been submitted from Susan H. and Charles A. Rohrbach of 432 Main Street, Centerville, MA. The Board discussed the issues with Attorney Butler and questioned the variance conditions he cited. They noted other options may be available and should be pursued as members were not inclined to find variance conditions at this site. At that point, Attorney Butler requested that Appeal No. 2008-041 be withdrawn without prejudice. Motion: At the October 15, 2008 hearing a motion was duly made and seconded to grant the request to withdraw Appeal 2008-041 without prejudice. The vote was as follows: AYE: James F. McGillen, William H. Newton, Craig G. Larson, Nikolas J. Atsalis, Laura F. Shufelt NAY: None Ordered: Appeal 2008-041 has been withdrawn without prejudice. Appeal of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty days after the date of the filing of this decision. Laura F. Shufelt, Chair Date Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider, Town Clerk 2 it Susan Ellis 393 main street Centerville MA Map 208-121 f , Former Family Apartment ,IKother passed away Jan 2008 ,Applied for amnesty May 2008 ,,-Withdrew from amnesty May 2008 ,Applied to ZBA for . apartment (detached) withdrew Oct 15,;- 2008. Needs enforcement U Barry, Lois From: Dillen, Elizabeth Sent: Monday, January 28, 2008 10:05 PM To: Barry, Lois Subject: RE: 393 Main Street, Centerville yes - we are in the process ! -----Original Message----- From: Barry, Lois Sent: Mon 1/28/2008 1:38 PM To: Dillen, Elizabeth Subject: 393 Main Street, Centerville Beth, Has Susan Ellis applied to Amnesty for the above property? It was a family apartment and she has notified us that her mother died 12/07. Please let me know. Lois 1 SNE Tn. The Town of Barnstable * lARN3i'ABLE, � MAC Growth Management Department A 367 Main Street, 3rd Floor Hyannis, MA 02601 Tel:508-862-4678 Fax:5W862-4782 January 31,2008 John C.Klimn Town Manager Janet Joakim,Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Susan W. Ellis, 393 Main.Street,Centerville;..two-bedroom accessory unit This letter is to inform you that the Accessory Affordable Apartment (Amnesty) Program has received a request fora project eligibility letter under the Community Development Block Grant (C'DBG) Fund and under Article II of Chapter Nine of the Code of the Town of Barnstable and the criteria for the Local Chapter 40B Program. This office is reviewing the request. If the Town has any comments on the project, please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the sites and the consistency of this development within the guidelines of CDBG. Sincerely, Elizabeth Dillen t Special Projects Coordinator Growth Management Department cc: Building Division Health Division .65 o,wr CV) Cn Town of Barnstable Zoning Board of Appear�Q Notice—Administrative With ZwARY 22 ,. f Susan W.Ellis—Appeal 2008-023 "s Comprehensive Permit—MGL Chapter 40B C Summary Administrative Withdrawal Without Prejudice Applicant: Susan W. Ellis Property Address: 393 Main Street,Centerville,MA rl4061 Assessor's Ma /Parcel: Ma 208 Parcel 121 l P P _ Zoning: RD-I,RC-2 and Aquifer Protection Overlay Districts Background: In Appeal 2008-023, the applicant, Susan W. Ellis, sought to convert an existing one bedroom family apartment in a detached structure into an accessory affordable apartment. The property is shown on Assessor's Map 208 Parcel 121, and is commonly addressed as 393 Main Street, Centerville,MA in RD-1,RC-2 and Aquifer Protection Zoning Districts. The applicant applied for a comprehensive permit to convert the unit into an accessory affordable apartment. Procedural Summary: The appeal was filed at the Clerk's office and a hearing was scheduled. The hearing was advertised and public notice was sent to all abutters in accordance with MGL Chapter 40A. On April 23, 2008, the applicant submitted a written request that her application for a comprehensive permit be withdrawn. Decision: At the hearing on May 7, 2008 the Hearing Officer determined that this appeal would be Administratively Withdrawn Without Prejudice. Ordered: Appeal 2008-023 has been administratively withdrawn without prejudice. �Y220 it Nighti le,Hea g Officer D to S geed . 1,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 had been filed in the office of the Town Clerk Signed and sealed this day of 400'r—, tinder the pains and penalties of peiJuD'• r. Ado P 0 da Hutche:x der, Town.. c i A V rr 11 Vl A.V"K AsoIL LLFA%o HE I 1 ratio Building Department Services 4 Brian Florence, CBO } ; y&UWM��'g Building Commissi age ArEDMA�A 200 Main Street,Hyannis, 1 www.town.barnstable.nia Nifttq 19 PH 127 . Office: 508-862-4038 Fax:. 508-790-6230 Town of Barnstable Family AIM"t Affidavit I,being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: � � •' The following members of my family will be the sole occupants of the Family Apartment at the l aforementioned address: Name&relationship to owner: lj�. f. c l_.i_._iS Name&relationship to owner: 12) �+t -v2- rl The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately Ti notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 3 A�) I understand that I am required to file an Affidavit annually with the Building ' Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. • If there is no longer a Family Apartment at this location,please explain: s ` ; The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. Other Sworn to under the pains and penalties of perjury this day of Fta;�,P A,9_-t 2019. Signature Phone Number CY— i Print Name i . f q:forms/famaffid.doc ' rev 11/08/13 , i , Town of Barnstable. OF THE 1p� ~�s Building Department Services * RAMSrnst e f Brian Florence, CBO v MAS& Building Commissi i639 ♦0 ATEo n+a+" 200 Main Street,Hyannis, 1R www.town.barnstable. PR 3: 2 Office: 508-862-4038 Fax:. 508-790-6230 Town of Barnstable. Family AA nt Affidavit I,being on oath, depose and state as follows: F My name is 'k.-S I am the owner/resident of the property located at: 3 SG -z2v I L-�J= M A . G IL 2 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will he the primary year-round residence for the above-identified . family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted., . I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also ` understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstahle Zoning Ordinances.Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event-of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty.Program (Appeal No. ; Other Sworn to under the pains and penalties of perjury this i CP day of p-�zAI&T 2019. Signature Phone Number , Print Name s q:forms/famaffid.do c rev-11/08/13 Town of Barnstable Building Department Brian Florence, CBO 'MAS& Building CommissiW&N OF BARNSTABLE 1639. 6 200 Main Street,Hyannis,MA 02601 Arfp� www.town.barnstable.M116JAN 18 PM 1= 56 Office: 508-862-4038 Fax: 508-790-6230 DIVISION Town of BarnstabVe-F—amily Apartment Affidavit I, being on oath, depose and state as follows: My name is SVwzA` W- E L-t--t-S I am the owner/resident of the property located at: 3 89 M Act" 57V-C:F--r Chi-al 1a-Q.'4 t I_.1_7-I A4 A• O 21�32 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Y--K- tSTe." Vim!• �-it S Name &relationship to owner: bAUGk4TE�R - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this IS day of �A-u, kprr 2018. 508- )-)S-15S94- Signature Phone Number Print Name =Xj%k1 4 yu. 'Et-4tS q:forms/famaffid.do c rev 11/22/2017 I� Town of Barnstable Regulatory Services oFTME � Richard V. Scali,Director TOWN 0 FBARNSTABLE Building Division Paul Roma Buildin Commissionej U --' g 1 1 : 2 6 �Ar i639• �� 200 Main Street, His,MA 02601 ED NIP' -. Hyannis, , www.town.barnstable.ma.us Office: 508-862-4038 ; DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I;being on oath, depose and state as follows a My name is Sy c," �L--L-IS I am the owner/resident of the property locate at: C;E - Qom, L-j-c r ..M'A. o 44. 32 The following members of my family will be the sole occupants of the Family.Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: Atve,rt-Tr-L The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240=47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this.property. -- If there-is no-longer a-Farm-1 Apartment at=this location;-please explain: The apartment has been dismantled.. The apartment has been transferred to the Amnesty Program(Appeal-No. ) Other Sworn to under the pains and penalties of perjury this �j. day of fl ,�,4�-, R 2017. Signature Phone Number Print Name w. ct-e. ►S q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFf"E tWy Richard.V. Scali,Dire ctor ~� Building Division v Stam Thomas Perry, CBO,Building Commissioner `bAr i639' s`e 200 Main Street, Hyannis;MA 02601. a www.town.barnstable..ma.us. Office: 508-862-4038 P :.. Fax:. 508-790-6230 Town of Barnstable Family Apartment Affidavit' I,being on oath, depose and state as follows: M name is 450SO4" �t�t. W�.64s y I am the owner/resident of the property located at: 399 A4A& i $T1Z£"LL-T r The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: X9 ts� w. 01.t•IS. O ANZ OTgoL Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified. family members. In the event that the listed relatives vacate said apartment, Brill immediately notes the Building Commissioner in writing. I understand that no subletting o l-subleasing,°of said: 'Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building � r Commissioner listing the names and relationship of occupants in said Family Apartment.__I also; understand that I am required to comply with all conditions imposed by the ZBA Special Permi . and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family A'artments�:I agr to note the Building Commissioner immediately in the event of the sale of thin property, If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this 1ST day of P"#,jA*l 2016. �-c�Z�..�.-C`l� Say► .�„S" .� Sign a Phone Number Print Name 'A54%4 y[. t,. IS . . q:forms/famaffid.do c rev 11/08/12 Town of Barnstable �oFt rti Regulatory Services o„ Richard V. Scali,Director BAMSTABLE Building Division 9`6 16 A.O� Thomas Perry,CBO,Building Commissioner �fD MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is s u sA+--a v-4 . 1 u_.i-s I am the owner/ram of the property located at: M A+}-1 sic-a--c- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for tl-,°above-identified i W family members. In the event that the listed relatives vacate said apartment, will immediately note the Building Commissioner in writing. I understand that no subletting :+stubleasing�of sdi C- Family Apartment is permitted. ;r: �.... -.� I understand that I am required to file an Affidavit annually with the B ilding 0, rn Commissioner listing the names and relationship of occupants in said Family#artmentjalso understand that I am required to comply with all conditions imposed by the Z Special ermiki and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family A,artments.•I age to note the Building Commissioner immediately in the event of the sale of this property? If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) . Other Sworn to under the pains and penalties of perjury this day of 1 2015. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services tqh, Richard V. Scali,Interim Director Building t ,� �► ti Division TOWN OF ��, �c� R , s 1B! � v AM �' Thomas Perry, CBO, Building Commissioner `; v''1�� 15 PH a: 09 �At 1639. A�0 200 Main Street, Hyannis, MA 02601 ED MA'S www.town.barnstable.ma.us Office: 508-862-4038 D VJvaf 0879n230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and states as follows: , My name is �1�1�1- l.�/ !��� I am the o r/resident of the property locateu at: - -- - The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Famify Apartment of this location,please explain: - The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of d " (Q 6 2014. Signature / Phone Number Print Name S U5 ? �1 S q:forms/famaffid.doc rev 11/08/11 T_ Town of Barnstable Regulatory Services., WE rqy, Thomas F. Geiler,Director Building Division TOWN10F WRSTABLE B"NST'"BM ` Thomas Perry, CBO Building Commissioner 0 9. ��� 200 Main Street, Hyannis, MA 026.0A JAINi. 1 1 ;4 11: ' �o ram+ www.town.barnstable.ma.us Office: 508-862-4038 - ,Fax ,.508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is , ` z-L S I am the owner/rosi�of the property located at: a;�7 ILA A "� T-P_f< T' C) fo3 2 The following members of my family,will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: V__4 C s Name &relationship to owner- +i - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building.Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.I also understand that I am required to comply with.all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning.Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of er'ur this T"` day of )R���i4tZ s- 2013. p P P J Y Y S nature Phone Number Print.Name LLts q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oFTME Thomas F. Geiler,Director Building Division - - MAM Thomas Perry,CBO,BuilduigCommtssioner : 1 l i6 9�- 200 Main Street; Hyannis, MA 02601 www.town.barnstable.mama Office: 508-862-4038 Fax: 508-790-6230°° Town of.Barnstable Family Apartment Affidavit. I,,being on oath, depose and state as follows:, My name is � ^I am the owner/res dent of the _ property located at: S- . 7-1` „ •• - The following members of my family will be.the sole occupants of the Family Apartment at the : aforementioned address: Name &relationship to owner: CD ) Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that, listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and_relationship of occupants iri said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree , to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,.please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No: ). Other Sworn to under the pains and penalties of perjury this ►e TM day of J a,_. 2012.' Signature.. Phone Number Print Name ��{-ram, C-LL 15 q q t q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services F1HET ^, >f= 0 op, Thomas F. Geiler, Direcfor; l OF BA; -#S: 01{ Building.Division v�n LE,$ Thomas Perry, CBO, Building Commissioner ll! 9: 1639. 1 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 �`� 1`I" ) Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state as follows: My name is W n I am the owner/resident of the property located at: 3 �1 ( �(.�`1 �sT The following members of my family will be the sole occupants of the Family-Apartment at the aforementioned address: l Name & relationship to owner: l 1S CA,?_u�, ' 1� Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment; I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing ofsaid Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of d U6L 2011. -77 Signature Phone Number Print Name Town of Barnstable Regulatory Services oF'THE tp� Thomas F.Geiler,Director ~° Building Division TWRSTIIABE ON 0r- i', i _ BARNSrABLE. Tom Perry, Building Commissioner, 9� 05. ��� 200 Main Street,Hyannis,MA 02601 h �' �1 �:4, 2: j . ATEo��a www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family. Apartment Affidavit I, being on oath, depose and state as follows: My name is L L—tS I am the owner/fesident of the <3 9 3 property located at: KA A i t.a S7. -O C.T C_e_"g t L..LE-� . AAA . , c�2(.,2 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: t�k,:STE —+ Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified` family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this z day of g,,�t. 2010. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services VIE,tbrry" Thomas F.Geiler,Director ~�. . Building Division JUN.0F,B_, • saxt�aTasiE Tom Perry, Building Commissioner INSTABLE Mass.9 _039. NO Main Street,Hyannis,MA 02601 ¢',ij? [E # + www.town.barnstable.ma.us � Office: .508-862-4038 �' 1c.0"T-16230 Town of Barnstable Family Apartment Affidavit I,being on.oath, depose and state as follows: . My name'is Sn y`t • ��S I am the owner/resident of the property located at: 39� n.'�ecr�c l� > 021-c Z The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationshiP to owner: "1 1 � Vv • f 1 cS a,;4 LAq hTc Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the.event.that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing..1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building. Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: . The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the sins and penalties of e this P P P rJ�'y day.of� vs fi 2009. ; t Signature Phone Number 1 � Print Name 5 us a t1 I S Q/bidg/forms/famaffid. Rey:12/08 IKE >AXNSrMM NAMg Town of Barnstable _ Zoning Board of Appeals Decision and Notice Appeal No. 2009-011 - Ellis Variance to Section 240-47.1A(3) Family Apartments To allow for a family apartment in an existing detached accessory structure Summary: Granted with Conditions Applicant: Susan W. Ellis Property Address: 393 and 389 Main Street, Centerville, MA Assessor's Map/Parcel: Map 208, parcel 121 Zoning: Residence D-1 and RC-2 Zoning District Recording Information Deed Reference: Book 9145, page 168 Relief Requested and Background: In this appeal, the applicant is before the Board seeking a variance from a provision of Section 240- 47.1.A(3) - Family Apartments, specifically the provision that requires the unit to be "located within a single-family dwelling or connected to the single-family dwelling". The property is a 0.58-acre lot developed with a principal building and a detached accessory building. According to the Assessor's record, the principal building was constructed in the 1850's. It is a 1.5- story, three-bedroom, single-family dwelling of 1,973 sq.ft. The accessory building is a 1.5-story structure that contains an 808 sq.ft., two-bedroom family apartment that was originally established in 1986 by a grant of a Family Apartment Special Permit No. 1986-12 to the applicants. The unit was legally established at that time in accordance with the family apartment provisions of the zoning ordinance in effect at that time. However, in November of 2004, the family apartment provisions(Section 240-47.1) were amended.and eliminated the ability to have a family apartment in an accessory detached building. Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on February 13, 2009. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened March 25, 2009, at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were, William H. Newton, Michael P. Hersey, Craig G. Larson, Nikolas ). Atsalis,,Brian Florence and Board Chair, Laura F. Shufelt. Mr. John R. Ellis presented the application before the Board. He gave a brief history of how the family apartment came to be, citing that it had been occupied by Susan Ellis' mother until 2007. He noted that their family is again in need of having a family apartment to house their daughter. The C �.tKWE • HARNBrABLL ' CO 71 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal No. 2009-011 Ellis Variance to Section 240-47.1A(3) Family Apartments To allow for a family apartment in an existing detached accessory structure Summary: Granted with Conditions Applicant: Susan W. Ellis Property Address: 393 and 389 Main Street, Centerville, MA Assessor's Map/Parcel: Map 208, parcel 121 Zoning: Residence D-1 and RC-2 Zoning District Recording Information Deed Reference: Book 9145, page 168 Relief Requested and Background: In this appeal, the applicant is before the Board seeking a variance from a provision of Section 240- 47.1:A(3) - Family Apartments, specifically the provision that requires the unit to be "located within a single-family dwelling or connected to the single-family dwelling". The property is a 0.58-acre lot developed with a principal building and a detached accessory building. According to the Assessor's record, the principal building was constructed in the 1850's. It is a 1.5- stcry, three-bedroom, single-family dvvelling of 1,973 Sq.ft. The accesScry budding 1s a 1.5-story structure that contains an 808 sq.ft., two-bedroom family apartment that was originally established in 1986 by a grant of a Family Apartment Special Permit No. 1986-12 to the applicants. The unit was legally established at that time in accordance with the family apartment provisions of the zoning ordinancein effect at that time. However, in November of 2004, the family apartment provisions (Section 240-47.1) were amended and eliminated the ability to have a family apartment in an accessory detached building. Procedural & Hearing Summary: ` This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on February 13, 2009. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to'all abutters in accordance with MGL Chapter 40A. The hearing was opened March 25, 2009, at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were, William H. Newton, Michael P. Hersey; Craig G. Larson, Nikolas J. Atsalis, Brian Florence and Board Chair, Laura F. Shufelt. Mr. John R. Ellis presented the application before the Board. He gave.a brief,history of how the family apartment came to be, citing that it had been occupied by Susan Ellis' mother until 2007. He noted that their family is again in need of having a family apartment to house their daughter. The ILL Y Town of Barnstable,Zoning Board of Appeals—Decision and Notice Variance No. 2009-011 —Ellis-Variance to Section 240-47.1A(3) Family Apartments determination was made by the Building Commissioner that to do so will require the variance they now seek. Mr. Ellis noted that all other requirements for a family apartment would be complied with. The only variance would be the detached nature of the unit. He summarized that all building, health and fire requirements are met. The variance conditions are established in the factors of the topography of the buildings on the property and the fact that the use exists. The hardship is in the financial expenses if the Board were to insist on compliance with the ordinance and require the creation of a new apartment unit when one already exists.. He noted that the unit has been used since 1986 and there has been no adverse impact on the neighborhood. Public comment was requested and no one spoke in favor or in opposition to the request. Findings of Fact: At the hearing of March 25, 2009, the Board unanimously made the following findings of fact: 1. Appeal no. 2009-011 is that of Susan W. Ellis seeking a Variance to Section 240-47.1.A Family Apartments. The,applicant is seeking a variance to allow for the reuse of an existing family apartment that is located in a detached accessory garage building on the property. The property is addressed 393 and 389 Main Street, Centerville, MA and is shown on Assessor's Map 208 as parcel 121. It is in a Residence D-1 Zoning District. 2. The property is a 0.58-acre lot developed with a principal single-family dwelling and the detached accessory building. The principal building was constructed in the 1850's and the accessory building in the 1900's. The principal dwelling is a 1.5-story,1,973 sq.ft., three-bedroom home. The accessory building is a 1.5-story structure with an 808 sq.ft., two-bedroom family apartment and a garage. The family apartment unit was established in that building pursuant to a Family Apartment Special Permit No. 1986-12 granted to John and Susan Ellis in 1986. Today, the ordinance allows for a family apartment only as attached or within the principal building and not as detached units. 3. There is no new construction being proposed by this application. It is an application to reuse the existing family apartment unit. That-existing unit complied with the requirements of Section 24- 47.1(A) in that it does not exceed 50% of the square footage of the.existing single-family dwelling, complies with the setback requirements for the Residence D-1 Zoning District, and it is_to be occupied by a family member. 4. With regards for the statutory requirement of MGL Chapter 40A, Section 9 for granting a variance, the second building has existed on the property for over 100 years and used as a family apartment for 23 years. In that respect, there is a topographical feature created by having the two detached buildings. In addition, a uniqueness situation is created by that change in zoning in which the applicant finds themselves. The earlier family apartment provisions, upon which the unit was created, allowed the detached family apartment"unit. The present family apartment provisions do not allow detached units. This fact affects this property but generally does not affect other lots in the zoning district. 5. To now compel a literal enforcement of the family apartment provisions would imply a substantial financial hardship on the applicants because the unit already exists on the property in a detached structure. 2 Town of Barnstable,Zoning Board of Appeals— Decision and Notice Variance No. 2009-011 —Ellis-Variance to Section 240-47.1A(3) Family Apartments 5 6. The desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance as the family apartment unit has existed for 23 years. To allow the use to continue as a family apartment will not constitute a substantial detriment to the public good and will not nullify or substantially derogate from the intent or purpose of the zoning ordinance as the unit remains accessory to the principal dwelling and the use of the property remains that of a single-family use. Decision: Based on the findings of fact, a motion was duly made and seconded to grant a variance to Section 240-47.1.A(3) to allow for a detached family apartment in an existing detached accessory building located on the property, subject to the following conditions: 1. The family apartment shall comply with, and be maintained, in.full compliance with all other requirements of Section 240-47.1 for a family apartment as-of-right as well as all conditions in this decision. 2. The family apartment shall be maintained as a one bedroom plus loft as per the plan submitted to the Board in 1986 with Appeal No. 1986- 012 that originally authorized the family apartment. A copy of those plans has also been entered into this file and are so noted in the file. 3. The applicant shall reapply for a building permit for the unit. All requirements of the Building Division shall be fully complied with to assure that the unit and building meet all applicable codes, including building, fire, and health, as well as the condition imposed in this decision. 4. All parking shall be on-site. 5. Qccupan_cy of th:eifamil_y;-ap-ar_trnent un,it_is_r_estr_icted.to 2-persons only as their primary residence. OneTof=th-e occupants--shal:l:be a-direct family-rnember-? There shall be no renting of the apartment unit to non-family members and no renting of rooms (lodging) permitted during the life of this variance. 6. During the life of this variance, the apartment unit and accessory garage building located on the property shall not be further expanded in area nor bedrooms added. 7.. When the family apartment is vacated, or upon noncompliance with any condition or representation made including, but-not limited to, occupancy or ownership, the use of the apartment shall be terminated and this variance shall become null and void. At that time, this variance shall cease and the applicant or property owner shall be responsible for the removal of the kitchen and use of the building as an independent living unit. A building permit for the removal of the unit.shall also be required at that time. The vote was as follows: AYE: William.H. Newton, Michael P. Hersey, Craig G. Larson, Nikolas J. Atsalis, Brian Florence and Laura F. Shufelt. NAY: None 3 r� Town of Barnstable,Zoning Board of Appeals— Decision and Notice Variance No. 2009-011 —Ellis-Variance to Section 240-47.1A(3) Family Apartments Ordered: Variance No. 2009-011 has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Barnstable Town Clerk. Laura F. Shufelt, Ch 'ir 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{ .s been filed in the office of the Town Clerk. �J Uri. Signed and sealed this day f �� � L%G'f under the pains and penalties of perjury. \� is r Linda Hutchenrider, Town:Clerk \ -- 4 Property Location:3 PINE TREE DRIVE MAP.ID:208/027/002// Vision ID:14674 Account# Bldg#: 1 RREN TOP ILLY,MICHAEL S&CATHERINE Level Public Water 1 Paved %PIKE,KIM Y&MCCORMICK,BRI, as 15 ROCKDALE HILL CIRCLE Peptic UPTON,MA 01568-1722 ,} �_�4r ySUPPL'EMEIVTALDATA $ „x i dditional Owners: Other ID: Plan Ref. LC12422-J Split Zoning Land Ct# er.Prop. #SR Res Expt App NO Life Estate DL 1" - LOT 48 Notes: DL 2 GIS ID 14674 ASSOC PID# _If!N - 'BK V_..0�/PAGE S'AL-EDATEy /,u SALE=PRIC1 IKE,KIM Y&MCCORMICK,BRIAN D C187901 02/06/2009 U I 225,00 : 1EILLY,MICHAEL S&CATHERINE R C183121 05/18/2007 Q 1 310,00 UNDBERG,JAN&STEVEN C C174528 09/28/2004 Q I 300,00 KCAVANAGH,JOHN G&MARY P C155009 10/01/1999 U I 130,00 RISCOLL,THOMAS EGAN&JANE D C112014 09/15/1987 Q 1 139,40 NEILL,THOMAS P III C106429 05/15/1986 Q I 154,00 " 4 �r '�, ..- 1tIPTzONS.. HE!?-SSESSME Year Type Description Amount Code Description Number 2009 N5C NO RESIDENTIAL EXEMPTION 0 s�3{ u xw� _j = 'ASSESSIIV EIGHBORIIODDwsX,� e T; +:c>.�x if.Srrr;•--T,ad".r,„3,r ,:?;.r':Lyt ezr:�t".x 1-r'..' �..iH,,.,._, r_-.�,....:.«.�-..s..._....-..:...s, .....s:`..:..,a. .s=?.,`��5,,s.�' .�,.L�:�•. NBHD/SUB NBHD NAME STREET INDEX NAME TRACING 0107/A M-- "15 NOr s r 'ma x .y€- '� t 1'S 'r "t��.5-." ,z�.d, •r !•`tF..F `>€ u. ,'',,. `s ra. 1 Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Co. 71723 09/22/2003 RE emodel/Renov 5,000 02/09/2004 100 01/01/2( 5_2 � N . ' 'i• Y ' LN .LINE VA LU:4'TI0 B Use Use Unit I. Acre C # Code Description Zone D Frontage Depth Units Price Factor S.A. Disc Fac 1 1.010 SingleFarn MDL-01 RD-1 3 0.14 AC 165,000.00 5.72 5 1.0000 . 1 Total Card Land Units: 0.14 ACI Parcel Total Land Area: .14 AC . s A B C D E F G H 1 Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s): '208121' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters 2 to abutters. Notification of all properties within 300 feet ring of the subject lot. 3 4 Map&Parcel Ownerl Owner2 Address1 Address 2 Mailing Cit StateZip Couniji Deed 5 208019 ROHRBACK,CHARLES A ROHRBACK,SUSAN H 432 MAIN ST CENTERVILLE,MA 02632 USA 4234/OF—, 6 208020 LOUGHRAN, FRANCIS P&MEG O 159 PARKER RD W BARNSTABLE, MA 02668 USA 11261/. 7 208021 CALHOUN, HARRY C& CALHOUN, KATHLEEN L 12 SHOREVIEW LN DANBURY,CT 06811-2768 USA 16760/164 8 1208022 MCINERNEY,THOMAS F JR&ANN T 278 E CHOCOLATE AVE APT 1 HERSHEY, PA 17033 USA 8097/068 9 1208024 MOYNIHAN, MICHAEL J 33 PARK AVE CENTERVILLE, MA 02632 13788/326 10 208026 CAPE HEAD INJURED PERSONS HOUSING&EDUCATION GRP INC P O BOX 315 CENTERVILLE, MA 02632 USA C130574 11 208027001 ANDREW,S CATHERINE 9 PINE TREE DR CENTERVILLE, MA 02632 USA C155670 12 208027002 REILLY, MICHAEL S&CATHERINE R 358 KINGSBERRY DR ANNAPOLIS, MD 21401 C183121 13 208031 BAXTER, LINCOLN S&VICKI A 18 PINE TREE DRIVE CENTERVILLE, MA 02632 USA C119284 14 208033 SCHWARZHOFF, ELIZABETH 31 OLD STAGE ROAD CENTERVILLE,MA 02632 19686/215 151 208041 MCKEEN,MICHAEL F&TRACEY A 485 BLUEHILLS PARKWAY MILTON, MA 02186 13848/126 16 208042 WEBER, ERIC& WEBER, MARGARET M 364 MAIN ST CENTERVILLE, MA 02632 USA 16732/296 17 208043 HOSTETTER, DANIEL C JR&ADAM TRS HOSTETTER CHILDREN REALTY TRUST 770A MAIN STREET OSTERVILLE, MA 02655 23197/289 18 208089001 HCRI MA PROPERTIES TRUST II P O BOX 1475 TOLEDO, OH 43603 USA 19217/213 19 208089003 HERBERGER, MELVINA C 445 MAIN ST CENTERVILLE, MA 02632, USA 20 208116 CHILDS, RICHARD W&MARY P TRS 329A MAIN ST CENTERVILLE, MA 02632 20428/273 21 1208118 CHAPRUT, RI FAT&MARTHA 339 MAIN ST CENTERVILLE, MA 02632 USA 10502/006 22 208119001 QUINN, KAREN E&PISANO, MATTHEW T 351 MAIN ST CENTERVILLE, MA 02632 12635/326 23 208119002 DAIGLE, GRACE M&PETER M 359 MAIN ST CENTERVILLE, MA 02632 15971/21 1_ 24 208120 REED,STUART MALCOLM& REED JOAN A 377 MAIN ST CENTERVILLE, MA 02632 17055/ 25 208121 ELLIS, SUSAN W 393 MAIN ST CENTERVILLE, MA 02632 USA 9145/160 261 208122 BARNSTABLE,TOWN OF(REC) 367 MAIN STREET HYANNIS, MA 02601 USA 137/147 27 208123 RYAN, MICHAEL P TRS RYAN FAMILY TRUST P O BOX 788 OSTERVILLE, MA 02655 USA C119203 28 208124 LOTUFF, MARY M&FREDERICK A 69 HIGH ST BRISTOL, RI 02809 USA 18070/094 29 208125 WHITE,THOMAS C 415 MAIN ST CENTERVILLE, MA 02632 19896/166 30 208142 SCHABLIK,JEAN W 21 PINE TREE DR CENTERVILLE, MA 02632 USA C46147 31 208143 CAPE HEAD INJURED PERSONS HOUSING&EDUCATION GROUP, INC 9 PARK AVE CENTERVILLE, MA 02632 C157434 32 208 551 WITTER,TERRANCE G 29 PARK AVE CENTERVILLE, MA 02632 15856/185 33 208152 BUTERA,JOSEPH L,TRUSTEE BLACKSMITH REALTY TRUST 33 WEST CEDAR ST BOSTON, MA 02114 USA 7987/265 34 208 555 JJAKLITSCH, FRANZ IMAYAJAKLITSCH PO BOX 547 BREWSTER, MA 02631 USA C63808 35 208156 1 BARTOL,WENDY P 123 OLD STAGE RD CENTERVILLE, MA 02632 JUSA 9282/115 f , t. t • ,. LEGAL • ..� �+�=karsa�ts xy TOWN OF BARNSTABLE ZONING BOARD OF APPEALS ' NOTICE OF PUBLII:HEARING UNDER }= � � THE ZONING.ORDINANCE y ,"7.��1 MARCH 212, ¢;2009 t , To all persons interested in'or affected by the Zoning,Board of ry ,Appeals under Section i1 of Chapter 40A of the General Laws of, ` the Commonwealth of Massachusetts and all amendments thereto you are hereby notified That` r ' 100 PM A peal No.2009 ;Campbelf;6 � ,c 1p Matthew and Enca Campbell have applied,for a Vana�ce to Section 240471 A Family Apartments The apphcentjsseeking j the vanance in order to udhze an existing apartment located on the property in,azdetached accessory`garage for a family apartment The propertyis addressed 6 Cedar Street Cotuif MAand is hown ;: on Assessor's Map 01t7 as parcel 065 001 It Is,ln the Residenceb; F:Zonmg Dlstnct ti sN Ellis ::Susan W Elhs has,appliedfor aVanance to Section 240.471.A FamilyApartments The applicant is.seeking a vanance fora family apartment to be located iri a detachedaccessory garage located on " - the prope The properly is addressed 393 and 389 Main Street :! Centenrtller_MAand Isshown ortAssessor sMap 208 as parcel 12t If:isjn a Residence D 1 Zoning District r z 8 00 PM M Appealtrlo Z009-022 r 4 Our Fathers LLC z Joseph P Dunn Manager �' , 40urFathers LLC.oseph P Dunri Manager has petitioned fora yiodificatiogof Speaal Permit Nos 2003 060 and 20077444 issued to Buksport;Inc dlb/a Keepers Restaurent+-h modificetiori is soughtto allow forth&trarls(erofthe spedal pem�lt-from Buksport{; Inc to 4 Ou�Fathers I�G as prospective new owners of the bust r, ness The subject property Is addressed as 330:West BayRoad Ostervtlle MA and is shown on Assessor s Map 116 as parcel 013 It,is Ina Marine Business A2 Zoning Distnd These Public Hearppwil bel held at the Bamstable TbW6116ll 3¢7MainS$eet HyannisMA n�gR Heaoom 2^"Floor Wednesday " March 25 2009 Plans and applications may be rewewetl'at the Zoning Board ofAppeals Office Growth Management Department, Yt,Town Offices 200 Main Street Hyannis MA _.,.,.. Laura'F.ShufeR;Chad Zoning Board of Appeals The Barnstable Patnot March 6 and March 13,2009 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map '20,4 Parcel 121 z Application # Oct Health Division Date Issued Z Conservation Division 4l � Application Fee Planning Dept. ?A Permit Fee Date Definitive Plan Approved by Planning Board Q��u Historic - OKH _ Preservation/Hyannis PAR TP Project Street Address 3g3 airJ �T Village Cel?ZPrvr//o. Owner �)lids��j/ L��,r Address z?93 /�>in Telephone �-08- 77S-81f4 Permit Request Square feet: 1 st floor: existing/o.2e proposed /2S4 2nd floor: existing Sao _proposed 0` Total new 26� Zoning District RO-1 Flood Plain Groundwater Overlay Project Valuation 00,am Construction Type 2X� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure /$,SD Historic House: �d Yes ❑ No On Old King's Highway: ❑Yes ;XNo Basement Type: 4 Full ❑ Crawl ❑Walkout ❑ Other Cgmkw4g-�7 Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new t_ Half: existing new Number of Bedrooms: .9 existing Q new Total Room Count (not including baths): existing new First Floor Room;Count t Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑ Other € _" Central Air: ❑Yes ;i No Fireplaces: Existing_A New d Existing wood/coal stove ❑Yes ;No Detached garage:X existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: xisting ] new`' size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: C7 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ © n, Commercial ❑Yes No If yes, site plan review# --Current-Use __...Proposed=.Use f APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �5?19--f28 -8P2R Address 437�7f� �j' 6 /// License # 01;41.f O1'l"91v,11/e Home Improvement Contractor# Afr9798 Worker's Compensation # A114 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE 7 1.3 t �c� ,S f w, FOR OFFICIAL USE ONLY 5 APPLICATION# DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE �. OWNER DATE OF INSPECTION: FOUNDATION 1 s�.cs FRAME 5N£N' �(Q tI�V31cs�,Qti INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH ,FINAL ' FINAL BUILDING DATE CLOSED-OUT t ASSOCIATION PLAN NO. I ,.*IHE . Town of Barnstable Regulatory Services BARNSTAHLE MASS. Thomas F. Geiler, Director ,P Ec39, a 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 PLAN REVIEW Owner: 1=I Iis Map/Parcel:_ 2-O$ Project Address Sit Mc-:.•. S'r Builder: ArA' 3"' N� r"C�eh The following items were noted on reviewing: U rSkre W\ S E A:I\' ecCole- Reviewed by: 0,2 Date b-9 a / Q:Fonns:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 60.0 Washington Street Boston, MA 02111 immmass.gov/dia b Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appticant Information A// Please Print Le ibl Name (Business/Organization/Individual): u) ?� ''7 C Address: 65_o City/State/Zip: w• � Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction employees (full and/or part-.im.e).* have hired the sub-contractors 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• /0 Demolition workingfor me in an capacity. employees and have workers' Y P h' # 9. ('Building addition [No workers' comp.insurance comp%insurance. required.] 5.X We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑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.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name:. Policy#or Self-ins. tic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'Failure to secure coverage as required under Section 25A of MGL c. 152 can Iead 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 cer der t pains a penalties of perjury that the information provided above is true and correct Si afore Dater 7 3l Phone#• 11. 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`appii tenanf thereto shall not because,of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or Iocal•licensing agency shall'withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance or public work until acceptable evidence of compliance .vith 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: F .The Commonwealth of Massachusetts , Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617>727-490:0 ext 406 or 1-877-MASSAFB Fax# 617-727-7749 Revised 1.1-22-06 www rnass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: �"�5 �,}� JLC3ite Address: CLAI c'�ZuXkk Town: Applicant Phone: - 3 6� - 7/ y/ Applicant Signatur . Date of Application: 3/ Le 07 NEW CONSTRUCT ON: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM' MINIMUM Ceiling or B7n, Slab ❑ _Option 1: Fenestration exposed Wall Floorrimeter U-factor floors R-Value R-Value ValueAFUE HjEnergy R-Value Depth National Applian35 R-3 8 R-19 R-19 R-10 R-10, Conservation Act4 ft. 1987 as amended,rester as a lica Note: This form is not required if you choose either of the two versions of REScheck as.listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must•be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http://www.energycodes.€rov/reschecld :ADprTIONS>;OIt ALTERATIONS TO`EXISTING.BUILDINGS:.OVER 5.YEAAS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b= a) SF 100 x — _ % of glazing (b) Glazing area equals. SF b a If lazing is<:40% use.the chart below. If glazin is>:40.`% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING. LOW-RISE RESIDENTIAL BUILDINGS i MAXIMUM MINIMUM Ceiling and Slab perimeter Fenestration Exposed floors Wall Floor LBasement Wall R-Value R-value -ValueR-ValueU-factor R-Value and De t.39 R-37 a R-13 R-19R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix'120.P) E A , �OpIHEI � Town of Barnstable Regulatory Services BARNSPABLE, Thomas F MASS. . Geiler,Director y F0;ACA's Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town,b arnstab l e.ma,us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using_A Builder ` a as Owner of the subject property hereby authorize Akv ZVC to act on my behalf, in all'matters relative to work authorized by this building permit application for: ` (Address of Job) Signature of Owner Date �� u1 E llj Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. �Op'iHEr� Town of Barnstable y�P Regulatory Services t BARNSTABLE, f Thomas F. Geiler,Director y MASS. lbs9• Building Division TFD MAC A Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone.# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF,HOMEOWNER, Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed�under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The t ndersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ' Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from.the provisions of this section(Section'109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure thaj..the homeowner is fully aware of his/her responsibilities,many communities,require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Boar o ui ding egulat on an tan ar s One Ashburton Place - Room 1301 Bostor .'Massachusetts 02108 -Home Improvement Contractor Registration Registration:' 148798 Type: Ltd Liability Corpor Expiration: 10/26/2009 Tr# 262809 ARTISAN KITCHENS LLC STEPHEN BRITTON 937 A MAIN STREET OSTERVILLE, MA.02655 Update Address and return card.Mark reasoft`ter change. Q Address Renewal n Employment Lost Card IS-CA1 0 5OM-07/07-PC8490 fie -�ar�nu»uve� a�../l�agaacfzuael�b Board of Building Regulations and Standards License or registration valid for individul use only before the expiration date. If found return to: -, HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards Registration: 148798 / one Ashburton Place Rm 1301. Expiration: 1U/26/2009 V/Tr# 262809 Boston,Ma.02108 Type: Ltd.Liability Corpor ARTISAN KITCHENS.LLC P STEPH EN BRITTON 937 A MAIN STREET Not valid without signature OSTERVILLE,MA 02655 Administrator r � �.✓�ze -Pam�m�aruueciltti o�✓l�arMaclu�aelfa ; ` -S. BOARD OF BUILDING REGULATIONS : CONSTRUCTION SUPERVISOR j; 1 FNumbe - CS 01241 C , Birthdate„(07/21/1951 t I ! a 54 7xt �EEE9 / ;Expires 6 1/2009 Tr no'c 9740` Restncfed oa , STEPHEN W BRITTONi �z' ' } PO BOX 89.7/500 MAPLE W BARNSTABLE MA'02668 Y t Commissioner Town of Barnstable -��5� Approved - Regulatory Services Fee Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: 1�2C -So bl Name: Phone#: a�al Address: ��3 (hcu Y� S-� Zylte2� l\e AAA -OZ(o 3 a Village: Name of Business: G fgrtew� OCC- Type of Business: ��� S►fi�i�)g / Doi (, l/SWN eMap/Lot: o INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,odors,electrical disturbance,heat, glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity, and one.trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: W Date: Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel t Permit# J a0 Health Division - { t Date Issued Conservation Division - • .. Fee. V / a . Tax Collector (n'1F ,b?Co f qq Treasurer - _ : '►/ • 1` Planning Dept. _ k Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis p Project Street Address 'S%3 Village' Owner �dh�. ���/�S T Address Telephone i iPermit Request Ge.& Zk� C •%r® Square feet: 1 st floor: existing proposed 2nd floor:existing proposed " Total new Estimated Project Cost i000, Zoning District ' Flood Plain Groundwater Overlay_ Construction Type Lot Size Grandfathered: o 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 0 No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other s . 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 F Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing' ❑new size Barn:❑existing .❑hew size Attached garage: ❑existing ❑new size - Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# .:.Recorded❑ , t Commercial ❑Yes • 0 No If yes,site plan review# Current Use Proposed Use 'BUILDER INFORMATION.. Name -FRASER GONST Telephone Number Address 71 TA GON CIR License# C0TUIT MA 02635 Home Improvement Contractor# Worker's Compensation# LvC /vS%S'� 6� O/`7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOwT�ov SIGNATURE c DATE L S' - FOR OFFICIAL USE ONLY Ile � .,��� Yam' r .• • . - ' - s - ' .. .. - . .,i l r PERMIT NO. `' r Ll ' DATE ISSUED MAP/PARCEL NO. r �, E , ti ca ADDRESS t VILLAGE r OWNER.. DATE OF INSPECT � FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL } GAS: _ ROUGH FINAL" FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. , The Town of Barnstable • sin.A,arer�.x. • 9 �0� Department of Health Safety and Environmental Services "?�o n►o�' Building Division 367 Main Street,Hyannis MA 02601 ; Office: 508-862-4038 Ralph.Crossen Fax: 508-790-6230 Building'Commissioner Permit no. i Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ge PaaA Estimated Cost o� OOC� � w Address of Work: 39 S AcQwn S7- Cp—mil Vt JI-e Owner's Name: Date of Application: -,-s I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. c Date ` Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav l 0/ 0 Assessor's Office(1st floor) Map' -2 0 B Lot 12 I LC Permit# Conservation Office(4th floor) 3 'T17111 Date Issued .,Us— Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) - Fee ( id .0*Q e� Engineering Dept.(3rd floor) House#1 �t SEPTIC SV imiamiWA&L ' 19 INSTALLED 1 • ANCE WITH ' 00 TOWN OF?BARNSTABC I MONMENTAL CODE AND Building Permit Application TOWN REGULATIONS Project Street Address /U A I f.4 S'T��t=_-T- Village Ccti► vILL� MAss. 0�'32 Owner J o H--r-4 Q, L t_f 5 Address A S YK' E.- Telephone Permit Request Co N sT2 v T y-tcxnD l �A-7 I.i U-z- ems. A-P Pv 9-IT-f i EN-4 I-- Total 1 Story Area(include 1 story garages&decks) tta square feet Total 2 Story Area(total of 1st&2nd stories) square feet 4(oo s. F: Estimated Project Cost $ Zoning District �-D - 1 Flood Plain C Water Protection A-P Lot Size 1A4913 s F Grandfathered ? %_f E 5 Zoning Board of Appeals Authorization w/A Recorded w/A Current Use S F-?N-m►L� rew5j be-1-4' c-I✓ Proposed Use %->A-m Ea Construction Type Wc=D AeGC- Commercial �_4 1 A Residential ✓ Dwelling Type: Single Family ✓ Two Family j-4 fl Multi-Family a Age of Existing Structure 15,:= t Basement Type: Finished Historic House o Unfinished Old King's Highway ►-moo Number of Baths 2 2 No.of Bedrooms 4 Total Room Count(not including baths) ► O First Floor C o Heat Type and Fuel ++or w-r2 Central Air N n Fireplaces 3 Garage: Detached ✓ Other Detached Structures: Pool K� Attached LM Barn k > None Wo Sheds fl-Ppr Ta Other I-+/A 41:1AA a=1,1444e2 Builder Information Telephone Number /A Address ►_4 A< License# /q Home Improvement Contractor# ti/A Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 'S I 3 19 9 S BUILDING P MIT ENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - -, PERMIT NO. #96041 DATE ISSUED Aug. 09, 1995 MAP/PARCEL NO. 208 121 '1 - - SS VILLAGE _ Centerville, MA 02632 f OWNER Susan Wyf El` is DATE OF INSPECTION` [26- -1 FOUNDATION FRAME ocP INSULATION L • FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH f.. FINAL - - GAS: 1 ROUGHI FINAL FINAL BUILDINGm DATE CLOSED OUT ASSOCIATION PLAN N}}O: ..i Y '.� w • 1 y The Town of Barnstable NAM• a�er� • tee$ Department of Health Safety and Environmental Services BuiIding Division 367 Main Street,Hyannis MA 02601 • Office: 508 790-6n7 Ralph Crosses Fax~ 508 775-3344 Budding Commiss For office use only Permit no ' Date AFFMAV1T HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,.ncpair, on,conversion, improvement, r rnoml, demolition. or construction of an addition to any pm-wasting- owns occupied building containing at least one but not more than four dwelling units or to structures which an adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other Type of Work: CONSTEyCT Wc_ Ot; c;v- Fat.Cost 4o6e Address of Work: 393 A4 k#N sTtAMT ram+064 t tL A'A: Owner.Name• �oH'tr Q• �c 41.IS Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 _Building not owner-occupied we pulling own permit Notice is hereby green that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVE RENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner Date Contractor name Registration No. OR Date Owner's name r TWO-LEVEL DECK Decks built on a slope often step dov+•n to hug the terrain.This one,which can he built either freestanding or attached too house ledger,has a single level change.Look closelY at the beam and t joist Configurations to see hove a drop in level is h'pically handled;if you'd like to desi�n a deck with several level changes,just replicate these methods. 10( Elevation section 2 by8n joist 2by 8joists ' .Joe 6 aoc;nc 2 by 4 fascia 4 by 8 bean, Piers and footings . 2 by 8 joists.24-on center Plan view(framing) .lo's!range's P4" Plan view(decking) 4 aria 00 ems -- — t Elevation section 7, ui I, V' I 11 7. � i Biookng � 7' j � 18' L--b' 6' o'—�—; 20' 124" AOJNIT OAK OIM�r1.NtlAwl A� R�tO.I+O a h f X/SnNG S/NCC f FAM � IC y D � E HDU ' S #3s3 CCIN� M,411V �8T4 S 1R E ET 27 4• a � h J.m 0, /9 J N p d /� a � opOSf D +so S F. D t E L K h DETAIL OF PROPOSED DECK 4 8, AT 17. .� 27.s- ;, a 393 MAIN STREET CENTERVILLE, MASS. 0 o SCALE: 1" = 10' " 2 1.17' W PROPERTY-UNE - 2s5 AUGUST 8, 1995 GRAPHIC SCALE .28• m y�"E BOUND rO ROAD SIDEUNE 10 0 5 10 20 40 ( IN FEET ) 1 inch = 10 ft. i Assessor's office (1st floor): �4_/ar *TRETo� Assessors map .and lot number .............................. ............ Q Board of Health (3rd floor): ' SEPTIC SYSTEM Sewage Permit number `........ 5 ....:�2..... .... .. tB, 1 . ........,. INSTALLED C rasa � j Engineering Department. (3rd floor): NII'PH Y1TLE oo tbS& •� House number ........................... 3S-1. ............................................. � ENVIRONMENTAL CO ' APPLICATIONS PROCESSED 8:30_.9:30 A.M. and 1:00-2:00� P.M. only' TOWN REGULATIONS TOWN. OF BARNSTABLE BUILDING IHS;PECTO$R APPLICATION FOR PERMIT TO .: 1fil D ? G.........4,.��.(�iP/l� ....f �G/ ............ .. . .... ....... "70� TYPE OF CONSTRUCTION ........ .............. ............................. . .................................... ! 1 ................, �Q................ 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...:�,.??....✓... Il1l...S_/......... ........................................................................ Proposed Use e�S'V ZoningDistrict ��.......................... 1t/�f /fl/��;/OS7l/(..�/ .... -.-.7.—................. .................Fire District ..... Nameof Owner ....,.J o l-{ .......& (5.......................:......Address ............_! f*l ? ......................................................... Name of Builder ISU......1.. s.... e.5<.....................Address .....7.T-'�........ .fdL�✓...> .clis./ .ASS•�.. •�, Nameof Architect .................................................................Address .................................................................................... Numberof Rooms ................... ..........................................Foundation ........................................................... f Exterior .....//Y-4/.�..................................................................Roofing .....A 4'4x/............................................................. i Floors .............I� ................................................................Interior .................16e_A....................../.�...e.....�.r.................. a. Heating ........:..........................................Plumbin9 ...... � +^ Fireplace ..............11./O...............................................................Approximate Cost .... 3 (.v.a........:.:...W / V® 6�j Definitive Plan Approved by Planning Board ________________________________19________. Area � �!...... Diagram of Lot and Building with Dimensions Fee ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH • 4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ....... .............. Construction Supervisor's License r - to M -ELLJS,`'SOHN A=208-121 No .2.9.1,9.$... Permit for .Remodel garage/ A ................... S 'barn to family apartment .............................................. Location ..:3,g.3..lv�a�, ...Street..................... •_Centerville ............................................ 1 _' Owner ...John Ellis..........................:........ , Type of Construction ..{...frame....`................. .............. ........ + APlot ................. Lot ................................ • • Permit Granted _..........APriI....J,4..'.:.... 1,986 r __�... ' a+ Date of Inspection '.. ............... ..19 " Date Completed ...................... .AC..........19�� ES BEM , ' '. •` `., l 1 �r:•'i. uUl1<j rdU t Jt��7 CLERK IR O76 RD IN REGISTRY OF DEEDS IN COMPLIANCE WITH SEC. 11 OITOWN OF BARNSTABLE ;I"IRN)TAB1E. V1a'ss- i CHAPTER BOA, M.G.I. Zoning Board of A f� ppeals R6 FEB 25 AM 9 36 J & Susan Ellis .9 ..........................................................._. .....__.....p................._......_.... Deed duly recorded in the ........................ .__...................... Property Owner County Registry of Deeds in Book ..._._._................. ...........awA............................................................................................................_.... Page ......................... ....................................... ........... ......Registry Petitioner District of the Land Court Certificate No. ......................... ........................ Book ........................ Page .................. - - Appeal No. .. ...1g. 6.- ............................................ ............................... 19 s FACTS and DECISION Petitioner .......John & Susan Ellis filed petition on19 393 Main Street requesting a variance-permit for premises at ...........__..................._....... ....................... in the village (Street) of _..C2pla--cmi le...._..._...._......._...._................... adjoining premises of ................. (see attached list) .................................... Locus under consideration: Barnstable Assessor's Map no. .... 0.8........._............................ lot no. ....12i Petition for Special Permit: rA Application for Variance: ❑ made under Sec. .........................................._...._................ of the Town of Barnstable Zonineby-laws and Sec. ....................... ._................................................................................... Chapter 40_l., Wass. Gen. Laws for the purpose of .._„to...allow.,a family,,.apartment_..,in,...an..,est.ing„aetgchd ....................... ............................... ....gt" .age.lht . .._.............._.._..........._...._.................................................:......_..................................................... RD-1 Locusis presently zoned in..._._........_............_..._...._.............................._............................................................:..................................__................ Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with 'Town Clerk. A public hearing by the Board of Appeals of thee Town of Barnstable -way Geld at the Toti�n Office Building, Hyannis, Mass., at. ...__.8:U0__. P.M. ._February 20, _ y 1y 26 upon said petition under zoning by-laws. Present at the hearing were the fol!owins members: -Richard..L.....BoY........__....__ Dexter Bliss Gail Nightingale................_._....... _._....._......._._._................................ Acting Chairman Helen Wirtanen At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. AppealNo...19.5—C.-]..2............................................. Page ........................ of ......_.._.......... On _..........__FE.Iruary...2D............................................................... 19 ....86......., The Board of Appeals found Mr. Ellis presented his petition. for a Special Permit to allow a family apartment. at 393 Main St., Cente- an RD-1 zoning district. The petitioner desires to remodel an existing/ W�W'S arage/barn to contain the family apartment - which would have one-bedroom with a bath and a half and to include a loft area in the upper portion. The building currently has gas, electric and telephone service. The petitioner will comply with Section' V of the Zoning By-laws. The family apartment to be for the petitioner's mother-in-law, Dexter Bliss made a motion to grant the Special Permit for the family apartment - the motion was seconded by Helen Wirtanen. The Board voted unanimously to allow the con- struction of the family apartment to be in accordance with the Plans submitted and subject to the provisions of the state building code. s� —�� Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. S:gned and Sealed this ..-....... day of ✓f. =............................................ 1:� �� _.............. under or.l Rains and penalties of perjury. Distribution:— • � "= :. ........ �.....,� ................. 2 Property Owner ............ ... .............. ���, Town Clerk Board of appeals „r. Applicant 'Town of Ba ".Q Persons interested Building Inspector Public Information I;y ......_—_— .... ..4..:........_............._.:..Q._ Board of Appeals Chairman 1 1 165 Alk P.^_RTIES II:1 INTEREST 1986-12 JOHN & SUSAN ELLIS Meeting of 21/20/86 George Zeritas 401 Main St, CenterviZZe, MA 02632 iiiZdred i ite 4.15 Main St, CenterviZZe, M4 02632 tames PZunket= 120 S Main St, CenterviZZe, MA 0263' � I , Cente2Jle, A 02632,eZvZne Hernerger 44 4 I'arion SwingZe 377 Main St, CenterviZZe, AIA 026352 Peter Daigle 359 Main St, CenterviZZe, ILIA 02632 Leonita iJcLaugZin cj o Lippincott 364 Main St, CEntervi'l Ze., ILIA 02632 GaZe P. Stevens PO Box 2027, CenterviZZe, M4 02632 Danz Jakitscn P.O. Box 547, Brewster, M4 C2631 Comun of Lass Dept CapitaZ PZanning ' Gceraticns Park Ave., CenterviZZe, M4 02632 EZizabetr: M Earle Box 6, CenterviZZe, MA 02632 Robert P. ShzeZas, Jr 129 Airport Rd, Hyannis, AAA 02601 .Town Of Barnstable 367 Main St, Hyannis, MA 02601 Edward Roache 418 Main St, CenterviZZe, 4 02632 Mary McNaZZy 32 Park Ave., CenterviZZe, MA 02632 DonaZd Bowen 3.0 Owen St, Hyannis, MA 02001 Joan CataZini .161 KettZehole Rd, W Barnstable, MA 02668 asrpee PZanning Board TO"'.'OF BARNSTABLE I armcuth PZanning BoardZONING BOARD OF APPEALS Sandu icit PZanning Board NOTICE`OF PUBLIC HEARING UNDER ZONING BY-LAWS ZONING BOARD OF APPEALS MEETING.OF FEBRUARY 20, 1986 :To all persons deemed interested or affected by the Board of Appeals,under Sec. I of Chap.40A of General Laws of the Commonwealth-of Massachusetts and all amendments thereto,you are hereby notified that: .Appeal No. 1986-13, 7:30 p.m.: Independence Park. Incorporated has Appealed to the Zoning Board of Appeals and petitions for a Special Permit to construct a 2700 square foot office building at Map 294,Lot 69 Independence Dr.,Hyannis in a Highway Business zoning district. A public hearing will.be.held on'this petition at 7:30 p.m. Appeal No. 1984-21, 7:45 p.m.: Michael & Maurice Wyman, Trustees of Stevens Trust, has had their petition remanded to the Board of Appeals for a now hearing to allow the construction of a Burger King restaurant at Route 132, Capetown Plaza,Hyannis in a Highway Business zoning district. A public hearing will be held.on this petition at 7:45 p.m. Appeal No.1986-12,8:00 p.m.:John&Susan Ellis have appealed to the Zon- ing Board of Appeals and petition for a Special Permit to allow a family apart- ment at 393 Main St.,Centerville in an RD-1 zoning district. A public hearing will be held on.this petition at 8:00 p.m. Appeal No.1986-14,8:15 p.m :Katherine D.Phalan has appealed a decision of the Building Inspector and petitions for a Special Permit to allow to alter and the use of a non-conforming accessory building for rental at 15 Irving Ave— Centerville Centerville in an RB zoning district. A public hearing will be held on this petition at 8:15 p.m. Appeal No.1986-15,8:30 p.m.: Resorts Motels Trust,d.b.a. "The Hyannis Town House Motor Inn,"has appealed a decision of the Building Inspector and petitions for a Special Permit&Variance to install kitchens,add a sunroom and I. enclose corridors in an existing.building at 33 Ocean St., Hyannis in an RB-1 11 zoning district. A public hearing will be held on this petition at 8:30 p.m. Appeal No. 1986.16,8:45 p.m.: William F . Hurley, Trustee, HKW Realty. Trust has, appealed to the Zoning Board of Appeals and petitions for a Variance to allow a real estate/professional offices at 905 W. Main St.,Centerville in an RD-1 zon- ing district. A public hearing will be held on this petition at 8:45 p.m. These hearings will be held in the second floor hearing room,New Town Hall,' 367 Main St., Hyannis on Thursday evening,February 20, 1986. You are invited to be present. By order of the Zoning Board of Appeals. LUKE P. LALLY MAR " .+ Chairman U Zoning Board of Appeals Barnstable Patriot February 6 and 13. 1986 Assessor's map and lot number .. .`..@L� ..:.:. � PTPC SYSTEM `J INTALLED �/IC1ST" 13E. ` COMP WITH N . I LIANC `- r ARTICLE II Sewbge'�Permit number `'�,�° Ti4TE .... r,. . .�. . �............................ :SANITARY �` S _, . REC;i� 00E AND TOWN w yofTNEro� TOWN OF BARNSTABLE- , G1 L BA2139TADLE, i 4 J� C "u& � 0Y DUILDING ; INSPECTOR a PYa' .�.. z I'aC S�� Fa e S�iea� APPLICATIONFOR PERMIT TO .... ......... ...........:: ..... .. ...................................... .............................................. TYPE OF CONSTRUCTION .....�6..A...Fraiw.� ..... ................ . .............. ..... . ....................................... ............. ..........19. .)... TO THE INSPECTOR OF BUILDINGS: r C The undersigned hereby applies for a permit according to the following information: !. Location j � ..e f C � �s..:(e.f ...r1a..�(,e�........� .S'A'........0 X A.3 z_ .............. ......................................................... ... .... ....................................... Proposed Use ......� c-��� S�a�A GiF„cud. ..... .....4'e.flak...° '^. f'.k.....�a.�.H................................ Y , Zoning District (7 C 2..................................................Fire District .....�2.!n..(j.t.u,.....e................. Name of Owner ..... .�.�.�...e..... .t.:.�ry .0 fCe f- Address ... 3 /t'Io, +.� 6', e --✓•d e 1ta sS Nameof Builder ....................................................................Address ...:................................................................................. Nameof Architect ..................................................................Address............................................:........................................ Number of Rooms ``"e Foundation �e.... .... .. �.. e .................................................................. ...............................................................:.....:........ Exterior ................y.f......S.'A`.`^. .........................................Roofing .....'¢ Ar..`f...f' •.ti�/.T........................:............ Floors' w°°A ......:.......Interior .......��h.4`�'� Y� rN Fieatin /�0 .-4.............................. Plumbing /l/r�., e g ............... ................... ............: Fireplace ............. .........................................................Approximate Cost ........... rr........... Definitive Plan -Approved by Planning Board ________________________________19________. Area is z 5�../ff•'.....: Diagram of Lot and Building with Dimensions Fee .......... .1. s5.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH jt . f i , I v Y 00 w I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the.above construction. Name ...... ...!% �.... .................... Crocker, Eugene R. ` V 18966 bic storage ' No ...... ..... Permit for ................................. shed ...........a ....... ........... Location'............393 Main,Street .......................... :..............Centerville.......:.......:........... �` r -4 -5 t uene R. C rocker Owner ................E.... ............................................ Type of Construction ......... 1 � z YP frame...:. Na . - _ ............................................................. « '� "'F_ l./\ ♦f. / ... Plot � ............. Lot ...........:.................... ---�. '' • { X- February #28' 77 Permit Granted .............................. 19 " t Date of Inspection f { <. Date Completed . ........19 &° T PERMIT REFUSED01- ........................................................°...... 19 .......................................................................... w i ; • ' 11 - 1 .- �' ........................ ............................................... r 3 r .y.........' ....... ...... ....................................... _ .� / , r - - •r`r �APProvecl :............................................... 19 r ,, ........................... .................................. ................................................................................ U Town of Barnstable 0 L Regulatory Services �1HE tqy Thomas F.Geiler,Director do ,�I� C � � f:��LE Building Division Tom Perry, Building Commissioner BARNSTASM MASS. 7006 JAN 30 PM ! ' 06 1639. 200 Main Street,Hyannis,MA 02601 orEo �s www.town.barnstable.ma.us __- DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is '5U5A-4--1 w• EL-4-IS I am the owner/resident of the 393 property located at: � AAA"y T- t c_f_-��--4(tLr--, M Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: J t-�.4e:'r- C'+°"�-++-+►�-► AA 4!5 T'rte�L Name &relationship to owner: 1 A The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 26,TM day of 2006. / ll Signature Phone Number Print Name 5US^1-+ . w - E 1r L 1 S Q/bldg/forms/famaffid Rev:1/03 i Town of Barnstable Regulatory Services `y of o� Thomas F:Geiler,Director Building Division • i4EN3rABLE s Mass Tom.Perry, Building Commissioner , t639. 39. a.0� 200 Main Street,Hyannis,MA 02601 � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is lE L.L.i5 I am the owner/resident of the . property located at: 3`9 A4o%r; ' . C&4.._ t t>� t.tX_- MA• o4.caZ AM 4ag fPcs..., tiy� The following members of my,family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: JA•NET C�41�aNi , - McrRf>eQ:,. aEs11=p=:'14-io•c7 Name & relationship to owner: }•+(A The Family Apartment will be the primary year-round residence for the above-identified' family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that.no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Afflidavit annually with the Building ` Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.].Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location`,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) ✓ Other APP1:tcA'i1oH is t�MIk09E TIM /tom/=P A-IM Sworn to under the pains and penalties'ofperjury this cst- day of ,A%..oAgy 2008. - (SOB)., Signature Phone Number Print Name N ol� Q/bldg/forms/famaffid '" Town of Barnstable Regulatory Services �pFSMe roy� Thomas F.Geiler,Director 3 ;� ;;� Q tFj x3LE Building Division _ * BARNSTABLE. * Tom Perry, Building Commissioner `5 F 8 _9 A'" 15 � 9 MASS. 1639• ,0 200 Main Street,Hyannis,MA 02601 Argo��a www.town.barnstable.ma.us tso Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit s I I, being on oath, depose and state as follows: My name is 5osAi--+ W • LLiS I am the owner/resident of the property located at: gT. �s-+'tQy LL.� A. 1 C &32 Map and Parcel Number 2 0 6 2,i The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: •-�AiL,cT CA-"P-r► Li,�;, - AAC rr � Name &relationship to owner: A The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other 1 4 Sworn to under the pains and penalties of perjury this 4 day of F:e60uA,9:-1 2005. SOS)--Signature' - Phone Number Print Name 5LA,;-+ 'W • L1-1 S Q/bldg/forms/famaffid Rev:1/03 v/C Town of Barnstable Regulatory Services °FTNE Tn_� Thomas F.Geiler,Director Tl Lp , u ; J Building Division • sA�tvszAa[a Tom Perry, Building Commissioner, MASS. � 039. ,0� 200 Main Street,Hyannis,MA 02601 AlFO MA'S p Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is '5U SA;-, W. 1_L-•15 I am the owner/resident of the property located at: 39 3 M 4t L.._, sTQ_r_-ET-. Ci✓►-a Y�2v i MA •, o� 3'L Map and Parcel Number 1 c) The ZBA granted me a Special Permit/Variance on o2 • 'Lo IfL Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Ai-.►1=T CA-",....,i t-►4 / AA o-n-1cR- Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZB_A in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this TM day of M A Qe_t-I 2004. Signature Phone Number Print Name Sy3AI--4 W . E L L-J5 Q/bldg/forms/famaffid Rev:1/03 e_ Town of Barnstable o ` Regulatory Services °t THE rok� Thomas F.Geiler,Director T OW N OF S ri.R NIS TA B L E Building Division snxtvsTasiE. Tom Perry, Building Commissioner 1i193APR 10 AM10: 42 v� 9 6 . �m� 200 Main Street,Hyannis,MA 02601 ArfD�,la MVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is �u!SAu_4 w E L L•is I am the owner/resident of the property located at: 3`l3 Mtn"—' S-reC=_�'r �4 ►�$-�c r-.1.E, MA• , 04/.3IL Map and Parcel Number The ZBA granted me a Special PermitNariance on 'L I Ct8 Ifl. Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book 49 6-7 Page I(3 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: _ Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this -7 TM day of "at i 2003. Signature Phone Number Print Name 5uSA1-1 w. E-LL-is Q/bldg/forms/famaffid Rev:1/03 I f Town of Barnstable E4 h Regulatory Services °Etna l Thomas F. irector d OF BARNS TABLE Building Division '* BAMSrnsLE, Peter F.DiMatteo o r v se;q `0$ 200 Main Street,Hyannis,MA 02 MAM i8 �AtfD MA'1 A Office: 508-862-4038 ��� --- Olt I S I0N Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �• �L �-►5 I am the owner/resident of the property located at: 3�'� AAA i w SITE EST Cam- ► P-,4i L LZ--- , AAA ., 0 2ro�,2 Map and Parcel Number The ZBA granted me a Special Permit/Variance on Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: A '-'E T C A#- 1-+► C / AA aT"C7-L Name &relationship to owner: 1-+/A The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 9Ecawp day of AP AIL. 2002. Signature Phone Number Sv--,A-u4 w, ELMS (5b8)-1)5-V654- Print Name Q/b1dg/for=/fa=ffid Rev:010702 COMMONWEALTH OF MASSACHUSETTS �. BARNSTABLE AFFIDAVIT being on oath, depose and state as follows: 1.) I reside at 39 3 M A-i S"T �T -A • O�-L�,2 2.) I am the owner of the property located � 3�3 M�c.-, �-r 2�-�'T' C��1�i/��rt L.tr..�; M� • � Ca2-b32 shown on Barnstable Assessors' maps'as MAP 20 8 PARCEL L 2 1 3.) I Do ✓� Do not have a Family Apartment at this location. tcislo t9s(., -- 4.) On o(L _ I a ,�9� , the Zoning Board of Appeals, on Appeal No. t'L tented me a Special Permit/Variance to maintain a Family Apartment at.the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME Relationship to owner: M �2. b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family a' members. t 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the i Building Commissioner in writing. dQ 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. (CM0 - I't- y 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- fisted property. /] LdGQ _ M4 Sworn to under die pains and penalties of perjury this. day of &CL , Signature a. Print Name oFWE The Town of Barnstable Department of Health Safety and Environmental Services $ 11' , ix 'r Building Division 367 Main Street, Hyannis MA 02601 RFD MA'S A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 7, 1998 The Ellis Residence 393 Main Street Centerville, MA 02632 Re: Family Apartment located at the above address Dear Ms. Ellis, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, l� Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/07/98 PARCEL ID 208 121 GEO ID 12765 LOT/BLOCK DBA PROPERTY ADDRESS OWNER ELLIS 393 MAIN STREET (CENT. ) SUSAN W CENTERVILLE 393 MAIN ST CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC SPLIT SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION 86-12 FAMILY APT LOT SIZE 25264 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E)XIT r elk.- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE " being o B 31� -. t --- -------------------- `�, ,S depose and state as follows: TOWN OF BARNS IALt BUILDING DIV, 1.) I reside at 3n3 M A,1-+ L!_E�[AA As_t_CA-ro _ —__- 2.) I am the owner of the property located' at-3`�3 MA,i a sr2EET� GEc-�reCL�Ii�LE AAA SS . o�L632 shown on Barnstable Assessors.' maps as MAP PARCEL_—_�? 3.) I Do_ ✓ _ Do not -have a Family Apartment at this location. t 97(b. 4.) On 02 20 -----,4-99 the Zoning Board of Appeals, on Appeal No. i'I- granted me a Special Permit/Variance to maintain a Family Apartment at the above:`address. 5.) 1 understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. .6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a).NAME A N E T _c a j-,ti c.._---------- ==---- -- ------ —=----- Relationship to owner:__ o � ----- - - — -- b) NAME---------------- ---------=---=----- ------ Relationship to owner:---=—�`1A ---- 7.) The Family Apartment will be the primary year round residence for the`above-identified family. members. uoTe M-I .Mo7Y+C-Q. Rt-S_(Da9 it.& Ft..oP-10.4 [ 1A A-R-Y - pcpaii-� 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) 1 understand that no subletting or subleasing of said Family Apartment.is permitted: 10.) 1 understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my_family members occupying said Family Apartment: 11.) I understand that I am required to comply with all conditions.imposed by the Board of Appeals in Appeal No. 12.) I agree to immediately notify the Building Commissioner in the event of the sale of the above listed ro e P P rty• Sworn to,under the pains and penalties of perjury this_10 r.► day of__Fc_fsR�kR _, 19.9_9___ Signature - Print Name - SuSA y:r. E LL025 r �:9RN T 6ILERK ^ ECOIZD'IN REGISTRY OF DEEDS ! LE. IN COMPLIANCE WITH SEC. 11 &TOWN OF BARNSTA.BLE CHAPTER 40A, M.G.I. 'AB FEB 25 AN 9 36 Zoning Board of Appeals Js2hn Susan Ellis Deed duly recorded in the:—. Property Owner County Registry of Deeds in Book Page _.__:.....Re,-istry Petitioner District of the Land Court. Certificate No. Book _ ._-- - Page Appeal No. � _ _�__._ _ 19 FACTS and DECISION Petitioner John & Susan Ellis filed petition on 19 requesting a variance-permit for remises at 393 Main Street q g P P ... ._ in,the village (Street) of C9T1Q111 �__ __.____ adjoining premises of (see attached list) Locus under consideration: Barnstable Assessor's Afap no. _208 _ : . __ lot no. Petition for Special Permit: {� - Application for Variance: Q made under, See. _ .......... of the Town, of Barnstable Zoning by and Sec. _ _. :._ __;:. ..._ Chapter0:1.; .A1ass.`Qein. I.aw-, for the purpose of.. �A�J _. Ali tingjk:Lgghea N- two ar.__sa�a� Jk�a la� .� _�::._._ _.�..:::_ _.� _�..._..W� �........... Locus is presently zoned in Notice of this hearing was given by mail,..postage prepaid, to all persons deemed, affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy cif which is attached to the record of these, proceedings filed with Town Clerk:. A public hearing by.the Board of Appeals of the Town of Barnstable -vi•as field at the Town Office Building, Hyannis,' Blass.;,at 8:UO P.M February 20, �T 19 86 . •u nsaid petition -eti i on under Loning by-laws .: - Present at .the hearing: were the following members: Richard L. Bow Dexter Bliss. Gail N?-ghtinale Acting Chairman _. ..... Helen Wirtanen i At the conclusion of the hearing, the Board took.said petition under advisement. A.view of the . locus was made by the Board. Appeal No..Mafi_-12..._.._.__ Page _ __ of On nary--20, 19 _86 , The. Board of Appeals found Mr. Ellis presented his.petition. for a Special Permit to allow a family apartment at 393 Main St., Cent76i�ae an RD-1 zoning district. ' The petitioner desires to remodel an existing w garage/barn to .contain the family apartment - which would have one-bedroan with a bath and a half and to include aloft area in the upper portion. The building currently has gas, electric and telephone service. The petitioner will canply with Section V of the Zoning By-laws. The family apartment to be for the petitioner's mother-in-law. Dexter Bliss made a.motion to grant the. Special Permit for the family apartment -, the motion was seconded by Helen Wirtanen. The .Board voted unanimously to allow the con- struction of the family apartment to be in accordance.with the Plans submitted and subject to the provisions of the state building code. h .A-A, s LA off - !fie Clerk of tale l'own, of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town.Clerk. Sig oued:and Sealed this �g da} of —•_ -- 19 under the pains. and penalties of perjury. Distribution Property Owner Town Clerk Board .of Appeals Applicant Town. of B ble Persons interested Building Inspector public: Information. By Board of Appeals Chairman Town of Barnstable 0/(- Regulatory Services lb °FINE T° Thomas F.Geiler,Director Building Division _,iJ I. Il l"t�BL * snxivsTnaLE, " Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 . www.town.barnstable.ma.us SI Office: 508-862-4038 �Fax 1 5¢08-0790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Soszn UJ 0 I�S I am the owner/resident of the _ o property located Crn-t rk'-V i� Lo The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: them Name.& relationship to owner: - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this c l(� day of danaVU2007. Signature, Phone Number- _ Print Name ' t.� idyl Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Building Department Complaint/Inquiry Report o; 2g - � � Date: 0 Rec'd by: L L'! Assessor's No.: Complaint Name: Location � y Address:3���f\ .�k I=f S�E-6r , Originator Name:-( Street Village: L�� ��� State: + Zip. Telephone: D/E Complaint escription: py Inquiry a Description: For Office Use Only Inspector's � � �•, S��LJI� Action/Comments Date: U t Inspector. Follow-up --<�--p _ Action L L 1 y 2-1 ` �d C- f Additional Info. Attached i�iNoyy"" 2A_ U`� Copy Distribution: White-Depaitrnent File Yellow-Inspector Pink-Inspector(Return to Office Manager) ti P Q Il M,A-P �r_—F 2�c�-Z—�I 00 e ti� e IL,!',S 17 5Ar 0 �► j a� �V -4 �? ) G ry Q �p� L h 9 �� IT 4' g, lk 62 / �A q5.� Y , o,off r ��. . �Q �N Oi M MBAP 'Zo 8 P I'L I JO �zSe / yo 29874 I 0/yq �Hp 9 MAP 208 Qz l 121 s �.7 '' J QED �'•9•9 S (L POT) U T F-EEQE6�l czE2Tr FY.TL.1 AT -rl4F_ ;. L.L 15 >�•�-I U Li�J 1-J G. ex/LSn L J, FE�JLZATIo" opt Ty-J 1 S Jc$i.i� : P�•�L LCT LS Loc'A-rED IIW To 4�o P.o�J re GA D2 gY: 'ME r-_Y!snub eWT-S =.t. ^ J j EAST SAUD�ti/IG-� MA • o�Is37 Gt{ B`!: -sHE-IEr I of r COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I, S u S A N W. E k-L I S ----------- _ being on oath, depose and state as follows: qN Ye 1.) I reside at_-3F13_n4,4 k,_ srREEr� ceN Pyi L-LC- nnAss 32_19g�9 2.) I am the owner of the property located �4A at 393_MAIW STtrE shown on Barnstable Assessors' maps as MAP 20 8 ___PARCEL____ ? 3.) I Do— ✓ ____Do not __have a Family Apartment at this location. 1-19co 4.) On____ 02•�-o_ -------4 9____, the Zoning Board of Appeals, on Appeal No. 11 granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME----- A w --C A-W N o Nv --------------------------------------------- Relationship to owner: AAC>rH . - ------------------------------------------- b) NAME--------------------------- ------------------------------------- Relationship to owner:------____--N r+--------------------------------- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. M—( ^40TrOeQ w1i4•re-1$L91W 1:4-oaiDA LJANwAW - "ILIL-1 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ---19 8 --- �----------------------------- ---------------- 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. • •;.. . . ., ..fir: :';: �{,r At. ,� Sworn to under the pains and penalties of perjury this_! day of 199 8 t' r 'Signature -- ------------------------------------------------------ Print Name - � -------- . SoSA►-+ W• ELLS I Joseph D. DaLUz Telephone: 775-1120 Building Commissioner Ext.,' 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 April 26, 1989 David A. and Sarah Jane Sinclair 29 Muskeget Lane Centerville, MA 02632 Re: Appeals No. 1986-12 Dear Mr. and Mrs. Sinclair: On February 20, 1986, the Board of Appeals granted a special permit to John and Susan Ellis for a family apartment under Section V, "Family Apartments" in the Town of Barnstable Zoning By-law. The by-law permits accommodations for a kitchen and bath to supply a ,year-round residence for a member or members of the property owner' s family for whom the special permit was granted. Said permit is non-transferrable and any and all sales negate the special permit . Any similar use can only be granted by the Board of Appeals if conditions so warrant . Our records indicate that you are the owner(s) of said property to which a family apartment was authorized by the Board of Appeals. Should this be the case, you would be in violation and said unit must be removed. It should also be noted that said authorization was required to nave been filed with the Registry of Deeds in order to prevent any violation of the special permit. Therefore, this office will require that an affidavit be filed in the Building Department , Monday - Friday from 9:30 A.M. through 1 : 30 N. M. Please be advised that this office shall strictly enforce the provisions of this by-law. Conviction of a violation of this by-law is subject to a fine of $ 100 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from the First District Court of Barnstable. Peace, r Yoseph D. D Ll Building Commissioner JDD/km cc Board of Appeals Town Counsel L 0 , _IN REGISTRY OF DEEDS '�.�.RN EINN CLERK III COMPLIANCE WITH SEC. ii 6TOWN OF BARNSTABLE :,1As,. CHAPTER 40A, M.G.I. 9H'RA FEB 2s Zoning Board of Appeals A 9 36 ...........,�� , Susan•Ellis Deed duly recorded in the ......._............._..............................__..__.. Property Owner County Registry of Deeds in Book .............................. .......... _.......__........................._..................................... ...Registr v ......__. Page ...._...._............. ...._................................._................ Petitioner District of the Land Court Certificate No. ......................... ....................... Book ........................ Page ................. AppealNo. ............................_.......... l9 .................................................................I... FACTS and DECISION Petitioner __.John_& Susan Ellis filed petition on requesting a variance-permit for premises at 393 Main Street __.....__. .. ._..._.__.............................................................. in the Villa ge (Street)(Stre of ....��1?1nLi11 _._ .._.. ........._...._..._... .._...., adjoining premises of _........_.... (see attached list) Locus under consideration: Barnstable Assessor's Hap no. .....208........................ .... lot no 171 ........... . .............................. Petition for Special Permit: P Application for Variance: ❑ made under See. .........................................._...................... of the Town of Ba,rustable Zoning by-laws and Sec. ........................................._............__.....................__. .... Chapter 40A., AI<►ss. Gen. Laws for the purpose of _..__....__...._...__.... 4.._ 7low _family....�p n .._.ir...,j nM gxisting,_detached ......................_....... _.._.__ ..._.........................._..._............................................................................................................... Locus is presently zoned in..._______...... _.RD-1 _.. _._.........._._......_._.................................................................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper- published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was belld at the Town 8:00 February 20, 86 Office Building, Hyannis, Mass., at _...._..........._.._.._....._..i. P.M. ...................._._. l9 _ ......................_.._. upon said petition under zoning by-laws. Present at the hearing were the following members: Richard L. Bo y Dexter Bliss Gail Nightingale _ _. ..... ..._ ......._ ....._._. _._ ......_.._.._.__.................._..........._.__. Acting Chairman Helen Wirtanen At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. 1 Appeal No._19.8.6.-12....................._...................... Page .................:...... of ..........__.......... On _._....._._EEb iary....2D.,_..._.._._..._.....................-..._._........ 19 ....$(......, The Board of Appeals found Mr. Ellis presented his petition. for a Special Permit to allow a family apartment at 393 Main St., Cente�ejle an RD-1 zoning district. The petitioner desires to remodel an existing w - garage/barn to contain the family apartment - which would have one-bedroan with a bath and a half and to include a loft area in the upper portion. The building currently has gas, electric and telephone service. The petitioner will comply with Section V of the Zoning By-laws. The family apartment to be for the petitioner's mother-in-law. Dexter Bliss made a motion to grant the Special Permit for the family apartment - the motion was seconded by Helen Wirtanen. The Board voted unanimously to allow the con- struction of the family apartment to be in accordance with the Plans submitted and subject to the provisions of the state building code. i i i I Clerk of the To«-n of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Torn Clerk. Signed and Sealed this ....`.... day of .../t_'' c-'Y..................._............. 19 ............... under_ the pains and penalties of perjury. Distribution:— Property Owner ............................................. Town Clerk Board of Appeals Applicant Town of Ba ble Persons interested Building Inspector Public Information By _.__.. _....._................................_... . Board of Appeals Chairman 51 R170 034. A P P R A I S A L D A T A KEY 96354 SINCLAIR, DAVID A & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 54, 400 96,000 1 A-COST 150, 400 B-MKT 89, 100 BY oo/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1992 JUST-VAL 150, 400 LEV=300 CONST-C 0 "---COMPARISON TO CONTROL AREA 37AC --------------------- ------- NEIGHBORHOOD 37AC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 103 10 LAND-TYPE 544001 LAND-MEAN 1504001 96618 IMPROVED-MEAN -1% Topq I FRONT-FT 1 100 DEPTH/ACRES TABLE 02 100%3 LOCATI ON-AD J APPLY-VAL-STAT 1 LNRILAND LFT/IMP3ADJS/SB/FEAT STRISTRUCTURE ARR3AREA-MEASUREMENTS NORWOTES COMIMARKET INCIINCOME PMRIPERMITS GRR3GRAPHIC: FUNCTION-[ 3 STRUCTURE-CARD NO-C0003 DATA-[ 3 XMTE?l e. I 3 E R 170 034. 3 LOC:3 i 029 . MIw SKEGET- LAME a TY 310 TDS 3 :300 co FEY 3 96354 ____MAILING ADLIRE:=;S________ PC:A 3101.1 PC'a 3�0 YR 3 00 PARENT] 0 S I NC:LA I R, DAV I D A & MAP] AREA 3 37'Ai: _fV 3 MTG 3 00 eta SINCLAIR, SARAH JANE SP13 'rF'23 P:31 29 MU'W KE.GET LANE ��T 13 UT2 3 . 36 SQ ET 3 199 C ENTERV I LLE MA 02632 AYB 11971 EYB 319*75 OB'3 3 C:ONST 3 oclo a LAND 54400 IMP 96000 OTHER ----LEGAL DESCRIPTION----- TRUE MKT 150400 REA CLASSIFIED #LAND 1 54, 400 0 A E, LNG 54400 ASD IMF` 96000 AE.D OTH #BLDi(S)—C:ARD-1 1 96, 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 29 MI_I:W KEGET LN CE TAX EXEMPT #RR 1051, 0090 RES I DENT'L 89100 150400 150400 OPEN SPACE COMMERCIAL I NDUSTR I AL EXEMPTION:, SALE 3(")1 PRICE] 125000 ORB34904l078 APD3 I LAST ACTIVITY304/ 8/87 POR3Y_ COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I � being on oath, depose and state as follows : 1 . ) I reside at 2 . ) I am the owner of the property located at shown on Barnstable Assessors ' Maps as: Map , Lot _ 3 . ) On , 19 , the Zoning Board of Appeals, on Appeal No. . granted me a special Permit to maintain'-- a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: Relationship to Owner: ' (2) Name: Relationship to Owner: ' 6 . ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to comply with all. conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this day of 19 (Signature) (Please Print Name) : &77 0 _. -1 - - 'A 00" 1775 �6 /� Proposed New, Construction in . Centerville MA. Prepared For: Susan W. Ellis Assessor's Map: 208 Parcel: 121 Baxter .. Nye *Engineering & Surveying Community Panel Number 250001 0005 C N Flood Zone C Registered Professional Plan Reference: Plan Book 109 Page 107 Engineers and Land Surveyors Deed Book 9145 Page 168 78 North .Street, 3rd Floor Owner: Susan W. Ellis Hyannis, MA 02601 Address: 393 Main Street Phone (508) 771-7602 Fax — (508)-771-7622 Centerville, Mo., 02632 Job Number. - 2003-088 Scale: 1 30' Date: 07-18-2008 Cl 41 SIN 40 "� pJ N/F STEWART MALCOM REED,A ET. UX. MAP 208.N PARCEL 120 PLAN BOOK.,79.N. PAGE 39 DEED .BOOK 9,650 N PAGE 29 N 74.40118M W PA w _`` DRI�wD 2—CA0J. AY Apq GARAGE � oo � No R BgNT O � C= AADn aft To BE 2 Ek/Sn & p ON RfMo 24,096 SO. 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DRA- ..ER.. : ..._ son•pze aeza..,. N1oDEl�' ... . .. ��N 12D1Y SON . ..:_- , ... . . „ . . . ...- .. -- - .. . . ., . . . . , . _ . t 1. _, _ a .� ,�r .b "" _ ""„` — ProLosed New Construction in - Centervi lle MA. . , Prepared For: Susan . W. Ellis Assessor's Map: 208 Parcel: 121 Community Panel Number 250601 0005 C.•I Flood Zone c Baxter Nye Engineering & SurveyinG Plan Reference: Plan Book 109 Page 107 Registered Professional Deed Book 9145 Page 168 _ Engineers and Land Surveyors Owner: Susan W. Ellis ' . 78 North Street, 3rd Floor Address: 393 Main Street -Hyannis, MA 02601 Centerville, Mo., 02632 Phone — (508) 771-7502 Fox (508)-771-7622 Job Number. 2003-088 Scale: 1 = 30 Date: 07-18-2008 0. 41 N/F STEWART'MALCOM REED, ET UX. `�► MAP 208 N PARCEL 120 PPLAN BOOK 79 N PAGE 39 Gp DEED BOOK 9,650 N PAGE 29 `+ .. e�� ZD3.78' p N 7 ¢.40,18" W \z.v p\� DpjVE- G ` o WqY 1b No 389 T A) hY�2 gDOPOSFD o£ck o EkIS & DI nCN RE° eF z a DbyEL nNG D£CK M0►FD 24,096 SQ. FT, t a� ySE N CIN 3 J REP�D 0.55 ACRES t wra o 3g ;/; ��%-. fD 6 DIA x 6' DEEP LEACH PIT W/3' STN 5 . %/ O ��? o 0. � U 0 ^ O SB FND/NO DH _cc; o ro 0 O Go o HELD o z S ,o N ^ N . 247 27' $B to $ A 815813 B k p S 24�7.2�0� z. SB FND/NO DH . HELD EXISTING - I DWELLNG • ,. . HOUSE- N/F MARY M. & FREDERICK A. LOTUFF No.. 401 MAP 208 N PARCEL 124 DEED BOOK 18,070 N PAGE 94 z EXIS11 BUILDING. }' CB/DH FND HSE No. 415q : . CB/DH FND Rim I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE PROPOSED NEW CONSTRUCTION SHOWN HEREON IS IN COMPLIANCE.WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT- LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. Lax of THIS PLAN IS NOT TO BE RECORDED' NOR IS ,IT TO BE USED TO -ESTABLISH PROPERTY LINES. Jo `8 S " 'a874 n� REGISTERED PROFE IONAL LAD SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE y'v r' 'o � .: 0 Certified Foundation Location in Centervil l e MA. Prepared For: Susan W. Ellis Assessor's Map: 208 Parcel: 121 Baxter Nye Engineering & Surveying Community Panel Number 250001 0005 C N Flood Zone C Registered Professional Plan Reference: Plan Book 109 Page 107 Engineers and Land Surveyors Deed Book 9145 Page 168 78 North Street, 3rd Floor Owner. Susan W. Ellis Hyannis, MA 02601 Address: 393 Main Street Phone — (508) 771-7502 Fax - (508)-771-7622 Centerville, Mo., 02632 Job Number. 2003—ON Scale:, 1 " = 30' Date: 10-02-2008 N/F STEWART MALCOM REED, ET UX. C MAP 208 - ,PARCEL 120 PLAN BOOK 79 N PAGE 39 DEED BOOK 9,650 PAGE 29 GO. � ` yam. a �- N 74.4011 W v A, pRPAVEO 2-CA �r AP� ARA� 1► �� ro NO' 389 T �ry W Of N C O O EXISTING ^ .. a v LOC, 104- A77 z O� Ekl$ fOp III-noro,01 08 24,096 SO. FT. f W �' a OWf�NG t �'° , 0.55 ACRES t W 4� HSE N 3 �2 r .1 o 39 2' orn co SB FND NO DH o Z �p o HELD 247,27' SB � to N •13• W 247.2i iD 2 . 5 SB FND/NO DH HELD Li O EXISTING DWELLING N/F MARY M. & FREDERICK A. LOTUFF HOUSE No. 401 ; w MAP 208 N PARCEL 124 Q DEED BOOK 18.070 N PAGE 94 z 00 o N 01 O EXISTING BUILDING , C 0 i 0000 CB/DH FND o HSE No. 415q CB/DH FND 0 o N OUSE No. 415 0 i I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING FOUNDATION SHOWN HEREON IS W IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED �ts�* WITHIN A SPECIAL FLOOD HAZARD AREA. o JON 00 o THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. 8 o o IO- OIL -Oa o REGISTERED OFESSIO LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE N O I r t oo� � :`. -+q+:.:-..xy4, �� A^w.�v;rs".l,v<.e ., � .. ..,. �_. .•.,..._,.. .._-..__ ..�......... .. /"y ...,,....-_„w.•-..,..,w....,,.. ,n. ... •- ,.. .... .�, ,. ,.....-... ... �/ .,... _..... -.n � r / M <�'` ;: � ,.:.. .. .. _.3 >. r" ,J / g '-.:�. � .. ...... .. .. ...,.. ........«.F.,.•+w.."+....,,,-... ),.+w�+»...w.:..^.--..+p.........�_ ....... .__._......w,wxo.,+w�..,. ,..._......,...,_...,....,..+,....,.,...,. ..y .,.rrrso,�.'"'�r�''"" ."'�,fi'r�a-�a',.,vr..w.�_.,... ,. .. 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