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HomeMy WebLinkAbout0099 OLD FARM ROAD �����E�1��.- �--za.�-�•`— � f �� . - y_ o ����� { 5�,-� ,� o d e k e d �F i a 0 07 , r S f i 7 ' oFTMET Town. of Barnstable Building Department Brian Florence,CBO BARMASS", • Building-Commissioner 1639 p • A`�� l � 200;;1VIain 0 F Street,Hyennus,MA 0260'1 ; Office: 508-862-4038 5084 0-6236 emk 33305 Ps:�i9021< AGREEMENT FOR FAM:ILYAPARTMENT l We Timothy I Kalkus and.Marla K'nikus,the::undersigned, being the owners of.property situated.at 99: Old Farm Road, Centerville, MA holding title under a..deed recorded with the Barnstab a County Registy of. Deeds:in Book 28598, Page.76, Pian Book 36, Page: 69, being shown on Assessors' Map 231I as Parcel 026; hereby agree, certify,warrant and represent to the Town of Barnstable thatjhe.accessory attached apartment; which: contains living quarters,is intehd'ed for use a family apartment,foryear-round occupancy;. i This unit shall lie used for`:a"Family Apartment" (as defined m Zoning Ordinances) W. je. ,wou. require i compliance with the'..Farnily Apartment Rules and Regulations The.family apartment unit must be occupiedanI by i- the property owner or a member(s)of the property,owner's:family.as accessory to an own -occupied single'=family residence. . ���D�NG D I Occupants of Main'Residence. Timothy J.Kalius and Marla Kalkus EPT Relationship to Owner: owners OCT 0 TOWN OF Resident of.Family Apartment: Roy T.;Cowin J: BARN STABLE Relationship'to Owner, uncle' l This unit shall notbe'rented as an apartment or as a single room,or;in any;fasliion which mental would be a i violation of the:Town of Barnstable's rules; regulations, and zoning oidmances: Prior to.occupancy oUthisi unit, affidavits reciting-the names of occupants are to be:recorded;with the building department,; T.his"agmement shall be updated whenever a change occurs or every calendar:year. t This Agreement shall be My recorded or riled at the Barnstable County:Registry of Dee.dsland Court for the purgase of alerting future owners'of the;property of this'.binding Agreementeoncerning;the use of the property as herein,stated. Tle consideration for this Agreement is the::issuance of#buldingpermit:and/or certificate:of occupancyby the Town.of Barnstable Building Department; i WITNESS our hands andseals this. / 2Q TOWN OF BAR.NSTABLE: OWNS" { By: i im thy J alk py Brian Florence,CBO lkus Building Commissioner ' l_ THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE°COUNTY,SS. Date: Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires; t s t gsample i CALIFORNIA ALL PURPOSE CERTIFICATE OF ACKNOWLEDGMENT' A notary public or other officer completing this certificate verifies only°the identity of the individual who signed the 'document 'to which this ,certificate is attached, and not the�truthfulness, accuracy, or validity,of that:-:document, „ G DEpT State of California } OCT 0 5 2020 County of orQ,,,,q,, } TO Onme, gy� N OF BARNSTABLE _ 1 a l f az ace before lCra (Bare�nseT'me en Ul o the o icer - personally appearedd r trkoo ,� Katku: opt: rr ,-C� �S 1�a tkt , who proved to me on the basis of satisfactory evidence to be the:persons Whose' name is/p subscribed:to the within instrument and acknowledged Ito me that.: he/she/0. xecutedl the same in his/her .autho.rized`capac tom, and:fhat by his/herdbbir signature(*on the instrument the;personW or the entity upon behalf,of which the'person( j acted, executed the mstrurnent;, certify under PENALTY'OF PERJURY under the aws-of the State of California that the foregoing paragraph is true and-correct.: LO' C ATRINA WBELMONTE COMM.#2266612 . WITNESS my hand and official seal: NOTAR'PUBLIC•CiLIFORNIA�`gRANGECOUNTY�OIMK EXPIRES DEC.'cJ 2A, Notary Public Signature (Notary Publlc Seal)' INSTRUCTIONS FOR CONIPLETING`THIS FORM. ADDITIONAL OPTIONAL INFORMATION TGts fora cvlqp.11es:widr current Grrlt/ornlaslatrrtesregarding polary wording ntal, DESCRIPTION'OF THE ATTACHED DOCUMENT needed slwrrld be completed rtrid..`attaclted O llie d crnncnt.,lcknou lerlgnre its fr•an-other strifes 1.nrav ke completed for clUcuir,etrts heing'sent�to;!lrat state su long' S X f as ilia ivw dlnK does not:Wjrare'tlie Caltlor»la notaryto violate Cal forniq not q (Title) descriptlon of attached document) • State and.County information mgst be the.State and Countyre.ahe;ilocunicni signer(s)personally appdored before•thc notary°public for acknowledgment, '� ' • Date of notaiizatron m ast be the date that the signers)pe:nbntlly appeared which (TRIO or descriP.tioirof attached document,continued), rniist also>bi the same ifate.lhe acknowledgment is completed:; • The notary public must print his orhername as it appears within his or her• Number of Pa es l Document Dated/ail°k-6 y y ( ry:public).. 9 commrssion<followed,b a comma and then; our title note • Print the' iime(s) of document'sigber(s)who personally.appear"at'the time of . .. notaiizatibn: - s CAPACITY CLAIMED. BY THE SIGNER • Indicate the::gorrect singular or plural fomts by crossing olf incorrect;forms(i.e: he/she/they;.is/are)'or circling thc.correct:forms.Failure to correctly indicate tliis ❑ Individual(s) information'may lead to rejectionofdocument'recording. t ❑ Corporate Officer . The notary ry'seal'impression must, be clear and photographically repmducitic: Impression must not;cover text,or,lines—If seal impression,smudges,re=seat if a =: (Title) sufficient area permits,otherwise complete a different acknowledgmentforin: ❑ Partner(s) Signature of the notary public<.must match the signitture on,file with tlic'office of the county clerk. i ❑ Attorney-in-Fact Additional information is not required bid could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached ton different document. Indicate title or type o attached document;number of and date: i Other '• f ❑ Indicate the capacity-claimed by the signer.if the claimed capacity is a corporate'ofticer,indicate the title,(i.e.,CEO;CFO,;Secretary). 2015 Version M%v.N ota ryC lasses.corn 800-873.9865 • Securely attach this document to'the signed document with a staple: t :l John F. Meade, Register f E o q----29-- 1 t +G i c7t J tti r p 'Town of Barnstable I", w Zoning Board of Appeals Decision;and Notice Special Permit No '2020=020- Kal.kus Section24047.1 (B) (4) — Family.Apa&ne.ht To convert an existing detached accessory:structure to a Family Apartment Summary: Granted with Conditions Applicant: Timothy J. and Marla J Kalkus 17291 Osterville lane, Huntington Beach CA Property Address 99'Old Farm Road;Centerville,-M°A Assessor's Map/Parcel: 231./026 BUILDING-DEPT. Zoning: Residence. D NRD-1) Hearing Date: May 271.2020 OCT 052020 Recording Information: Deed Book 28598:Page:.76: a pin Book: 36 Page' 69 TOWN OF BARNSTABLE Background Timothy J. and Marla J: Kalkus applied for a Special Permit pursuant.to Section 240-47`.1 — Family Apartments The Applicants propose to convert an:existing detached accessory structure into a Family Apartment. The subject property is located,at 99 Old Farm Road, Centerville, MA as shown on Assessor's Map 231 as Parcel 026.. It is located in the Residence D71 (RD-1) Zoning District:. The subject property consists of a .41.acre lot with frontage on Old_ Farm. Road overlooking Lake Wequaquet in Centerville. According to the Assessors records, the lot is currently developed with a single family dwelling consisting of 1,394:'square feet. of living area: (3,05.6 gross square feet), 2. bedrooms, and constructed in 1948. There is a 440, square foot accessary structure on site constructed in 1986. The principal dwelling will; nat change but the;Applicants are proposing: to create a family apartment within the existing accessory structure; The ;area consists of mostly undersized lots and residential in use. Procedural & Hearing Summary Special Permit,Application No. 2020-020 to convert an existing,detached accessory structure into a family apartment was filed atahe Town Clerk's office on April 1, 2020 and•office of the Zoning Board of Appeals on April 6, 2020. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties in accordance with MGL Chapter 40A. The hearing was opened on May 27,'2020 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this- appeal were: Alex Rodolakis; David Hirsch, Jacob Dewey, Paul Pinard and Bob Twiss. Matt Teague of Reef Builders presented the application before the Board. Mr., Teague reviewed':tfe application and the family .need for a family apartment.. He presented this application for a Special Permit as this family apartment is'proposed in a' detached structure. Mr.. Teague described the property;.the.family history,,-and the construction required. He:,stated the applicants will cornply:with the.requirements of the Ordinance. The..Board discussed setbacks and reviewed the requirements for a family apartment. The Board Chair requested public comment: No testimony vias'given:. BUILDING DEPT. Town of Barnstable Zoning Board of Appeals-Decision and Nofice Special Permit No.2020-020-Kalkus OCT 0 5 2020 Findings of Fact TOWN OF BARNSTABLE At the hearing on May 27, 2020, the Board made the following findings off ct in Special Permit Application No. 2020-020, a request to create a family apartment in a detached structure: 1. The application falls within a category specifically excepted in the ordinance for a grant of a special permit. Section 240-47.1. B. allows a Special Permit for a Family Apartment in a detached structure. 2. Site Plan Review is not required for single-family residential dwellings. 3. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. 4. The proposed family apartment would not be substantially more detrimental to the neighborhood than the existing dwelling. The Board found the structure already exists and therefore would not alter the neighborhood. 5. The single-family nature of the property and of the accessory nature of the detached structure are preserved. The Board found the structure already exists and therefore would preserve the nature of the property. The vote to accept the findings was: AYE: Alex Rodolakis, David Hirsch, Jacob Dewey, Paul Pinard and Bob Twiss NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2020-020 subject to the following conditions: 1. Special Permit No. 2020-020 is granted to Timothy J. and Maria J. Kalkus to establish a family apartment in the existing detached accessory structure at 99 Old Farm Road, Centerville, MA. 2. The site development shall be constructed in substantial conformance with the plan entitled "Existing Conditions Site Plan" by J.M. O'Reilly and Associates, Inc. dated March 12, 2020. 3. The proposed development shall represent full build-out of the lot. Further development of the lot or construction of additional accessory structures is prohibited without prior approval from the Board. 4. The Applicant must comply with the restrictions in Section 240-47.1 Family Apartments C. Conditions and Procedural Requirements 1-4 of the Ordinance as follows: a. Certificate of occupancy. Prior to occupancy of the family apartment, a certificate of occupancy shall be obtained from the Building Commissioner. No certificate of occupancy shall be issued until the Building Commissioner has made a final inspection of the apartment unit and the single-family dwelling for regulatory compliance and a copy of the family apartment accessory use restriction document recorded at the Barnstable Registry of Deeds is submitted to the Building Division. . b. Annual affidavit. Annually thereafter, a family apartment affidavit, reciting the names and family relationship among the parties and attesting that there shall be no rental of the principal dwelling or family apartment unit to any non-family members, shall be signed and submitted to the Building Division. c. At no time shall the single-family dwelling or the family apartment be sublet or subleased by either the owner or family member(s). The single-family dwelling and family apartment shall only be occupied by those persons listed on the recorded UILDING 101. B Town of Barnstable Zoning,Board of Appeals'-Decision onci.Notice- OC 5 2020 Special Permit No,2020.020-Kalkus affidavit; which affidavit shall be amended when a .change I$ e'r occupying either unit occurs., T . d. When the family apartment is vacated, or upon.::noncom`pllance with;any condition or representation made, including b.ut"not limited to occupancy"or ownership, the Use as;an` apartment 9h.all be .terminated', All necessary permlt(s} must be .obtained to remove either the cooking: or bathing,facilities>(tub or.shower) from the' family'apartment, and the water and.gas. servi'ce,"of the utilities removed; capped and placed behind a finished wall surface; or a building permit must be obtained'to iricorporate the floor plan of the apartment unit back into the princi"pal tructure.. 5. All mechanical equipment associated with the dwelling::(.air conditioners, electric ,generators; etc.) shall be screened from neighboring homes and the public right-of way. 6. The decision shall be recorded:at:the'Barnstable County Registty of Deeds and copies of>the recorded decision shall be submitted,to:the Zoning Board 'of Appeals Office and the" Building: Division prior to the issuance of.a building permit. The rights authorized'by this special permit must be exercised within two years, unless extended. The vote was AYE: Alex Rodolakis, David Hirsch, Jacob Dewey, Paul Pinard andBob Twiss NAY:-None Ordered Special Permit No. 2020=020 to,create a family apartment Ina detached structure'at 99'`Old Farm Road, Centerville, MA has been granted with conditions:: This`decision must be recorded at the Barnstable Registry of DeedS for it;ao be :in effect and :notice..of that recording submitted 'to the Zoning Board of Appeals Office. The=relief authorized by'this decislon.:;must be exercised wlthin'two years unless extended: Appeals of this decision; :if any shall be made pursuant .to MG,L-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. Al x:Rodolakis, Chair Date Signed I, Ann Quirk, Clerk of the.Town of Barnstable, Barnstable County; Massachusetts,, hereby certify that twenty (20) days have elapsed since,the Zoning Board of.Appeals'filed tt is decision and that no appeal of the decision has been filed'in the office of the Town'Clerk: Signed and sealed this - day'ofu. under the pains and:penalties.,of perjury. y.'3 "Appeal period calculated in accordance with Orders of the.Comrnonwealth of ` � �,� Massachusetts Su reme Judicial Court which; a p Ann`Quirk Town Clerk tolled appeal periods from. March 17, 2020 through June 30,2020 4, in response to the COVID-19 pandemic: Applicants are advised to consult their 3r0 f 'l ! own counsel with respect to each specific .3ARNSTABLE REGISTRY O.F.DEEDS appeal deadline." John F.:Meade,:Register ttt. i i 11 , 99 • • Farm R• Va a ass 99 Old Farm Rd . , Cent 11 /7/14 416 rej 9 OF r,1I ImMe W4 Page 1 of 1 Anderson, Robin From: Grossman, Michael (mgrossman@commfiredistrict.com] Sent: Tuesday, November 04, 2014 4:19 PM To: O'Neil, Louise Cc: Anderson, Robin Subject: 99 Old Farm Road Centerville ` Hi Louise, , Can you please attempt to set up an inspection with the homeowner of 99 Old Farm Road for Friday at 3:30 pm? If he can do that can you please send an email to confirm to Robin Anderson? I have cc'd her on this email. This inspection will include Robin and a building inspector. Thanks, Mike .. Michael G. Grossman, Fire Prevention Officer t Centerville-Osterville-Marstons Mills Dept. of Fire-Rescue & Emergency Services ' (508) 790-2375 ext. 1/Fax: (508) 790-2385 11/5/2014 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcelpliytio n #L'' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 'I Q:�tdh G . Village(,RA 4--1:(LU t 1`5, nn pp Owner ,ao 1 t' Address Telephone -7 t Q_ c1�,1L Permit Request c' M i !1 C CE S S ri(c U C -c,L a-F_ , ACC E-5 e'�d l J ft66 vy" 'f"J (►i c!1 k OU.S � F(Yl a(Pp_ K i t c, Square feet: 1 st floor: existing ��:), V�proposed 2nd floor: existing�3)o propose otal new= Zoning District R�T Flood Plain Groundwater Overlay c791 3 °3 Project Valuation _ 6(1 onstruction Type W Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su porting docurVentation. Dwelling Type: Single Family 2/ Two Family ❑ Multi-Family (# units) Age of Existing Structure ( '(8 b Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) © Basement Unfinished Area (sq.ft) O Number of Baths: Full: existing i new Half: existing new Number of Bedrooms: I existing —new Total Room Count (not including baths): existing 3 new First Floor Room Count Heat Type and Fuel: U/Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes W(/No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C _ S ` -6 -mc- Co \ b P; Telephone Number 4:�-6 2 -1 3 7 _51.C1? Address 34R� -S MA mzl PC-K License # C S 0 4 9 ( Q 1, Home Improvement Contractor# C) 3 g Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE l l Ro I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. E ADDRESS VILLAGE OWNER C�i tV �Cl Jff' DATE OF INSPECTION: IV FOUNDATION 4' FRAME INSULATION [ FIREPLACE r ELECTRICAL: ROUGH FINAL �f PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING m4a p J s DATE CLOSED OUT F, ASSOCIATION PLAN NO. w-C The Commonwealth of Massachusetts _ Department of Industrial Accidents — Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I A Please Print Legibly Name (Business/Organization/Individual): /L Address: 3 �r City/State/Zip: v t Phone#: 50 — 0 7 Are you an employer?Check the appropri to box: Type of project(required): 1.❑ I am a employer with 4. .❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2. ]( 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp:insurance. required.] 5. ❑ We area 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 12.0 Roof repairs insurance required.]t. c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.]_ *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check thi$box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. .I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: - Expiration Date: . Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of 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 c under the ins,and penalties ofperjury that the information provided above is true and correct. Si ature: Date: 1 1 Z Phone#_�!SOS T31 �,D 7 C0 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 iti the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,associati ,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the egal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or ther legal entity,employing employees. However the owner of a dwelling house having not more than three apartm is and who resides therein,or the occupant of the, ous dwelling he�of another who employs persons to do mainte ance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not b ause of such employment be deemed to be an employer." MGL chapter 152,5'§25C(6)also states that"every state or cal licensing agency shall withhold the issuance or renewal of a license0 r permit to operate a business or t construct buildings in the commonwealth for any applicant who has no roduced acceptable evidence of ompliance with the insurance coverage required." Additionally,MGL cha er 152, §25C(7)states"Neither a commonwealth nor any of its political subdivisions shall enter into any contract for e performance of public wor until acceptable evidence of compliance with the insurance requirements of this chapter ave been presented to the c ntracting authority." Applicants Please fill out the workers' com ption affidavit co pletely,by checking the boxes that apply to your situation and,if necessary,supply sub-contracte(s),address )and phone number(s)along with their certificate(s)of insurance. Limited Liability Cs(LLC)or L' 'ted Liability Partnerships(LLP)with no employees other than the members or partners,are not ret carry work rs' compensation insurance. If an LLC or LLP does have employees,a policy is requiredvi d that thi affidavit may be submitted to the Department of Industrial Accidents for confirmation of ie co erage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town appli tion or the permit or license is being requested,not the Department of Industrial Accidents. Should ye any qu ti regarding the law or if you are required to obtain a workers' compensation policy,please caepartmen the number listed below. Self-insured companies should enter their self-insurance license number ppropriate e. City or Town Officials Please be sure that the affidavit is complete and rin\thaln 'bly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event t Of vestigations has to contact you regarding the applicant. Please be sure to fill in the'permitllicense num er will used as a reference number. In addition,an applicant that must submit multiple permit/license appli liony giv year,need only submit one affidavit indicating current policy information(if necessary)and under"J b Sitess"th pplicant should write"all locations in (city or town)"A copy of the affidavit that has been fficialped or m ked by the city or town may be provided to the applicant as proof that a valid affidavit is on le for permits or " enses. A new affidavit must be filled out each year.Where a home owner or citizen is obt ' " g a l or permit no elated to any business or commercial venture (i.e.a dog license or permit to bum leaves et .)said is NOT requir d to complete this affidavit. The Office of Investigations would like to youance for your coo eration and should you have any questions, please do not hesitate,to give us a call. The Department's address,telephone and fax umber: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston=lam.021 II Tel, #617-72`7-4900 ext.406 or 1-87`T-MASWE Fax#617-727-7749 Revised 4-24-07 WW.W n1ass.gov<dia CF THE toys * BnxtvsrasIX. 9. "Town of Barn"nstable" , Regulatory Services Richard.Scali,Director 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 Property Owner Must Complete and Sign This Section If Using A Builder as Owner,of the subject property hereby authorize J /Z,/�OJl o Y .��,� to act on my behalf, in all matters relative to work authorized by this building permit application:for:. y (Address of Job) t JLl Signa e Lof Owner `- Date 0 \ A Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. ' Q:IWPFILESTORWbuilding permit formslsmokecarbondetectors.doc Revised 050412 1'own of Barnstable Regulatory Services u. �ttE tom, Richard V.Scali, Director ti Building Division * snxxsr�ai.E, * Tom Perry,Building Commissioner 9� 6g9 200 Main Street, Hyannis,MA 02601 Argo 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 ADDRES city/town state zip code The current exemption for"hom wners"was exlmdedto include owner-occupied dwellings of six units or less and to allow homeowners to engage an dividual for ' e who does not possess a license,provided that the owner acts as supervisor. DEFIN rION OF HOMEOWNER Person(s)who owns a parcel of land on w he/;he resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or to lied structures accessory to such use and/or farm structures. A . person who constructs more than one home in a o-year period shall not be.considered a homeowner. Such "homeowner"shall submit to the Building Officia. a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the ui ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsib lity for c pliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/sh understands th Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she wi omply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 31,000 cubic feet or larger will be r uired to comply with the State Building Code Section 127.0 Construction Con ol. HOMEO R'S EXEMPTION • « which a building ermit is required The Code states that. Any homeowner p rformmg work for w g p q shall be exempt from.the provisions of this section(Section 109.1.1-Licensing of construc`f ion Supervisors); provided that if the homeowner engages a personkfor hire to do such work,that such HAeowner shall act as supervisor." Many homeowners who use this exemption a�e unaware that they are assuming the resp sibilities of a supervisor(see Appendix Q,Rules&Regulations fo�Licensing Construction Supervisors,Sectidn 2.15) This lack of awareness often results to serious problem ,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against.the unlicensed person as it would with a licensed . Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currentliu�sed by several towns. You may care t amend and adopt such a form/certification for use in your community. Massachusetts -Department of Public Safety Board of Building Regulations and Standards _ Construction Super-visor ,u= ° ' License: CS-049696 I IS CMUSTOPHER V CO-LB`A 383`OLD MILL RD OSTERVILLE N� 02�655 Expiration Commissioner 05/25/2016: r 77� —, . .. ��e �pa��znaoricaeccC�o�� oaciccdeLY� o License or registration valid for individul use only ffice of Consumer Affairs&Business Regulation �' before the expiration date: If found return to: 'a ME IMPROVEMENT CONTRACTOR, 7 Office of Consumer Affairs and Business Regulation egistration 156038 Type. 1 ite 5170 xpiration 5/29/2015 Individual Boston,MA 02116 CHRIS COLBATH CHRIS COLBATH = z c 383 OLD MILL ROAD g�W=� .`��' OSTERVILLE,MA 02655. Undersecretary Not valid,without signature - •f j I a's�o- SM KE ETECTG;�S REVIEWED r� 9 z-Z6rxBr. -----�j -- --_.----I r RNST BL ILDI EP T, D I TE EC �„7 f S OK i D z FY c To.R _ -----� r Z..--- 'myq� I F E DE ART ENT _-- BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I 2re"�N_w txs .Z;x ONLy of �Ro oir� ChAl � !�. o �� P�fOS27A L- Ural Kdool � R06 YvL III I Id I IG zo-o�- ---- . - - --~�YCE�t" Hof -At[tSaRy-�3rDaoom �'S+2Uc�r�� • slue la5/T--czz d+zo- SCALE' gvvFOVEO Ov OF11�WN Br _ii� SCrLn70i•l p'A__� w�NO N N E, Assessor's office r(lst floor): IDJECT- �' BP.t�P�STABLE C'�s`NSER 9A3',DA l 0*THE TO Assessor's ma and lot number .... ......4a:G.......... p- COMMISSION Q� Board of 'Health (3rd floor): SYSTEM S y� MU Sewage Permit number ............. �................ ....�... ..::..., SEPTIC YST s Engineering Department (3rd floor): INSTALLED IN COMPL o' 6 a L I House number :...................................�.`�l:..................:;:... ' WITH TITLE 5 APPLICATIONS PROCESSED 8:30-9:30 A.M. and! 1:00.2:00 P.M. only ENVIRONMENTAL CODE A TOW11 E CIO, 'TION A P P R O V E DTOWN^ OF BARNSTABLE Bar stable Conservation Eo issioBUILDING INSPECTOR Y-(:LSi ned` APPLICATION F OP RMIT TO (.LIL1>...��tdJ.. ...;. -... �/�t� � .. I /�` �- G c TYP O ,CON RUCTION .. ... .�„i. .:C - .... ..................................................... al— �. ,.�.� � ----------------P- ..�,�.. ............---...,fin TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies -�for 'aa permit according to the following information:: ��" Location ..C...SJ .� ......v4 1... � ....�b...•...... il. 4.4 ....... ..t....................... cam '.. .. ... ... ...... Proposed Use ...... ....... ..... r ZoningDistrict ..........................................................:.............Fire District ........................................:..................................... Name of Owner �L... ...(20LOJr. ...Z(..................Address ..qq... w...i.'.. ...7E.D..................... ��y/� Name of BuilderL.4� ..�t.. .,...Address A....................IJ.T ...... ................... Name of Architect .. ... .,.... ..............................................Address ............................... ...^........../..I..•............. .................... Number of Rooms ...........................................................Foundation OVI.Q.4=r.1 ,.. 4 - '.1 ....................... Exlerior .........Roofing .... ' ...��. 1!41.:JUia-................... Floors ... ........................Interior .. ......................................................... Heating „+..................................................Plumbing ...L .......A...t�f"`..... Z............................ (��Q,.,.Qa .....Approximate Co ... Fireplace ... �.. I; ................................................ Definitive Plan Approved by Planning Board ______ ___________________------1 9-------- . Area .....\ .1.l1..�......:.9 Q� .. ................ Diagram of Lot and Building with Dimensions Fee ......./....v.l........ . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name ................ Construction Supervisor's License ...... ...... ................. COWING, ROY JR. , " ! A 9 ss 28893 D mol sh Garage I �'. No ................. Permit for ............. ............ I t euildy New Gar gem ..................... :. tr Location ...LAQ:t...5. ....9.9.91.A.F x :...... ^t 0 s ..................... FS ..... .................. ... ...-",,. �_ w F. 4 �,t i - �l Roy Cowing?J , i 1 ' { Owner .........7........................a.............................. Type of Construction Fame f at5 YP t ........................................................ .................. Plot ............................ Lot . ........................ o. ... i \'F ij•5•* . fir. r •, �... a .. � Permit-Granted .......January .3.0.. ..19 86 1 ` Date of Inspection ....................................19 t Date Completed .............................. 1.9 i x All h " 1 � _ rz OA • ' . ;:5'; +� r� E r: sue` ►��'is �� 4 1, j .1 .' 141 �: , t 40 1•s� GNS r" I I. i i '' DT�-9 1 (� '•au c a 4 _;'a 4r 1its,, .,� feV tit VA r VIE.. . may` � �• � „gyp a• •.�. 64 TAK D F• S. 1• GN E_ C'0 ktr46 E R'C' r I� C: R i,1 a 6 w[ I kL 38 (m SE'P4yp6-P �- 44' I � I �u�sr�tiG V I Mv.✓o4Tlv.v t ��,oa � LoT�� \ ` I LpT �'(, 48 Ie 3 ` 48, IRARr STAEtE ..t dGz) F, zw 2o"a-a S/7 NoT,_ EZ�Y.hr�ows BASE? dN � ���i ti� hc�+9.v s4 Lsve/z. LOCATION ff, SCALE . :�. �=.30 DATE Tom! i4 /�86 PLAN REFERENCE . ..B �^�� WAI CIA/ OF KELLEY N No. 26100 �� 1 CERTIFY THAT THE S7ER�a b SHOWN ON THIS PLAN 19 L.00ATED ON THE AROUND _AS-SHOWN HEREON AND THAT IT CONFORMS.TO THE - - - _ SETBACK REQUIREMENTS OF THE TOWN OF . . .. WHEN CONSTRUCTED. DATE � . . . . . . . . REGISTERED LAND SURVEYOR � ''�` •S/l�'�r' Z of Z ss-/E�7-s k P OF FOUNDATION CONCRETE COVER CONCRETE COVERS AST IRONII2 MAX.SCHEDULE 404°SCHEDULE 40 PV.C.(ONLY) 12"MAXC. PIPEH 1/4"PER. PIPE- MIN. LEACH PITCH .I/4"PER.FT. PIT PRECAST NVERT . Q LEACHING '•° EL..4S`�d.. INVERT INVERT n . W P:a PIT OR ,•, SEPTIC TANK EL ,�,q GIST. EL4s/!• ,>_ EQUIV. INVERT BOX 3s �-x `e; EL.4S„L� Soo• •••• GAL. INVERT INVERT 3/4��T0I 2� . � ELF 4Soo �'% �� WASHED .,, EL...:..... :. �o. STONE 14-' DIA..:fd PNC,0�?El> PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- si,3z SOIL LOG WITNESSED BY : DATE A!ote, /3 TIME. /4:4 4`1 .f'4h -+` . a. �-a''��^! . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 G'hi✓siQ �= .C�-LLE�! ENGINEER ELEV. . .49..So . . ELEV. . . . 30, DESIGN DATA : -'All—,a.47.00 3 cp*asg NUMBER OF BEDROOMS 7t C TOTAL ESTIMATED FLOW GALLONS/DAY &z.43,So BOTTOM LEACHING AREA S`3• . SO.FT./PITIC.P.D. SIDE LEACHING AREA . . . ./.'5. . . . . . SO.FT./ PITI348.8C,p.D. LoAeSE Sirwo GARBAGE DISPOSAL . (50% AREA INCREASE) TOTAL LEACHING AREA 307 8 SOFT PERCOLATION RATE LS . .n!/o. MIN/INCH /emu E2. 3`JSo LEACHING AREA PER PERCOLATION RATE SO.FTICAA No. .WATER ENCOUNTERED .� NUMBER OF LEACHING PITS o, APPROVED . . . . . BOARD OF HEALTH •Fo�ie �� • o/�S�w �''r AtL S/D fi DATE. . . . . AGENT OR INSPECTOR �_►� OF 46c..`� OF i{igss EOW�. LOTS . GG D Fiyi2i 2o,q� o No. 26100 �n \ 'DES► 7E��� �` T .� 7 --;gV GG��•!�1,g5S, ss�Ati�l lAt�O'' 1AMI10% PETITIONER : • ,�� •mow/,VG/, �T/Z., , , Assessor's office Qst'�floor): �oFTNe rot Assessor's map and lot number •. ...� Q ` Board of Health (3rd floor): .... Sewage Permit number ................. ,.. : BARNSTABLE, Engineering Department (3rd floor): 6Y 3P9Y• House number .................................. 9 ......................j* = 0 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE 4BUILDING INSPECTOR__ - - ) )- � 1� - w /nk/J41St-/ Ris7��c1y APPLICATION FOR PERMIT TO ...........................................................................................................:................... TYPES OF,CONSTRUCTION .......................t ! c Q--;� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f Location ..l:.tr.: LD �.....1} * j........O ..., ? .... '1 ......... .r.? ..... .y... ..:....................... Proposed Use ............................. t...r ....° ' .........1 ...........`t.."......... ' Zoning District ........................ ..Fire District>�. ._...._._ ...... ....... Name of Owner r :...:..:........ [ ?..................Address ..C........`....... Name of Builder = l >C : '....Address \ t-fY.............................................. Nameof Architect ..:.....` �E.............................................Address .................................................................................... Number of Rooms G- � ') _ ���"QC`" Foundation ................. ............................................................ t Exterior .....................................................1............................Roofing .................................................................................... Floors t .........�..........................................:.Interior ............�, ....Y-' ......................Y................................... Heating ...........................................................................................................Plumbing ... ... � ..... �... �........................... h7 ' cz c) :Fireplace ... . � :� � Approximate Cos .. .................................. .............. L Definitive Plan Approved by Planning Board __________________ ....... b - 19 Area .............................. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH TIQ 1 � OCCUPANCY PERMITS REQUIRED FOR NEW"DWELLINGS �. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ......................................................... )3clo D �R Construction Supervisor's License .................................... COWING, ROY JR. 2 —026 A= 31 No ............... 28893.. Permit for ..Demolish a�rage .................. .............. Build New Garage........ ................................. ..... . ... ...... ................. Location ... Lot 5, 99 Old F r Road ....................... ....... .... ....... Centerville ............................................................................... Owner .........Roy Cowing Jr. ......................................................... Typeof Construction .........Frame................................................................................................................. Plot ............................ Lot ................................ 4 Permit Granted ..........Januar.y..3.0........19 86 Date of Inspection ....................................19 Date Completed ......................................19 V Van 104 e-6 Q ��