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0101 STONEY CLIFF ROAD
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R .�F�)` .'1.�14 �;1• f� }...5 `I s Ifi � r:. �{• f. r - i s i ,y ,-�1 zzr,{�j• 1 „i, ti :t 71 f� a t � Iief-: rr r r: 7 'i'f D i l .1. r x _{ „XJ -:§� ? ., }r ({ ,,.�. r F r •r, •' r rfl 1 � f J f •H F ) t � S r r a r .i �i. r a, L k{�1 r ?+'X��•it` ! 1 r. ro 0 � r s P 1 , II CEP T. FEe °s?020 rr -� HomeWorks TowNOF rr n ( BARNS TA St Energy, Inc Insulation Affidavit HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements. . Project Address: Permit Number: B-20-125 Jim Raffman 101 Stoney Cliff Road Bale Massachusetts 02632 Location Material Acidt'I Thickness Final Assembly R-value Crawl Space Ceiling 6"Owens Corning FG+2"Dow Pol, 8" 33 Enclosed Exterior Walls Green Fiber Cellulose 4" 13 Sincerely, Scott Veggeberg HomeWorks Energy Inc. CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com 781-2054516 Town of Barnstable Building in vsrass� Post This Caid 5o That it is Visible from the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS Posted Until Final Inspection Has Been Made. Permit039. ° Where a Certificate of Occupancy is Required,such Building shall Not`be Occupied until a Final Inspection has been made: Permit No. B-20-125 Applicant Name: SCOTT VEGGEBERG Approvals Current Use: Structure Date Issued: 01/14/2020 Permit Type: Building-Insulation-Residential Expiration Date: 07/14/2020 Foundation: Location: 101 STONEY CLIFF ROAD,CENTERVILLE Map/Lot: 190-011 Zoning District: RC Sheathing: Owner on Record: RASSMAN,JAMES P Contractor NameOME WORKS ENERGY INC. Framing: 1 Address: 101 STONEY CLIFF ROAD ( Contractor Licenser 181138 2 CENTERVILLE, MA 02632• _ „ �, Est. Project Cost: $4,875.00 Chimney: Description: weatherization Permit Fee: $85.00 . i Insulation: Fee Pald.• $85.00 Project Review Req: Final: 6 'Date: 1/14/2020 4., Plumbing/Gas Rough Plumbing: 1 . Building Official� Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafter'issuance. All work authorized by this permit shall conform to the approved application and the�approved construction documents for which this permit has been granted: Rough 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. Final Gas: This permit shall be displayed in a locati6n clearly visible from access street orxoa"nd shall be maintained open forl,public inspection for the entire duration of the work until the completion of the same. ... F Electrical The Certificate of Occupancy will not be issued until all applicable signatures by theBuilding and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing - Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 r a BUILDING DEPT. Application number......J6...•dU••"••1•a• ••• JAN 14 2020 Fee .................................... .................................. TOWN OF BARNSTABLE Building Inspectors initials. ... .............................. 11 Date Issued.'... - .............................. . .................. Map/Parcel.............: ........D...... �.. ..... TOWN OF BARNSTAB LE 'rn L SST EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY 1NFORMATION Address of Project: NUMBER TREET VILLAGE Owner's Name: C,1('1 P0.(� Ma 1'1 Phone Number 0�� 16(4,� Email Address: G l fSte(- kc MQ, • CO M Cell Phone Number r Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize S E E 4TT qC H M E NYT to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORD ❑ Siding © Windows(no header change)# 03 InsulationlWeatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to l O C rG ✓' OLA W Q a M CONTRACTOR'S INFORMATION Contractor's name Sc�o f'i V Q-GnPCC1 Horne Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# �03 ` (attach copy) Email of Contractor Phone number]-3 3oS j f q APPLICATION.NUMBER..................... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X R X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 201bs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No ;if yes,a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780"CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE �I Signature Date All permit applications are subject to a building official's approval prior to issuance. Office of-ConsumerAffairs and 6UMmss Regulation. loco Washington Street-Suite 710 Boston,Adassachusetts 0211$ - - Pome improvement Contractor Registration Type Ccrpnrotlon - - HOME WORKS ENERGY.IIG. rt 3 f ca{�r_rUtn;, 01C. ?V27 101 STATION LANDING-STE'.i W - - t4EDFORD.!AA.02155 - 1 Upda a Addmas and Ra3urn.Card:. - - - 4iPca mtcnsumenEHnlENT C wfaartepaietiprt R strai;on valid for individu3l use ardy. HOMEIrA BRn'J: ompiatltJiRACTOR - .1 TYPE:Cm-c+araecn baf«e wiie expRafinn onto,if fa,and'el—to; - RcaiittatglP_ E�girnr o" - Office of consumar Atd&irs pnd B.ahie•.ac RCquiabon r8ri32•. 03±i):+2U22 100ti''11-h& a stwo-sults 710 - - 440ME-'.xRKB ENERGY.old, - Baden,ld 6277 - MANVEGCESERG - fot STATION LANDING STE 110 No valid vvithpuCsignature 2:1EUFoaD.rui t=ram w,deE an• r Commonwealth Of�rtu:;Sar;huS�+ltS r Construction Su(,ieivisor Specialty00 Division of Prot'essi6ital Licens'ure Board of Building Regulations and.Standards Rr!siricted to: r CSSL4C-Insulation Contractor Gat�strltetiorvS%M isjptr Specially f CSSL-103832 1 xRires:10l1.312021 i � 11 SCOTT VEGGEBERG .,* .., 8 COVINGTON ST#i° BOSTON MA*'02127IP f t 6rt Failure to possess a-cuf :lition of the Massachusetts. State Building Code is c. or revocation*of this license. Co'mrnisi5ionef �i l� e,I �• t^• _ For inforinaI ,about this license e Call(617)727-3200 or visit www_mass.0v1dpi The Commonwealth of Massachusetts Department.of Industrial Accidents ' Office of investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Homeworks Energy Address: 101 Station Landing Ste 110 City/State/Zip: Medford MA 02155 Phone#:(781)305-3319 x5007 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 200 4. ❑ I am a general contractor and I * have hired the sub-contractors 6: ❑New construction employees(full and/or.part-time). . 2.❑ I am a sole proprietor or partner- listed on the attached'sheet. 7: ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp.insurance.+ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11-El Plumbing repairs or additions myself. No workers' com right of exemption per MGL Y [ P• 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have.no employees. [No workers' 13:❑ Other Weatherization comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance company Name: Safety Indemnity Insurance Company Policy#or Self-ins.Lic.#:4001017 Expiration Date:1/1/2021 Job Site Address: ` d S�-c) GI ►tt RC)Gd City/State/Zip:P-4(n M6 G 3 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expira ion 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 under the slaId e of perjury that the information provided above is true/hand correct. Signature: rlv// - Date: -Gi- 2-c)-2-0Phone#:(781)305-3319 x5007 / wxpermitting@homeworksenergy.com 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#: f HOMEENE-01 LLARIVIERE CERTIFICATE OF LIABILITY INSURANCE DATE19/20Y 12/19/209 19 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAx 163 Main Street (Alc,No,Ext):(978)686-2266 301 (AIc,No):(978)686-6410 North Andover,MA 01845 E-MAIL .certificates@fostersullivangroup.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED INSURER B:Safety Indemnit y Insurance Company 33618 Homeworks Energy Inc. INSURER C:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBp POLICY NUMBER POLICY EFF POLICMMIDONMI Y EXPLTR - LIMITS IYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE �OCCUR 7930060650002 4/1/2019 4/1/2020 DAMAGE TO RENTED 500,000 -PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY imi LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO 62"378 4/1/2019 4/1/2020 BODILY INJURY Perperson) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-pWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE $ 2,000,000 DIED I X I RETENTION$ 0 $ Ci WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N T T ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 ANY FFICERO/MEMBER EXCLUDED ECUTIVE NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If Yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN gy ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD s � Pr rr n �Horr i; rrr Energy, Inc To whom it may concern; Scott Veggeberg is a current employee of Homeworks Energy Inc.and operates under our insurance policy. Policy numbers that Scott is covered by are as follows: Commercial General Liability:793006065002 Automobile Liability:6244378 Umbrella Liability: 7930060660002 Workers Compensation and Employers' Liability:ECC-600-4001017-2020A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.glenn@homeworksenersy.corim: Thank You, Adam David Glenn - Director of Weatherization HomeWorks Energy. Page 1 of 1 �� r_ o e 0r mass save Energy; Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 exr.120 Customer Name:Jim Raffman Email:a4ster@hotmail.com Phone:508-269-1645 Premise Address:101 Stoney Cliff Road,Barnstable,MA 02632 Mailing Address:101 Stoney Cliff Road, Barnstable,MA 02632 Project ID:3863398 Date:Dec.2,2019 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost AIR SEALING 2 hr $160.06 $0.00 CRAWLSPACE: R-19& RIGID BOARD 340 SIF $1,989.00 $497.25 WALLS: WOOD-SIDED 4"CELLULOSE 1275 SF $2,486.25 - $621.56 WEATHERSTRIP DOOR&ADD SWEEP 3 each $240.00 $0.00 Project Total $4,875.25 Weatherization incentive ($3,356.44) Pre-Weatherization barrier incentive ($250.00) Air sealing incentive ($400.00) Total Program Incentive $4,006.44 Customer Total $868.81 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified,for the Fisted total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: �` Date: 12/02/2019 Customer Phone: c am. 12/02/2019 Specialist Signature: Date:_ LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home services Program offers: Proposals can be sent to:inbox[a HomeWorksfnergy.com Insulation/Air Sealing Permit Authorization Specialist: Mark Miller Company: HomeWorks Energyn Email: mark.miller@homeworksenergy.com Address: 101 Station Landing Cell: 781-223-1340 Medford,Ma 02155 Hom tnergy' S 9,Incf Phone: 781-305-3319 Customer: Jim Raffman Address: 101 Stoney Cliff Rd Email: a4ster@hotmail.com Centerville,MA,02632 Site ID: 3833810 Phone: 508-269-1645 I,the owner of the property identified above hereby authorize HomeWorks Energy Inc.,or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer Signature: T—R— Date: 7/29/2019. Jim Raffman coy �h�IiZ TO' N OF EMNSUkUt CAPECOD INSULATION 2012 APR 10 Mir 9= ®� 11B[6 D1F53, >(.,rvIlE33 INSULATION SUSVIND[D l4iT3 Eq3 INSULATION CEILINGS S?i S:J� � yi�; � 3w ZFea 741 1-60. -696-6611 . 'I'own of 9401 S 4z�blie" , Regulatory Services ` Building Division Address - Address 2 - Date: - / 1 Z Dear Building Inspector Please accept this Affidavit as documentiition that Cape Cod Insulation, Inc. performed.& completed the insulation and weatherization work at the property listed below: Cape Cod ` Insulation did this in accordance to the Specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village S ISSn1Cc 10). � �133 CU Insulation ,Installed:• Fiberglass Cellulose R-Value Restricted ; Unrestricted Ceilings (X) Slopes r Floors ( Walls -Sincer F liry- La silly Jr, President - Cape od` sulation, Inc. . i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map Parcel r- Application i< 0 0 Health.Division Date Issued Conservation Division Application Fee ' i Planning Dept. - :' Permit Fee Date Definitive Plan Approved by Planning Board � -sb�hZ Historic - OKH _ Preservation/ Hyannis Project Street Address Village /�� �1 Owner— 44f�I C Address 01 4" A-d . Telephone 11TO Permit Request ` r�R^ �04 • n Square feet: 1 st floor: existing proposed 2nd floor:.existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Baseient Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) o Number of Baths: Full: existing new Half: existing sew ` Number of Bedrooms: _ existing —new Total Room Count (not including baths): existing new First Floor Room Co�r"°�,t Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other r ca Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal s6ve: ❑Yes 0 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 Yo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION UILDER OR HOMEOWNER) Name Telephone NumberO� Address �'�� ►,�72��c� /� moo[, License # AD4t4j�k_ 44A Home Improvement Contractor# Worker's Compensation # V6A C o5 9_6q / ALL CONSTRUCTION DEBRIS RESULTING FROIY THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 1 ADDRESS VILLAGE OWNER �! i r - DATE OF INSPECTION: i 4 -FOUNDATION FRAME r INSULATION; FIREPLACE - f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING:,. -t-3 }_ DATrE CLOSED OUT. ASSOCIATION PLAN NO: I v _= r 10 Park Plaza - Suite 5170 t Boston, Massachusetts 021.16 Home Improvement Can t.actor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. • ---- -- — - _ HYANNIS, MA 02601 Update Address and return card. Mark reason for change. Address I.-I Lrnpinyorent LusrCard •i� (, aurd-uq;u-itliOi�IG — (11(irc 1{�_`/,ui tiinucr ;\Ilairs jltUSy��cr/. ltegnl rrion License rir registration valid for is:-I:N,idu! u e e Jy [IOME 11MP 6� �1( �l ��IVf AC I(� `<'l" before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/15/2012 Private Corporation 10 ark Plaza-Suite 5170 1� Boston,MA 02116 OD INSULA1lON, INC _ =NRY CASSIDY 5 YARMOU I-I-1(ID i ANNIS,MA 02601 Undersecretary. t alid ith f si hlt'e (Massachusetts- UcInu•tmcnt ul Public$;rfct\ Board of Buil(fing Rc ulati0ns and SCuul:u'ds Construction Supervisor License License: CS 100988 . HENRY CASSIDY 8 SHED ROW F' WEST YARMOUTH, MA 02673 - Expiration: 11/11/2013 ('unuuissiurrrr Tr#: 7620 Client#: 4597 CCINSUL ACORD. ,. CERTIFICATE OF 'LI EILITY INSURANCE DATE(mmmbrYYYY) 2102/2012 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.' e ce I Ica e o er is an a po Icy les mus a en orse su lec -o 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 Margaret Youn Rogers$Gray Ins. -So. Dennis NAME: � g g ` PHONE 434 Route 134 FAX "' g MAIL ___(A1C, No):No 2 t:508-760-4602, . ) 877 816-2156 E= —___�_. -.__ P.0.Box 1601 t ADDRESS UCE yo4rn m. a. ro ers ra .com PROD . 'South Dennis,MA 02660-1601 cusroMER ID n: INSURER(S)AFFORDING COVERAGE NAIC q 'INSURED Cape Cod Insulation Inc INSURER A:Peerless Insurance 18333 �- 455 Yarmouth Road INSURER B:Ohio Casualty Insurance company. Hyannis, MA 02601 'INSURERC:Atlantic Charter Insurance €INSURER D:Commerce Insurance Company 34754' INSURER E.: - ^ • . s INSURERF: - COVERAGES CERTIFICATE NUMBER REVISION NUMBER: TO CERTIFY THAT THE POLICIES OF INSURANCE THIS IS LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ` ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS., NSR ADDL SUBR J POLICY EFF POLICY EXP _ _ - A GENERAL LIABILITY CBP8263063 04/01/201.1 ,04101/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LABILITY , DAMAGE TO RENTED • PREMISES(E.a occurrence) $100,000 CLAIMS-MADE X OCCUR LMED EXP(Any one person) $5,000- r PERSONAL 8 ADV INJURY, $1,000,000, - ' r GENERAL AGGREGATE. $2,000,000 GEN-L.AGGREGATE LIMIT APPLIES PER. • "'T i PRODUCTS-COMP/OP AGG $2,000,000 PRO _ ,$ - I D AUTOMOBILE LIABILITY '.11MMBCKVMK. 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT ANY Auto .. 4 . _ - (Ea accident) - 1,000,000 BODILY INJURY (Per Person) $ ALL OWNED AU'I OS BODILYINJURY(Peraccident) $ - X,SCHEUl1LEUAUIOS � ,. � - X HIRED AUTOS PROPERTY !DAMAGE y (Per accident) $Ye a X NON-OWNED AUTOS • - 5 $ B UMBRELLA LIAB X__'OCCUR - 0001254514645 .04/01/2011 04/0112012.EACH OCCURRENCE - $.1000,000, . EXCESS LIAR CLAIMS-MADE - I —,. _ ,� :+t;, _ - • r AGGREGATE '°' $1,000,000 DEDUCTIBLE ` X REIENIION $ 10000 - • x + . $ - C WORKERS COMPENSATION -WCA00525902, - .06/3O/2011 WC STATU- 't . OTH-` AND EMPLOYERS'LIABILITY - Y/N - , 0 613 0/201 2 X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT '$SOO,000 OFFICFR/MEMBER EXCLUDED? N/A " (Mandatory in NH) m e k, _ El DISEASE-EA EMPLOYEE$500,000 w "� It yes,describe under • _ . POLICYT+ )ESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) • - Norkers Comp Information Included Officers or Proprietors :ERTIFICATE HOLDER CANCELLATION ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ' x' ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All lights reserved. CORD 25(2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD k #S77368/M68179 , 3 MEY \ The Commonivcalth of Massachusetts Department of ndustrial Accidents Office of Ih vestigations ' 600 Washington Street,.' " ,Boston, AIA 02111 x www.1ncrss.g0v/ilia < Workers' Compensation Insurance Affidavi6l: Builders/Contractors/Electricians/Plumbers Applicant Information t Please Print Legibly Name (t3usiness/Organization/Inclividual): CA C6'A AlS4)1. Q-k r ,r, Address: City/State/Zip: 'Lbe Phone #:` l Are you an employer. C ck the appropriate box • Type of project(required):; F rl. I am a employer with 4. E] .1 am a ge,in al contractor and I * have hued the sub contractors CEA New construction 4 employees (full and/oi-part-time). r 2.❑ 1 am a sole proprietor or partner- listed`on the•attached sheet. 7. Q,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 F comp:nlsurance.1 required.] n 5. 0 We:are'a,corporation and its' 10.❑ Electrical repairs or additions ' 3.❑ 1 am a homeowner doing all work `„ . .` officers have exercised their 11.E] Plumbing repairs or additions' m self. o workers' com right of exemption per MGL Y p 12.❑ Roof repairs insurance required.] t _ c. 152, S 1(4),and we have no , employees. [No Iworkers' 13. Other, comp. utsurance required.] 'Any applicant that checks box#I 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 most submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have > fi 'employees. if the sub-contractors have employees,they must provide their'work ers'comp.-policy number. d �_ /am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site r aa.• information. .' t , . �}--• - _ Insurance Company Name`. T G,�,,t/� C4 +P r t_ it13OIr'A✓1 cP` �n . � } t Policy#or.Self-ins. Lic. #:• (Ai CAA onra s-9 ( Expiration Date: �4 Z Job Site Address: r > City/State/Zip: - .. ' P: > Attach'a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fail ure to secure coverage as required underSection25A of MIGL c. 152 can lead to the imposition ofcriminal 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 y Investigations of they DIA for insurance coverage verification" r +� I do hereby certify u e pains nd penalties of perjury that the information provided above is rue and correct. Signature: _ ' Date:, Phone#: 7Z 17 ., • , eT ." ' Official use onl): Do not write in this area,to.be,completed by city or town official - y City or Town: t PerrnitlLicense# Issuing Authority(circle one): > , I'Board of Health 2.Building Department 3. City/Town Clerk `4. Electrical Inspector,5. Plumbing Inspector.,. +M ,' 6, Other z . Contact Person: Phone#: r OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at --_._.-�.. .,. - _ �,.w t, �'��� �`-� C.L. l- ��-•:ice � �� (Property Address) , (Property Address) hereby authorize l , (Subcontract r) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature - i -? C 2_ e Date 3� 1 23 9 i� ...�£ y.:f LP p¢'ME BAMSrAUX t ® * * MASS. 039. Town of Barnstable Zoning Hoard of Appeals _ Decision and Notice Comprehensive Permit No.2009=025 Myrna K.Rios Chapter 40B Comprehensive Permit Summary: Determination CompieherisiVe Permit No:2009-025 is rescinded . Applicant: Myrna rna K. Rion . P Property Address: 101 Stoney Cliff Road Centerville,ILIA Assessor's]flap/Parcel: Map 190,Parcel 011 1 Zoning: Residential C Zoning District . ]Deed Reference: - Book 21711,Page328 :Permit Reference: Book 23671,Page 218 Locus and Background: Myrna K. Rios applied to the Town of Barnstable for a comprehensive permit under the Accessory Affordable Apartment Program pursuant to Chapter 9,Article Il of the General Ordinances of the Code of the Town of Barnstable.The applicant was seeking to convert an existing studio sized,unpermitted apartment within.the single-family dwelling to an accessory affordable apartment in accordance with all conditions of the permit: Comprehensive Permit Number 2009-025 was issued,to the applicant on April 16i 2009 and a Regulatory. Agreement and Declaration of Restricted-Covenants were recorded at the Barnstable County Registry of Deeds on May5,2009 in Book 23671,Page 218. The property was then sold,as recorded at the Barnstable Registry of Deeds on May 14,2010 in Book 24552 and_Page 44. . :Procedural& Hearing Summary: A public hearing to rescind Comprehensive Permit No; 2009-025 was duly advertised and notice sent to abutters and the.property owner all in accordance with M'GL Chapter 40A. The hearing was opened on February 9,2011 at which time the Hearing Officer, Laura F, Shufelt made the following findings and decision: Findings of Fact: At the hearing on February 9,201.L the Hearing Officer made the following findings of fact: I In Appeal 2009-025,the applicant,Myna K. Rios, sought a permit a studio accessory apartment: j within the single-family dwelling as an.affordable rental unit in accordance with all the conditions of the permit. - Town of Barnstable,Zoning Board of Appeals Comprehensive Permit No.2009-025—Myrna K:-Rios is rescinded 2. The property is shown on Assessor's Map 190.Parcel 011, and is commonly addressed as 101 Stoney Cliff Road Centerville,MA in Residential C Toning District. 3. On April 16,2009,a comprehensive permit was issued for the property, and a Regulatory Agreement and Declaration of Restrictive Covenants was recorded at the Barnstable Registry of Deeds on May 5,2009 in Boole 23671,Page 21.8. 4. The property was then sold,as recorded at the.Barnstable Registry of Deeds on May 14,2010 in Book 24552 and Page 44. Decision: At the hearing on.February 9,2011 the.Hearing Officer ruled.to rescind Comprehensive Permit No. 2009 025 Rios. Ordered: Comprehensive Permit 2009-025 is rescinded.A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241,section. 11. If after fourteen(14)days from that transmittal the Members of the Zoning Board of Appeals takes . no action.to reverse the decision,this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision;if any,shall.be made to the Barnstable'Superior Court pursuant to MbL Chapter 40A, Section 17,within twenty.(20)days after the date of the filing of this decision"in the office- of the Town Clerk. The applicant has the right to appeal this decision as.outlined in M.GL Chapter 40B, Section 22. ` st 9_11 Laura Shufelt,Hearing Off cer` Date Signed I,Linda Hutchenrider,Clerk of the Town ofBarnstable,Barnstable County,Massachusetts;hereby certify that twenty(20)days have clapsed 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 under the pains and penalties of Pe J "tJinda Hutche i er,Town.Clerk TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map v: Parcel 6 ) 1Applications Health Division Date Issued 3 . Conservation Division ' Application Fee S0 Planning Dept. Permit Fee ¢ , Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/ Hyannis Project Street Address 10 l 5IT6,t4 y �•�-1° '�' Village C,14 -rCa_,J 1 LL.Z Owner �pry., S-5 'RA s s Address GL( 1-- Z �� Telephone Permit Request C�,,tis To 1-�P.r.�G� A r,z.r��Q� 51 L-VAnit A jr4- t CS % 5; Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new _ Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 1� l Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2( Two Family ❑ Multi-Family (# units) 00 Age of Existing Structure Historic House: ❑Yes "o On Old King'ss Highway: g1Yes _Q W6 Basement Type: ZFull ❑ Crawl ❑Walkout ❑Other s ' _ Y Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: 3 existing _new u co Total Room Count (not including baths): existing new First Floor Room Count J�-- Heat Type and Fuel: ❑° as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes '6 o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Lexisting ❑ new size _Shed: existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ .Appeal # Recorded ❑ Commercial ❑Yes UNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number s n �—3S� f Address ; S�� `� i Fr License # MA 02�-37 Home Improvement Contractor# Worker's Compensation #. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Yde/ - SIGNATURE r DATE �l t el FOR OFFICIAL USE ONLY `4 - APPLICATION# } DATE ISSUED _ MAP/'PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL FINAL BUILDING - DATE'CLOSED OUT _ ASSOCIATION PLAN NO. ILI 1 .+t BL E c- t�.� t vrL� l�G < 1p A-IJ 1)�5 /V 11T DIVISION I l At �N T�� ✓i��ti � °2 Aq- ` 0�7 5 7 . ZP • �r rJ��-��- a2� 3Z r ® B. 1. 2011 1 :40PM NO. 894 P. 1 Mom- C ■o■,� 1 VA CT o y t o �. 49/30 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONO Map Parcel Application # Health Division Date Issued Z �� Conservation Division Application Fee p Planning Dept. Permit Fee 13 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis zbq/13 Project Street Address lot �l Village U • ;u. Owner !J � �W�!� Address -lam Telephone ! o� SO Permit Request • �d r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ��� " Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: 'Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ' v Basement Finished Area (sq.ft.) Basement Unfinished Area_{`sq.ft) ;n; .;,.,> Number of Baths: Full: existing new Half: existing °`T 110ew _ Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Cot Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other rn Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeal:12o orization ❑ Appeal # Recorded ❑ Commercial ❑Y If i Yes yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name �� � ,� ��/ll��D,� Telephone Number Address frr�'l��fl� �c�Z License# f7il�?DG� Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �i - I I ,4 FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED MAP/PARCEL NO. x t. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: 'FOUNDATION FRAME -INSULATION." FIREPLACE q ELECTRICAL: ... ROUGH FINAL t_ W PLUMBING: ROUGH FINAL 1 ;A GAS: ROUGH FINAL f}, FINAL BUILDING" DATE CLOSED OUT Al ASSOGIATION PLAN NO. w Massachusetts-Department of Public Safety j ` Board of Building Regulations and Standards Construction Supen'isor License: CS-100988 HENRY E CASS11)V 8 SHED ROW R1 ' WEST YARMOUTH Expiration Commissioner 11/11/2015 s J�1 1.1, o.)il y.61 6. �(L-C« .•��L C�� ! L ! !!'��J_ F1r[� �.. Ut l"iC c� C i>nsumer t Hairs and Business Regulat o1� 10 I'ail: Plazll - Suite 5 170 Boston Mass�lclltlSetts 02116 1-bone Improve nlent Contractor Registration RegistrEltion: 'I535G7 Type: Private Gortjoratiorl Expiration: 12/1 a/2b-lA, 'rrlt 21M1 COD INSULATION, INC HF`NF�Y CAS.SIDY _ _... I RFARDON CIRCk_.E SO. YARMOUTH, MA 02664 _ Update A(I( ress and return cartl. IYlilrl.,rctlsuu lilt chanl;c. �, Ad(Iress L I RCIICVV:(I .� I?mt.11uyulcnt I I h)SI CIli r' (i Y�;ir iir,rrn.lr•[r!/lfZ [!(_ (!r[JJ(!i�[!J[?<(J uUi i I( ui,umer:\IIII it's ., Business Rogulatiuu 1 items or registration valltl lbr intlivitlul use uuly Ittumr:IMF1K0Vk.Me.N1" CON'fRAC I OR betule(be exptlatlun(late. Ir fuuu[I I'v(urrl to., If 1535d7 Type: orliteurCons[uner Affairs awl Busiuess Regui Ik(iun '"M�lt/k--"plrauull. 12/I`i/2014 Private:Corporaticll Ill Part.Plaza-Suite 5170 y liusluu,N1A 02116 hi i(;A0�i YN -I[IlI1:rSl^CI'L'1111')', 0I fill 11'I(flu ( wit 're _ The Commonwealth of Massachusetts ✓� Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mtass.gov/dia Workers' Coimpensation Insurance Affidavit: Builders/Contractors/ElectriciansJPlumbers pic}Gcaut Infornxation Please ]Print ]Legibly NaTlle (Busincss/Organization/ludividual): � i� ' �/ /�/✓�v �lJ�a Address:l _ City/State/Zi : G J. Z, Phone #: % Z 14 FAxe you an employ r? Check theappropriate box: p y D ` 4. ❑ I am a general contractor and I Type of pro ject(required): ama emto er with..1 �� employees (full an4i(oc 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 $, ❑ Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp, insurance.: 9• ❑ Building addition required:] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions r �.❑ I am a homeowner doing all work officers have exercised their .111:1 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,E] Roof repairs insurance required.] t c. 152, §1(4), and we have no 3a.❑ I am a homeowner acting as a employees. [No workers' 13.aOther , /// general contractor(refer to#4) comp,insurance required.] Any sPpacaut that checks box#1 must also fill out the section below showing their workers'compensatiotlpolicy information. tCoatmc toe'that t Homevwnet rs who submit this affidavit indicating they are doing all work and then hire outside contracto must submit a new affidavit indicating such. at check this box must attached an additional sheet showing the nano of the sub-co=actor3 and staw whether or not those entities have culPtOY-s. If the sub-contractors have employees,they must Provide their worken'comp.peY oG number. I am an employer that is providing workers'compensation insurance for my employees. :gelow is the policy and job site information, Insurance Company Name: / .LAG Policy#or Self-ins. Lic.#:�yC/��/> Expiration Date: �.l�//11`� yf T Job Site Address: City/State/Zip: Attach>a copy of the workers' compen tion 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 '1 tine 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 maybe forwarded to the Office of. Investigations of the DiA for insurance.coverage verification. I do hereby certify nder the nd penalties of perjury that the information provided above is true and correct Da 0�cial use only. Do not write in this area, to be completed by city or town official 4 City or Town: Permit/LIcense# Issuing Authority(circle one): I.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector ..6..Other Contact Person: Phone#: CAPECOD-27 MYOUNG �� ------ CERTIFICATE OF LIABILITY INSURANCE DATEIM MID DIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF. INFORMATION ONLY AND CONFERS NO RIGHTS T -UPON THE CERTIFICATE HOLDER.7l8IR.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed, if SUBROGATION.IS WAIVED,subject to the.terms and conditions Of the policy,certain policies may require an endorsement. A statement oil this certificate does not confer rights to tho certiticate holster in Lieu of such endorsement(s). PflOnucER License# PC-514062 coNTncr Margaret —� Rogers sX Gray Insurance Agency,Inc. NAME: g ret Young - -- 434 Rtu 134 PHONE -- FAX —I . _t_A No Ext)_ South Dennis,NIA 02660 h'MAIL �----------_._-_:-_ __ ADDRESS,myoung a�rogersgray.com i - - INSURER(S)AFFORDINGCOVERAO E NAICB INSURER A:PEERLESS INSURANCE COMPANY_ I Iri UliLU - INSURER B:COMMERCE INSURANCE COMPANY - Cape Cod Insulation, Inc. INSURER C:Evanston Insurance CornpanV I 18 Reardon Circle ---- INSURER :ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E: t .INSURER F:'. COVERAGES _CE_RTIFICANUMBER: REVISION NUMBER:---� ItUS IS 10 CERTIFY THAT.�THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD - INDICAI'ED. NOTVJITI-(STANDING ANY REQUIREMENT, TERM.OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA'I E MAY BE IS,S'UED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, - XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �INSR _..---------- 'AMCSTMR— I fR fYPE_OF INSURANCE POLICY NUMBER MM oDYYYFY M DD YY Y w - LIMITS — GENOtALLIAUILITY `— — EACHOCCURRENCE $T 1,000,000' A X COMMERCIAL GENERAL LIADILI.FY CBP8263063 411/2013 41111414 -DAMAGE-TO RENTED- -- PREMISES Ea ocnuronce) $ 100,000 ...... ...-I CLAIMS-MADE ( •X.J.OCCUR ,"- - MED EXP(AnY ca) arson)._ $ 5,000 - __... .....-.... -�-_- PERSONALdADVINJURY $ 1,000,000 -- GENERAL AG_GRE_GATE_ $- -2,000,000 GEN t AL s3REGA I•E LIMIT APPL.IES PER PftODUC1J-GOMPlOP AGG $ '2,000,000 ... I q PRO- II-- II - _- J I OLICY l 1.lLST LLOC $ AUi OfAUMLE LIABILITY cam01NtD IN LE LIMIT — 11,000 000 Ea acadann �.,-_ $_ r__ B AN')AU10 �13MMBCKVMK 4/1/2013 01/2014 BODILY INJURY(Per person) $ - I I ALI.OS AUTOS -OWNED X SCHEDULED BODILY INJURY(Par acGdanl) $-- --_-' X ruRED AU"I'OS X NON-OVVNEO AUTOS ? PER ACCIDENT .X UMBRELLA LIAR X I.00CUR' - EACH OCCURRENCE $ 1,000,000 • C LXC'[SSLIAB +IcLAlms-MADE XONJ453512 4/1/2013 4/1/2014 AGGREGATE $ 1,000,000 L1tD;:LX�RE rEN170N$_- 10,000 $ - WORKERS COMPENSATION V4>r STATU• OTI(- AND EMPLOYERS'LIABILITY - L U ANY PKONRIETORIPARTNER/EXECUTIVE YIN WCAUU525904 6130/2013 6130/2014. E.L. ACH ACCIDENT $ — 1,000,000 OFF'10ERIMEMBER EXCLUDED? (� NIA .L .._ (Mandatory In NH) UosefiUa E.L.DISEASE-£A EMPLOYEE $ 1,000,000 I Ir vo>.Unsa 4inoyr .. .. � - ---- - ._. t1ESCRiPTION OF OPEKAI'IOIVS Uelow E.L.DISEASE-POLICY LIMIT $ 1,000,000 i U"CRIP I ION 01.OPERATIONS I.LOCA TIONS-1 VEHICLES (Attach.ACORD 101,Additional Remarks Schedule,If more space is required) - - Workers Compensation includes Officers or Proprietors. Addtional Insured status is provided under the General Liability when required by written contract or agreement withthe Certificate Holder. I I I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - Capo Cod ltlsulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . I - AUTHORIZED REPRESENTATIVE . 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD OWNER AUTHORIZATION FORM (Owner's Name) ' owner of the property located at FT- (Property Address) (Property Address) ' hereby authorize �- d tJ (� S (711 , (Subcon r ctor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my,property. Owner's Signature Date C C[E 0 v IE D NOV 1 .5 2013 fo U 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V Application # (0 0 [ �S Health Division Date Issued ( / Conservation Division Application Feed, Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address l) SaSYIE✓j DJ Village �rvl Owner J am�.S ►2G.ssMan Address S Firm P_/ Telephone CJ-D 16 -21ip q I,(4 5 il�S 2-(•p Qf i Permit Request ffi� S-Pp11Y)�, � u,�.a� �-Y12Q�y1�Cl.�) � > }�r✓f'L l'. LJ Q-Z3 4- -LJ S l \,J Ra111W 5hW O.h r, ;a m S h ca: -� arj a th c d coy, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation H Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 9Yes ❑ No Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Barn r0 existing ❑ new, size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ ,Other- x 7- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ; L UD Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name 12 lS E►'lU��ePJr i n G Telephone Number 4Ol.--7g� Address I O�M UUI)Dd NL License # <<%A5GI &ay)Shh� � )'Z,i �?i�'1 l• Q Home Improvement Contractor# C�Ci 1 G1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I Il o l IQ I FOR OFFICIAL USE ONLY t ` APPLICATION# i i , DATE.ISSUED "E MAP/PARCEL NO. tt f ADDRESS VILLAGE OWNER F t i DATE OF INSPECTION: r t FOUNDATIOW . i iFRAME ' INSULATION ' R FIREPLACE ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL L 3 GAS: - h Y n'- ROUGH = = -� FINAL - t :iFINAL BUILDING x'� >„ i , { . .DATE CLOSED OUT s z ASSOCIATION PLAN NO. µ 4 RISE ENGEWER)[NG Federal ID#06-WS629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 CONTRACT' Page 1 R I S E s r THIS CONTRACT 18 ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING °I '_ DESCRIBED BELOW CUSTOMER PHONE OATS CIIetNa James Rassman "f (508)269-1645 07/15/2010 111258 SERVICE STREET �' -' �'•'� "�i BILLING STREET 101 Stoney Cliffry 101 Stoney Cliff Road SERVICE CITY,STATE,ZIP f: -- - BILLING CITV,STATE,YIP " - , Centerville,MA 0263�--•---- - -- Centerville,MA 02632 } JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 28 man hours. $1,848.00 RISE Engineering will provide labor and materials to install2.25"R-10 semi-rigid fiberglass board insulation to 420 square feet of kneewall area. $1,134.00 RISE Engineering will provide labor and materials to install a 7"layer of R-23 Class 1 Cellulose added to 304 square feet of open attic space. $304.00 RISE Engineering will provide labor and materials to install a 14"layer of R-49 Class 1 Cellulose added to 646 square feet of open attic space. $904.40 RISE Engineering will provide labor and materials to install insulation and weatherstripping to 1 attic access hatch(es). $25.00 RISE Engineering will provide labor and materials to insulate the back of the attic door with i"rigid foam board and seal the door edge with weatherstripping to restrict air leakage. $100.00 RISE Engineering will provide labor and materials.to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. $150.00 d A Federal ID#05-0405629 RISE ENGINEERING RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 V. - 1341 Elmwood Avenue,Cranston,R102910 " (401)784-3700 FAX 784-3710a CONTRACT _� _ � Page 2 THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING ANDTHE CUSTOMER FOR WORK AS ENGINEERING c• DESCRIBED BELOW CUSTOMER - PHONE - DATE - Client tl _ James Rassman (508)269-1645 07/15/2010 111258 SERVICE STREET - BILLING STREET - 101 Stoney Cliff 101 Stoney Cliff Road SERVICE CITY,STATE,ZIP • BILLING CITY,STATE,LP Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION A linear opening will be made in the roof to access an area to be insulated. Roofing will be reinstalled when work is complete. Cost is for the first 5 lineal feet of opening. 4 $165.00 A linear opening will be extended in the roof to access an area to be insulated. Roofing will be reinstalled when work is complete. Cost is for " the lineal feet of opening beyond the first 5 feet. $110.00. RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year.Also includes all of the air sealing costs. -$3,848.00 k � WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eight Hundred Ninety-Two&401100 Dollars $892.40 UPON FINAL INSPECTION AND RO V A L UE BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT D IN FULL INTEREST OF Is WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER SOD BEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACE -'ems AUTHOR 81 E ENGINEERING - _ CUSTOMER ACCEPTANCE CO CT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE - ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE i SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE .N The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600.Washington Street , Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): RISE Engineering a division of Thiel ch Engj naa i ng Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. N I am an employer with 4. ❑ I am a general contractor. and I 6.i l New construction employees(full and/or part time).* have hired the sub-contractors 2. 0 I am a sole proprietor or partner- listed on the attaclied sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance. $ 9. 0 Building addition required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required] t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. N Other Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contactors that check this box must attach 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: The Preston Agency Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1/1/11 Job Site Address: o City/State/Zip: /1 l 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 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 $250.00 a.day against violator.Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi and the ins enaltiei ofperjury that the information provided above is true and.correct. Sign e: '.: Date: 1(Q to Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1 800 42 5365 ext111 Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#: Issuing-Authority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: AC®RD - CERTIFICATE OF LIABILITY INSURANCE aPlo 97 DATE(MMIDD/YYYY) PRODUCER TH IEL-1 04/13/10 THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER-.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box SID ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RI. 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE INSURED NAIC# NSURERA; Zurich-American IRS CO. Thielsch Engineering, Inc INSURE'AB:. ���.�, Thielsch Group Inc. 1 ^ cuI=Ot.. s Ll.blll.ty _ Hi Tech RLialty Inc. INSURERC: -Crraanston RI: 0291.0 Q North American Capacity I Frances Avenue INSURER Hartford insurance Company INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RECUIREI,4ENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUt-1EPTT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR - MAY PERTAJN.THE:INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL-THE TERMS,EXCLUSIONS ANo CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR7{DD LTR INSR1 TYPE OF INSURANCE POLICY NUMBER -PUOUYDATE -EFFE IVY) GATE(C Eyp$r/� LIMITS GENERAL LIABILITY -. ' EACH OCCURRENCE $ 11000,000 T TCOMMER CIAL GENERAL LIABILITY 3730962-00 04/0-1/10 01/01/11 pREMI5ES(Ea occurence) 5300,000 CLAIMSMADE' X❑OCCUR' - — MED EXP(Any.ono person) s 10,000 PERSONAL&ADV INJURY 51,000,000 GENERAL AGGREGATE s'2,0 0 0,00 D POLICY X GEN'LAGGREGATE LIMIT APPLIES PER: + PRODUCTS-COMP/OP AGG $ 2 0 0 0,0 0 0 dET LOC - Exlp Ben. ` 1,000,000 AUTOMOBILE LIABILITY �X ANY AUTO - COMBI.NED SINGLE LIMIT 5 2,00 0,0- i. 37309'63-00 04�/0.1/10 O1/Ol/11 (Ea accident) ALL OWNED AUTOS - - SCHIEDULED AUTOS BODILY INJURY (Per person) s. HIRED AUTOS NON•OYJNIED AUTOS BODILY INJURY_ _ (Per accidard) PROPERTY DAHVIGE ; 1Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S , ANY AUTO - OTHER TRAM CA.ACC $ - A.UTO.GNLY:- AGG s EXCESS/UMBRELLA LIABILITY - - EACH OCCURRENCE s 10,000,000 ' $ X OCCUR CLAIMS MADE LIMB 92 636 3 7-0 0 0 4/O 1/10 01/O 1/11 •AGGREGATE $ 10,000,000 s — DEDUCTIBLE X RETENTION s 1D,000 s WORKERS COMPENSATION AND EMPLOYERS'LLABILITY X TORY LIMITS EP. A :'�NYPROPRIETOR/PARTNER/EY.ECUTIVE 3730961-00 09/01/10 01./01/11. E.L.EACHACCIDErrt $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes.tlescfioe under ^ E.L.DISEASE-EA EMPLOYEE $1,0 0 0,0 0 0 SPECIAL PROVISIONS below ,OTHER E.L.DISEASE-POLICY LIMIT ;{ 1,000,000 - - C iProfessioaal Liab DVL000026800 04/01/10 04/01/11 Prof Liab 2,000;000 DlLeased/Rented Eqp 02LTUNTD5678 , 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL ` IMPOSE NO OBLIGATION OR LIABILITY OF ANY XIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. _ AUTHORIZED REPRESE v - _71 ACORD 25�2001/081 @ACORD CORPORATION 1988 ---------..- tj .;`I arr x,,:.:3r'{�Iw�..,il-.,3n.' .z S61S s;i*4G. 1�--,,{(4r qdW°,� ��l,-fii§ ,��y a �•; fia es rf:{t! �ii4?Tr <s u.' i i, i,;.i• _. Also for , RISE Engineering, a division .of Thielach Engineering,. Inc. Gaskell Associates; a division of Thielsch Engineering, . Inc. BAL Laboratory; a division-of Thielech Engineering, Inc. ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, ,a division of Thiel,sch Engineering, Inc. Water Management Services, a diviaion'of Thielach Engineering, Inc. 91te O ice o o nsumer ai an usmes�se��on g 10 Park Plaza'- Suite 5170 Boston, lV, ssachusetts 02116 Home Improve ontractor Registration _ - Registration: 120979 Type: Supplement Card z J ' Expiration: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER a 1341 ELMWOOD AVE. CRANSTON, R1 02910 Q Update Address and return card.Mark reason for change. Address Renewal Employment ❑ Lost Card DPS-CA1 0 50M-04/04-G101216 -T/ae �amxm�uve¢ i � Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 979 Type: 10 Park Plaza-Suite 5170 Expira -`-12 Supplement Card Boston,MA 02116 THIELSCH EN< ERIK NERSTH _ — i 1341 ELMWOOD _ — CRANSTON, RI 029 _ y Undersecretary Not valid without signature rage I OI I The Official VUebsite of the Executive Office of Public Safety and Security (EOPS) MaSs.GOVHome Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 - Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, Rl, 02857- Expiration Date 3/28/2012. Status Current No complaints found for this Licensee. z Back To Search �1Le.ZJo�n�nch�;u�/Z o�,j�Zaaac✓u�Cel� °' - - -- - _ .. . _ ._. _ _ .. Board of BiiildingRegulations and I'Stabdari.I3 f Li.eense or registration valid for individiii use HOME IMPROVEMENT CONTRACTOR i. only l before the expiration date. If found return to: Registrat-io9,.: 120979 { Board of Building Regulations and Standards Ezparatii:o:n_3.25/2010 1 One Ashburton Place Rm 1301 Type:Supplement Card - T'�st31i�42• 011-08 I E L S C H ENGINE>>E01.N i I NERSTHEIM€R-�= 11 ELMWOOD.AVE` _- ANSTON, RI 02910 :�4 Admin.isti::itor -�+•. .. Not valid without sign;'.0 re ht-tp://dn.state.ma.us/dps/llcdetalls.asp?tXtSearchLN=CSLI004.59 __ j S x �r a. WE ' 33 PL Amnesty Apartments Last Name RIOS First Name MYRNA K. M 2nd Owner - '2nd Owner Last Name First Name Map Parcel 190011 _ Property No 101 Property Street STONEY CLIFF ROAD Village CENTERVILLE iState MA Zip ` 02632y Status Pending ` Action Required Assessors Use Group Single Family Comp Per Issue 3/26/2009 Recorded Date 5/5/2009 _.6 - _ _.. Application# g Permit Issued: C of C Total 1 Program Total 1 Descripton FT DIO, 1 PERSON, EXISTING Cert of Occupancy Issued: Cert of Compliance Issued Notes COC TO CORBIERE 11/28/01,COMP PER EXP, REC 11/8/04. 1/9/08 NEW OWNER,RIOS,APP FOR FA DENIED.AMN DOC.S REC'D.6/16/09. T P VISITED, NO NEW EGRESS REO. PROPERTY FORECLOSE PURCHASED 5/14/10,CINDY CONTACTED NEW OWNER,JIM RASSMAN,508 775 3575,WHO SAID HIE SISTER-IN-LAW LIVES IN APT. SHE LEFT HIM A MESSAGE RE FAMILY APT,WILL CONTACT HEARIN( OFFICER RE RESCINDING. 12/8/10 CAME.IN FOR FAMILY APT APP,TELL CD WHEN APP RECEIVED AND.COMP PER WILL BE RESCINDED I Barry, Lois To: Dabkowski, Cindy Subject: Myrna Rios Cindy, I just talked to Myrna about 101 Stoney Cliff Road, Centerville. She is not able to keep the house and will be moving out. Lois 1 oFt .gy, Town of Barnstable BARNSTABLE, Regulatory Services 94� 09• .m� Thomas F. Geiler, Director QED MA'S A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 7, 2009 Ms. Myrna K. Rios 101 Stoney Cliff Road Centerville, MA 02632 Re: Amnesty Apartment . Dear Ms. Rios: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to'receiving your building permit application for the apartment. ' Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant amnbp i r �t T Town of Barnstable Regulatory Services '* BARNSTABM w 9 MASS. � Thomas F. Geiler, Director 16,39orA�� 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 June 16, 2009 Myrna K. Rios 101 Stoney Cliff Road Centerville, MA 02632 Dear Ms. Rios: Enclosed is the building permit application for your Amnesty apartment. Our Building Commissioner, Tom Perry, has informed me that he determined on his site visit that your, apartment will not require new construction. If you have any questions, please call me at 508-862-4039. Sincerely, Lois Barry Division Assistant Enclosure Barnstable The Town of Barnstable B& Growth Management Department �� Cft NA F1 a`�� 367 Main Street,Hyannis,MA 02601 Q D Office: 508-862-4678 Jo Anne Miller Buntich Fax: 508-862-4782 - Interim Director 2007 May 5, 2009 Myrna K. Rios 101 Stoney Cliff Rd Centerville, MA 02632 Qpy RE:Building Permit Application&Final Inspection Enclosed please find a copy of your recorded decision and deed restriction. As you know, one of the conditions of your recently issued comprehensive permit requires that you apply for a building permit for the accessory unit, whether the unit is new or pre-existing. To assist you with this process, I have enclosed a Town of Barnstable Building Permit application. Please contact Lois Barry in the Building Division at (508) 862-4039 to schedule an appointment to compete the building permit application process. Lois is available on Mondays, Tuesdays and Wednesdays. You will be required to provide five copies of a clear floor plan for both the main house and the apartment which indicates the square footage of each room as well as the total square footage of both dwellings. Smoke and carbon monoxide detectors must also be clearly labeled on the plans. A Building Division inspector will then conduct the final inspection of your accessory unit. After the unit passes inspection a certificate of occupancy will be issued by the Building Commissioner and mailed to you. Once you have received your certificate of occupancy you may select a tenant for your accessory affordable unit. Please feel.free to contact me at 862-4743 with any questions or concerns. Regards, Cindy Dabkowski Accessory Affordable Apartment Coordinator -24387 �IKE BA"STABM26` P {4 43 639- orED Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2009-025 Myrna K. Rios To legalize the use of a separate studio living unit as an amnesty unit pursuant to Chapter 9 Article II Section 14 of the Code of the Town of Barnstable Applicant: Myrna K. Rios Property Address: 101 Stoney Cliff Rd., Centerville, MA 02632 . Assessor's Map/Parcel: Map 190, Parcel 011 Zoning: Residential C Zoning District Deed Reference: Book 21711 Page 328 Applicant: The applicant is Myrna K., Rios, who resides at 101 Stoney Cliff Rd., Centerville, MA. Ms Rios is the owner of the property as evidenced by a deed recorded on January 19, 2007, at the Barnstable Registry of Deeds, in Book 21711, page 328. Locus & Background: - - The subject property is a-0.48-acre lot, initially developed in 1967 as a single-family dwelling. Today the colonial style 1 and 3/4 —story dwelling has 2,036 sq.ft. of living area and an attached garage. The lot is served by public water and a private on-site septic that is approved for a total of four-(4) bedrooms. In 1973-74 a 20 by 16 foot,.one-story addition was built onto the dwelling. At some point after, that addition, along with an 8 by 11 foot kitchen area situated in the original area of the dwelling were combined to create a separate living unit. Although the addition was built with the benefit of a building permit the use of that area a.s a separate living unit had not been authorized. On October 1'1, 2001, the prior owner of the property, Lianne Corbiere Was issued Comprehensive Permit No. 2001-97 for thendependent'living under this program's amnesty provisions as the unit existed prior to January 1, 2000. That permit was rescinded on September 22,2004 by the Hearing Officer upon a report by the Program's Coordinator that the unit went unoccupied for more that 12 months. Relief Requested: Ms Rios, as the new owner of the property has now applied for a Comprehensive Permit pursuant to Chapter 40B of the General 'Laws of the Commonwealth of Massachusetts, and in accordance with Chapter 9 Article Il of the Code of the Town of Barnstable. More specifically Section 14, the Amnesty provisions of the "Accessory Affordable Housing Program" as the unit sill remains in the dwelling. This permit is sought to correct the situation of a pre-existing and unpermitted apartment unit as provided for in Town's Accessory Affordable Housing Program provided the unit is restricted to being affordable housing for qualified persons as required under Chapter 40B. A The zoning relief necessary for this Comprehensive Permit to issue is that of a variance to Section 240-13.A (1) Principal permitted uses in the Residence C Zoning District to permit a second lo_ 'I IN/ 7nnina rlictrirt ThP irrlmnra of thic CmmnrahaneivP Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No. 2009-025—Myrna K. Rios a Permit would allow that 408 sq.ft. studio living unit to remain only if the unit is used as an accessory affordable apartment unit and the main part of the dwelling is owner-occupied. Procedural & Hearing Summary: The applicant initially made contact with the Accessory Affordable Apartment Housing Program Coordinator and completed the Site Approval Application in September of 2008. Notice of the site approval application was submitted to the Department of Housing and Community Development on September 4, 2008' Base on that application, Town Manager, John C.,Klimm issued the Project Eligibity letter (site approval letter) on January 28, 2009. A copy of which was also transmitted to the Department of Housing and Community Development in accordance with the requirements of CMR 760 Section 56.04. An application for a Comprehensive Permit was filed at the Town Clerk's Office on February 17, 2009. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on January 23, 2009 and January 30, 2009, and notice sent to all abutters in accordance with MGL Chapter 40A. On February 25, 2009, Hearing Officer, Laura F. Shufelt opened the public hearing at 6:05 p.m. The applicant, Myrna K. Rios, was present at the hearing. Cindy Dabkowski of the Growth Man agement.Department was also present. Laura F. Shufelt reviewed.the file with the applicant to assure compliance with all of the program requirements. Myrna K. Rios gave her testimony. She gave a brief explanation of the unit and cited that she understood the requirements of the program and the fact that she would occupy the home as her principal residence and the apartment unit would only be occupied by a qualified income tenant as year round affordable housing. It was also noted by the Hearing_Officer that the comprehensive permit is not be transferable and violation of the rules is cause for a hearing to resent the permit. E Public Comment was requested and one abutter asked for clarification of conditions regarding automobiles and on premise parking prior to the granting of the comprehensive permit. Ms Shufelt noted the proposed conditions that would be imposed in the permit and the applicant cited that she understood the proposed conditions and consents to abide by them. Hearing Officer Laura Shufelt closed the hearing for public comment and proceeded to make finding to grant the permit and imposed conditions on the permit. Findings of Facti At the hearing on February 25, 2009 the Hearing Officer made the following findings of fact. First-with respect to standing- the jurisdictional Requirements of the applicant to apply for a- Comprehensive Permit under MGL Chapter 40B as identified in CMR 760 Sections 56.04 and the Town of Barnstable General Ordinance Chapter 9, Article II: .1.. The applicant is Myrna K. Rios who resides at 101 Stoney Cliff Road, Centerville MA. The applicant requested a Comprehensive Permit for an existing studio apartment partly within and attached to the single-family dwelling as an accessory affordable apartment unit. The This reference is the older pre 760 CMR 56.00"Comp.Permit;Low or Moderate Income Housing"that took effect Feb. 2008. In this instance the older should remain. 2 i Town of Barnstable,Zoning Board of Appeals Decision and Notice, Comprehensive Permit No. 2009-025—Myrna K. Rios conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the "Accessory Affordable Apartment Program" as an amnesty unit. 2. Myrna K. Rios owns the property as evidenced by deed recorded at the Barnstable Registry of Deeds in Book 21711, page 328, on January 19, 2007. 3. On January 28, 2009, a site approval letter was issued for the property by Town Manager John C. Klimm, in accordance with MGL Chapter 40B and 760 CMR 56. Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 5604 (2), and.no issues were communicated from the Department on this particular application. Second, with respect of consistent with local needs 1. According to information submitted, some time after 1974 an independent studio living unit of approximately 408 sq.ft. was created. Part of the studio was within'a one-story addition that had been built on to the dwelling and the kitchen created from an 8 by 11 foot area with the dwelling. No valid variance or special permit was ever issued for the creation and use of that independent living unit. The building permit issued for the addition was not fora (separate living unit. The prior owner had been issued Comprehensive Permit No. 2001-97 under this program as an amnesty unit. That permit has subsequently been rescinded. The studio living unit qualify for this comprehensive permit under the amnesty program provisions of Chapter 9, Section 14 of the Code,of the Town as the unit existed prior to January 1, 2000. 4. The applicant is aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 5. The house is served by public water and a private on-site septic. The proposal has been reviewed by Thomas McKean, Health Director, and the property,is approved for a total of -four (4) bedrooms. 6. On September 2, 2008-the applicant signed an Accessory Affordable Apartment Program Agreement Affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable County Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as the applicant's primary residence. 7. The applicant understands that the affordable unit will be rented to one person only whose income is 80% or less of the.Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and further agrees that rent (including utilities) shall,not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 8.` According to the Massachusetts Department of Housing and Community Development as of September 9, 2008, 6.8% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. 3 Town of Barnstable,Zoning Board of Appeals ' Decision and Notice, Comprehensive Permit No. 2009-025—Myrna K. Rios Summary: Based upon the Findings of Fact cited above, the Hearing Officer ruled that; • The applicant Myrna K. Rios has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Affordable Housing Program, and • The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Hearing Officer Laura F. Shufelt ruled to grant the Comprehensive Permit in accordance with MGL Chapter 40B and Chapter 9 of the Code of the Town of Barnstable to Myrna K. Rios for property at 101 Stoney Cliff Rd., Centerville, MA. It is issued to allow for a studio accessory affordable apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed one (1) person. 2. The total number of bedrooms on the property shall not exceed four (4). 3. The property owner shall occupy the dwelling as her primary residence. 4. This unit shall not be occupied by a family member of the owner. 5. All parking for the accessory apartment and the main dwelling shall at all times be on-site. None of the bedrooms shall be rented to lodgers for the duration of this comprehensive permit. 6. To meet the requirements of affordability, the cost of housing (including utilities) shall not exceed 30% of 80% of the median income for a single person household for the Barnstable MSA. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. - 7. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the Accessory Affordable Housing Program. 8. The Growth Management Department shall serve as the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). 9. The applicant shall apply for a building permit for the pre-existing accessory unit Prior to securing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division shall determine that the property is in compliance with applicable on-site wastewater,discharge requirements. 10. The applicant may select their own tenant The tenant shall meet the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the Town of Barnstable as a qualified tenant. The applicant will be required to work with the Town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice must be given to the Growth Management Department and the unit must be listed with the Town. 4 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No. 2009-025—Myrna K. Rios 11. Every twelve months the applicant shall review the income eligibility of the tenants occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the Growth Management Department of the Town of Barnstable, as Monitoring Agent, an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicant and/or tenant shall provide the Town any additional information it deems necessary to verify the information provided in the affidavit. 12. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 13. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration'of Restrictive Covenants and all 'other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred, the Growth Management Department of the Town of Barnstable shall be notified within 60 days of the name and address of the new owner. 14. This Comprehensive Permit shall be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit No. 2009-025 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, Section 11 of the Code of the Town of Barnstable.! If.after fourteen (14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall.be the filed in the office of the Town Clerk. Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the Town Clerk's Office. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. I, Laura F. Shufelt, as Hearing Officer for the Zoning Board of Appeals certify that a copy of this decision was transmitted to the Members of the Zoning Board on March 11, 2009 and that 14 days have elapsed with no action taken by any member of the Board to reverse the decision. Laura F. Shufelt, Hearing Officer Date Signed 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 o ` Y, - , ' `� 1<<"``�'under the pains and penalties of perjury. - �����-_�— Linda Hutchenrid•er, Town Clerk 5 r --F'EB. 1. 2011 1 :40PM N0, 894 P. 1 , B k 23671 P-s`2 3 3 —?243u C; REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this IS�T day of A- . ,2009,by and between Myrna K Rios of 101 Stoney Cliff Rd Centerville, MA 02632 and its succ ssors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the "Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment 'man owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: A, The terms of this Agreement and Covenant regulate the property located at 101 Stoney Cliff Rd Centerville, MA 02632 as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 21711&Page 328. B. The Project located at 101 Stoney Cliff Rd Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance witli the terms of comprehensive permit Appeal No. 2009-025 and any plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book &Page D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW- 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area (MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver`this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or, as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated,any provision of any indenture,agreement,mortgage, a mortgage note,or other instrument to which the Owner is a party or bywhich it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this,Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted (and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be ' deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES . 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered.land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the "Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediatelytransmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 a V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184, Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 21711 & Page 328 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded. herewith as deed recorded herewith as Barnstable County Registry of Deeds Book 21711&Page 328. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the propertywhich is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall-be rendered void. X. SUCCESSORS AND ASSIGNS: 3 A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are'binding upon the Owner's successors in title, (ii) are not merely personal covenants of the Owner,and(iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipalitythat the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of , any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. t IN WITNESS WHEREOF,we hereunto set our hands and seals this Oiday of ICI Y't f p 2009. OWNER OWNER.. BY: BY: igna*—— Signature Printed: 4��rt _ Printed: COMMONWEALTH OF MASSACHUSETTS County of Barnstable ss: On dayof 2009 before me,the undersigned notary public,personally appeared the Owner(s),proved to"me through satisfactory evidence of identificatio ,which were WA L( ,to be the person(s) whose name(s) is signed on the preceding or attached docume and acknowledged to be that he/she signed it voluntarily for the stated purposes. _ Notary Public My Commission Expires: REM. / 4 1 � OF a TOWN OF BARNSTABLE BY: TOVRq MANAGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this .? day of 2009 before me,the undersigned notary public,personally appeared ;I-CA ,. Cr /�� '�� � the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were 1 e . to be the person whose name is signed on the preceding or attached document and acknowled ed to be that he/she signed it voluntarily for the stated purposes. ;! Notary Public Printed: My Coiiunission Expires: Public" - r 9���;P A. G�ersijikle ail cil?P(1�9k1191woeafth Ot Ma9ssac.('1kEsettx do sky C;arn:9rii;a>•'�ia�:u�dr€,:,or,Fa.r.19;;!4b+� � T.%iiP.e'4.Su%l:�:i!::?:k'•.�e!: :'^eei^::�n"<wr'2i°.e*' - 1 oF1ME r Town of Barnstable 4 4 Regulatory Services 4 4 r g"RMASS. �* Thomas F. Geiler,Director �°AIEnMAr Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: 1pAt I Date After reviewing the street file of the above named property, I verify, to the best of my knowledge, that the apartment was in existence before January 1, 2000. This property is now eligible to apply for the Amnesty Program. Tom Perry Building Commissioner oFIKE r Town of Barnstable Regulatory Services 9BMM9rABM� Thomas F.Geiler,Director o;�r6. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 August 20, 2008 Ms. Myrna Rios 101 Stoney Cliff Road Centerville, MA 02632 RE: Illegal Apartment: 101 Stoney Cliff Road Centerville, MA 02632 Map 190 Parcel 011 Dear Property Owner, This letter is to inform you that you still are in violation of Barnstable Zoning Ordinance 240-13. You must contact this office immediately to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day for non- compliance. You were denied an application for a family apartment January 9, 2008. This property must be restored to a single family home and as of today you have not applied for a permit to restore the property to same. You have until September 5, 2008 to decide how you wish to proceed. Thank you for your attention in this matter By Order, T pp f Ile ct._ pl�d2 inda Edson Amnesty Apartment Investigator Building Department; Q:zoning5 Town of Barnstable Regulatory Services * BAMSPABM MAW Thomas F. Geiler,Director Fo;p�p�� 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 9, 2008 Myrna Rios 101 Stoney Cliff Road Centerville, MA 02632 Re: 200707322, application for family apartment 101 Stoney Cliff Road, Centerville Dear Ms. Rios: We have denied your family apartment application as Faride McLaren is not your first cousin. As we discussed, you can apply to the Amnesty program or apply for a building permit to restore the.property to a single family. To obtain a refund for the$50 fees paid on application 200707322, please complete the enclosed W-9 form and return it with a copy of the front and back of your canceled check. Another option would be to apply the $50 to an application for a building permit after you receive Amnesty program approval or apply the fees to an application to restore 'the property to a,single family. If you decide to do that, simply bring this letter with you when you apply for the building permit. If you have any questions,please call me at 508-862-4039. 'Sincerely, Lois Barry Division Assistant Enclosure oFt Town of Barnstable Regulatory Services + BAMMBLE, • 9 Maes. Thomas F. Geiler,Director 1639.�A�� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry t FROM: Lois Barry DATE: 1/9/08 RE: 101 Stoney Cliff Road, Centerville When I called Myrna Rios, the family applicant,to tell her you wanted proof that Faride McLaren is a first cousin, she said Faride is not a first cousin. Therefore, I will close out the family apartment application. She is now interested in applying to Amnesty, and I referred her to Beth Dillen. This property was formerly in the Amnesty.program. Barry, Lois To: Perry, Tom Cc: Dillen, Elizabeth; Edson, Linda Subject: 101 Stoney Cliff Road, Centerville Tni DocMoc(36 KB) t r 1 log v F F F .� � .t I, i s �� l I I I CF tHE 1p� Town of Barnstable BARNST AB , * Regulatory Services 9`bA �•� � Thomas F. Geiler,Director lF0 Mp2l 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 October 23, 2007 Ms.Myrna Rios 101 Stoney Cliff Road Centerville MA, 02632 Illegal Apartment: 101 Stoney Cliff Road Centerville, MA 02632 Map: 190 Parcel: 011 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, a Edson Amnesty Apartment Investigator Building Department gfonms:zoning3 F1HE* Town of Barnstable ° Regulatory Services 9B"R'` "MASS. Thomas F.Geiler,Director Fo;o.�A`` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 November 20, 2007 Ms. Myrna Rios 101 Stoney Cliff Road Centerville MA 02632 RE: Illegal Apartment: 101 Stoney Cliff Road Centerville, MA 02632 Map: 190 Parcel: 011 Dear Property Owner This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-13. You must contact this office by November 30 , 2007 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter This property must be restored to a single family home.. By Order, a Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 ,� l � � � , 7 3 +. Ak I11wxC `u .Eq®TIC rf 01 �IOfi,� t <'+ ,.l "a w,. 7S St3t195 s,�„#! ` Y. ..._� p i s c�, �7Y r �, r ? t ' c Actual F � � MIh D} P',BRIDE WtAREWNOT HEIR TIRSTCOUSIN] + f tp e 77'F �' m ; 7--R 60 „«4 4 IV; Henson code Zat LZ ! Reason far cler,ial` IAYl_Y ;iFEES Tt3MI3STY,PERMlT7i C,Ht1 �E TS PETIT kg T, - - I SSE DOESNT,.REQUEST RE�UK 2 , r i n �yy X Ad d eRSert£76 F' "i a fj �Q1A ,-t� boa �°.R ..tfin3 rcner�MJS'E �F}'$ kd"" a�um�kr u 9.. , 3 r�r} d��� �, sa't, � •;, "n� T YA-+' � t aC' ����� $��t �� ��� .c.-�r� � s A �u�t���� ,���, y t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a Parcel D v Application# ono -7 01 434� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 4 6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (!,D) Historic-OKH Preservation/Hyannis F-0-1 kn 7" Project Street Address O Village Owner Iro-C, Address O nA, r Telephone - 5 Permit Request _ (,c 'f' I�O CC��-�zec,� c ,F_ D2-- RQ-APEA -) Co(J511i Square feet: 1 st floor:existing proposed 2nd floor:existing proposed j Total new- C - Zoning District Flood Plain Groundwater Overlay �r Project Valuation Construction Type <i , . Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting:documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) a C Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count HeacType and Fuel: 'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:�I existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size ' Attached garage: 1 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 BUILDER INFORMATION Name r Iq a 4.6 Telephone Number t/—q0 S 3 Address License# J Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 / FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. + r ADDRESS VILLAGE r f OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ! FINAL GAS: ROUGH r FINAL FINAL BUILDING DATE CLOSED OUT r r ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / -7 �3- � Map I V Parcel D ` I Application# ��0� y Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee '` Date Definitive Plan Approved by Plan ning Board � l Historic-OKH Preservation/Hyannis i Project Street Address Village ,rr YT Owner Ut. ir n! Address J 0 ' 0 t / I Telephone Y. - 5,3(1 - - �� r%i _ r k l � Permit Request CCU S/►U Square feet: 1 st4loor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood PI 'n- �' �a Groundwater Overlay r Project Valuation"�� Construction Type Lot Size Grand t�iere ❑Yes f No�jfye ?ach supporting:dgcumentat ion. Dwellin"g Type: Single Family 'lwo Family ❑ Mu i-Family(#units) Age oftD isting Stru Lure v historic s . ❑Yes ❑No On Old King's High ay: O Yes ❑No Basem �t Types�`�Full ❑Cr vu al out'~.0 Other Basement i0is ea sq,ft.) Basement Unfinished Area(sq.ft) FN Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total'Room Count(not includi g baths):existing new First Floor Roo Count U HeatType and Fuel. Q Gas O Oil ❑ Electric ❑Other �- � t Central Air: O�Yes O No F replaces: Existing �k,` ----New Existing wood/coal stove: ❑Ye , ❑No r Detached garage:0 xie stip°g •©new e � Poo❑existing ❑new size Barn:❑existing ❑new size Attac d garage:�existirlg ❑ ew s ie Shed.❑existing ❑new size Other: Zoning Board of Appeals Authoriza ion 0 Appeal# Recorded❑ Commercial �Yes O No If yes,site plan review# r E Current Use ` ` Proposed Use BUILDER INFORMATION Name ►' d, a C'a Telephone Number `_>c 3 Address L('?/ 5 ,aar ( �. License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE — , ( DATE r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 41 i9�9� s J Col 18 �� 62 s � `1z x l - 01 � - L u � � � IL� Page 2 of 3 Level 3 Baths 0.0 Basement Yes Basement Description Interior Access,Full,Bulkhead Access Foundation Concrete Foundation Width 58 Foundation Depth 24 Fndation Wing Width 0 Fndation Wing Depth' 0 Irregular No .' Road Frontage 217 Lot Depth 140 Lot Width 0 Topography/Lot Desc. Level,Corner,Cleared Association Unknown Annual Assoc.Fee 0 Assoc.Fee Year 0 Garage Yes #of Cars 2 Garage Description Direct Enty,Attached Parking Description Paved Driveway Year Round Yes Separate Living Qtrs Yes - Sep Living Qtrs Desc First Floor Waterfront No Y " Water View No Convenient To Shopping,School,Major Highway,Golf Course Miles to Beach 1 to 2 Beach/Lake/Pond Craigville Beach Beach Description Ocean Beach Ownership Public Street Description Public,Paved Interior Page Fireplace Yes Number of Fireplaces 0 Master Bedroom 16.00x16.00 Level:Second Floor Bedroom#2 OxO Level:Second Floor - Bedroom#3 OxO Level:First Floor Foyer 10.00x12.00 Level:First Floor Laundry Room OxO Level:Basement Living/Dining Combo Unknown Living Room 12.00x20.00 Level:First Floor Kitchen/Dining Combo Yes Kitchen 23.00x12.00 Level:First Floor Other Room 1 20.00x25.00 Level:First Floor Floors Vinyl,Tile,Partial Carpet,Hardwood Exterior Style Gambrel . Pool No Dock No Exterior Features Exterior Lighting,Deck Roof Description Asphalt Siding Description Shingle Mechanical Heating/Cooling Natural Gas,Hot Water,3+Zone Heat Water/Sewer/Utility Town Water,Telephone,Private Sewerage,High Speed Internet,Gas,Cable Hot Water/WaterHeat Natural Gas Legal/Tax Annual Tax 2117 Tax Year 2004 . Land Assessments '122500 Improvement Asmt 145200 Other Assessments 10 Total Assessments 267700 Annual Betterment 0.00 Unpaid Betterment 0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single Family Title Reference-Book 9262 Title Reference-Page 263/x Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPr... 1/12/2005 O 'X Town of Barnstable pp THE tp� (/ "o Regulatory Services BAMSfABLE, ; Thomas F.Geiler,Director 9 MASS. 1639• .0 Building Division s Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 Office: 508-862-403 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the unde igned, being the owner(s) of property situated at 101 STONEY CLIFF ROAD, CENTERVILLE, MA, ho ing title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District R istry of the Land Court in Book Page , or as Document No. , being sh wn on Assessors' Map 190 as Parcel 011, hereby agree, certify, warrant and represent to the Town of Barnstab that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment, for ye -round occupancy. The intended and authorized u e is for FARIDE MCLAREN, COUSIN OF OWNER, MYRNA RIOS associated with the residential use on th same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which woul require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulation and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recor d with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of a property of this binding Agreement concerning the use of the property as herein stated. C The consideration for this Agreement is the issuan a of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day o 200_ TOWN OF BARNSTABLE O NER(S) By: Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE CO TY, 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: FalmouthRd4130 Page 1 of 3 Active Listing#20603180 101 Stoney Cliff Rd Centerville,MA 02632 LP $349,000 Prop Type Single Family Subdivision s= County Barnstable Town Barnstable Zoning Residential Sq.Ft./Source 2,082/Agent Estimated # Rooms 9 Lot Size/Source 0.48ac/(Agent Estimated) ,Beds 4 Style/Desc Gambrel/ � _. Baths F/H 3/ Levels 2.0 Year Built 1967/A pproximate Tax ID 190-11 Remarks: Motivated seller!Spacious 9 room 4 bedroom 3 bath Gambrel with over 2000+square feet of living space.4 large bedrooms smallest one is 11X17.Home has open and flexible floor plan with first floor master bedroom or possible in-law with seperate entrance. Renovated kitchen with new appliances and contertops.Large level corner lot with plenty of space in backyard for entertaining, kids or pets. Newer roof,septic and patio with oversized 2 car garage. All-Office Remarks: Call Tim to show at 508-685-0075. Easy to show..Title 5 cert. Directions: Old Stage to Buckskin Path follow to end take left on Powderhom home on left look for sign or Route 28 to Ames Way which turns into Stoney Cliff#101. j Showing Instr.:Appointment Req., Call Listing Office,Yard Sign Listing Agent Timothy Kinski 508-362-1191 kinskidt@comcast.net Listing Office CENTURY 21 Sam Ingram 508-362-1191 Agreement TypeER Listing Date03/10/06 Prig-List Price$424,000 Owner McAdams DOM 274 Commission SACO% BAC2.5% DDAC2.5% FCOM2.5% Other Commission0% Dual or Variable Rate Commission Arrangement No Comments General Information Garage/#Cars Yes/2 Gar Desc Attached, Direct Entry Parking Paved Driveway Bsmt/Bsmt Desc Yes/Bulkhead Access, Full,interior Access Foundation 58/24/Concrete Sep Liv Qtrs/DescYes/Attached, First Floor, In-Law Apartment Wing Width/Wing Depth/ Rd Fmtg Irreg No Zoning Residential Year Round Yes Lot Desc Cleared,Comer,,Level Lot Width/Lot Depth / Street Description Paved Room Sizes&Levels Living First Floor Bow/Bay Windows,Built-ins, HU Cable TV,Wood Floor Dining Family Kitchen First Floor Breakfast Bar, Sliding Door,Tile Floor Mstr Bedrm First Floor Closet, Private Master Bath, Sliding Door,Wall.to Wall Carpet Bdrm2 First Floor Closet,Wood Floor Bdrm3 Second Floor Closet,Wood Floor Bdrm4 Second Floor Ceiling Fan,Closet,Wood Floor Laundry Basement Foyer Home Office First Floor Ceiling Fan,Wall to Wall Car Printed by CENTURY 21 Cobb Real Estate on 12/11/06 at 12:23am> Information has not been verified, is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright @2006 Rapattoni Corporation.All rights reserved.(Residential Agent Detail) http://ccimis.rapmis.com/scripts/mgrgispi.dil 12/11/2006 Page 3 of 3 Listing#20603180 Page 2 Interior Amenities Bsmt Baths Lev 1 Baths 2.0 Lev 2 Baths 1.0 Lev 3 Baths Interior Features HU Cable TV, Dry/HU-E,HU Washer Floors Hardwood,Tile,Wall to Wall Carpet Equipment/Appliances Dishwasher, Range-Gas Living/Dining Room ComboNo Kitchen/Dining Room ComboYes Fireplaces Yes #of Fireplaces 1 Exterior Amenities Pool/Pool Description No/• Dock/Dock Description No/ Exterior Features Outdoor Shower, Patio, Exterior Lighting, Storm Windows,Yard Siding Shingle Roof Asphalt, Pitched Assoc Fee/Fee Year / Assoc/Membership Required Unknown/ Amenities WaterfrontlWaterfront Desc No/ Waterview/Waterview Desc No/ Miles to Beach 1 to 2 Water Acc Ocean Beach Own Public Beach Desc Ocean Beach/Lake/Pond Name Convenient to Golf Course,Major Highway,School,Shopping School District Neighborhood Amenities Mechanical Amenities Heating/Cooling 3+Zone Heat, Natural Gas, Hot Water Water/Sewer/Util Cable,Septic, Electricity, Gas,Telephone,Town Water Hot Water Natural Gas Legal/Tax Information Improvement Asmt $202,900 Land Asmt $158,600 Other Asmt $10,900 Total Asmt $372,400 Annual Taxes/Tax Year $2,164/2006` Annual Betterment 0 Unpaid Betterment 0 Title Ref-Book/Page/Cert 19089/144/0 Plan To Be Assessed Unknown Spec Assessment Mass Use Code/Definition 101-Single Family Asbestos Undergmd Fuel Unknown Flood Zone Unknown Lead Paint Unknown Printed by CENTURY 21 Cobb Real Estate on 12/11/06 at 12:23am Information has not been verified,is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2006 Rapattoni Corporation.All rights reserved.(Residential Agent Detail) V http://ccimis.rapmis.com/scripts/mgrgispi.dil 12/11/2006 f Parcel Detail Page 1 of 3 T�W-l rr a .. 3y� 017 Logged In As: Parcel Detail Tuesday, Octob Parcel Lookup Parcellnfo Parcel ID i 190-011 I Developer LOT 39 Lo Location 101 STONEY CLIFF ROAD I Pri Frontage 1126 T Sec Road f P6WDERHORN WAY I Sec 91 Frontage, �✓ Village r6ENTERVILLE I Fire District C-O-MM — ---- -- Sewer Acct _ I Road Index 1539 Interactive Map Owner Info Owner[MCADAMS, JORDAN G �I Co-owner i%RIOS, MYRNA K � Streets 1169 COMPASS CIR I Street2 j City FHYANNIS I State MA zip 02601 Country;US Land Info Acres F0.48 use Single Fam MDL-01 I Zoning RC Nghbd,0 06 Topography Level Road[ aved Utilities FPUbfic Water,Gas,Septic I Location�— — Construction Info_ Building 1 of 1 Years Roof —�—� '-V Ext V' Built k1967 I Struct{Gambrel I wall Wood Shingle�I Effect�2418 TI Roof Asph/F GIs/Cmp ' e INone I Area --------- --- Cover Type style Colonial wall Drywall Rooms 4 Bedrooms Model Residential I Floor Int _ Bath I Rooms�3 Full + 1 HTotal �I Grade Average _ I Type FHot Water I Rooms�9 Rooms I http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13099 10/23/2007 Parcel Detail Page 2 of 3 WD 16 +`BAS ID ?TQS 1�A 20' q BMT. L, Stories 11 3/4 Stories I Heat Fuel .Gas I Found-ation Poured Conc. Permit History Issue Date Purpose Permit# Amount Insp Date Comm 8/19/2004 New Roof 78947 $5,200 2/4/2005 12:00:00 AM 12/5/2001 Remodel/Renov 57520 ADD AI Visit History Date Who Purpose 2/4/2005 12:00:00 AM Martin Flynn Drive by inspection only 11/4/2004 12:00:00 AM Paul Talbot Meas/Est 10/20/2003 12:00:00 AM Gary Brennan Permit+Corrected List'g 1/27/2000 12:00:00 AM Paul Talbot Meas/Listed 10/15/1992 12:00:00 AM ME Sales History _ Line Sale Date Owner Book/Page Sale P 1 9/30/2004 MCADAMS, JORDAN G 19089/144 2 6/15/1994 CORBIERE, LIANNE 9262/263 ; 3 6/15/1982 THURESON, DENNIS A& MARIE 3493/203 4 1/19/2007 RIOS, MYRNA K 21711/328 ; Assessment History „T_ Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $223,300 $10,900 $0 $172,700 2 2006 $202,900 $10,900 $0 $158,600 3 2005 $183,400 $8,400 $0 $144,100 4 2004 $141,000 $4,200 $0 $122,500 5 2003 $125,700 $4,200 $0 $48,200 6 2002 $125,700 $4,200 $0 $48,200 7 2001 $125,700 $4,400 $0 $48,200 ; 8 2000 $94,500 $4,100 $0 $33,300 ; 9 1999 $94,500 $4,100 $0 $33,300 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13099 10/23/2007 Parcel Detail Page 3 of 3 10 1998 $94,500 $4,100 $0 $33,300 11 1997 $104,100 $0 $0 $29,600 12 1996 $104,100 $0 $0 $29,600 13 1995 $104,100 $0 $0 $29,600 14 1994 $97,600 $0 $0 $33,300 15 1993 $97,600 $0 $0 $33,300 16 1992 $111,300 $0 $0 $37,000 17 1991 $117,900 $0 $0 $59,100 18 1990 $117,900 $0 $0 $59,100 19 1989 $117,900 $0 $0 $59,100 20 1988 $80,600 $0 $0 $22,500 21 1987 $80,600 $0 $0 $22,500 22 1986 1 $80,600 $0 $0 $22,500 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13099 10/23/2007 f Btc 21711 F°:�%328 A050 01-19-2007 a MASSACHUSETTS QUITCLAIM DEED I,Jordan G.McAdams,of 101 Stoney Cliff Road,Centerville,Massachusetts 02632,for consideration paid,and in full consideration of THREE HUNDRED FIFTY THOUSAND AND 00/100 Dollars(U.S. $350,000.00) grant to Myrna K.Rios, Individually,of 169 Compass Circle,Hyannis, Massachusetts 02601 with quitclaim covenants the following property in Barnstable County, Massachusetts. Property Address:, 101 Stoney Cliff Road Centerville MA 02632. EXHIBIT"A" The land with any buildings thereon, situated in that part of Barnstable known as Centerville, Barnstable County, Massachusetts shown wn as LOT 39 on a plan entitled, Subdivision Plan of Land in Centerville- Barnstable, Mass. for Alan E. Small, et ux-Centerville Highlands Section Four", recorded in Plan Book 204,Page 117.. The above-described premises are conveyed subject to and with the benefit of all rights, restrictions, reservations, easements, appurtenances and right of way of record, insofar as the same are still in force and applicable. For title see Deed dated 09/30/04 and recorded with Barnstable County Registry of Deeds in Book 19089, Page 144. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS DuLe: 01-19-2007 a 12:25pm CLI": BUS DUC*: 4050 Fee: $ir197.00 Coris: $350000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRi' OF DEEDS DdL:2: 01-19-2007 a 12{}:25pm CL1'1: °u05 DUC.": "41]50 F:ie: $798.00 Coins: $35OY000.00 "v oFIMET Town of Barnstable Regulatory Services &UWSTABLE. •` v MASM $ Thomas F. Geiler,Director i639• ♦0 ArfpMp'lA Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Jeff FROM: Lois DATE: 12/8/04 RE: Amnesty List Update 101--Stoney-Cliff_Road,-Centerville ZBA cancelled the Comprehensive Permit. On 10/12/04 Tom sent the attached letter to restore to a single-family home and giving Ms. Corbiere 14 days to respond. No building permit has been pulled. Have you heard from her? 308 Old Stage Road, Centerville Beth Dillen sent you a memo I l/19/04 that the owner would prefer to remove kitchen than participate in the Amnesty program. Does Tom want you to follow up on this? Mrs. Bain sent a note in 2/04 that it was her intent to use the apartment for family, but Tom later had Linda Edson refer to Amnesty. I'm not clear on when we can have an affidavit signed that it won't be rented and when we insist on removing the apartment. 485 Pine Street, Centerville Tom wrote on 9/23/04 (see attached), letter was returned and we re-sent it to Hostetter Realty on 10/4/04, ordering him to restore the property to two single-family homes and giving him 14 days to respond. Have you heard from him? Do you follow up on this or should I ask Tom about it? NOTICE Pursuant to Paragraph XI of a certain Regulatory Agreement and Declaration of Restrictive Covenants dated November 1, 2001 and recorded with the Barnstable County Registry of Deeds at Book 14411 Page 208, and there being no tenant occupying the subject premises, I, Lianne Corbiere, as Owner of property located at 101 Stoney Cliff Road, Centerville, Town of Barnstable, Massachusetts,hereby cancel the Comprehensive Permit referred to in said Regulatory Agreement as of September 30, 2004 and notify the Zoning Board of Appeals of the Town of Barnstable of the same. Dated: September 30, 2004 Lianne Corbiere COMMONWEALTH OF MASSACHUSETTS County of Barnstable On this 3011, day of September, 2004 before me, the undersigned notary public, personally appeared Lianne Corbiere proved to me through satisfactory evidence of identification, which were�nr wt�- (.e L to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose, Witness hand and official seal. 'Aua , j -K c ,n My om; ssion Expire a Ft�E ra,, Town of Barnstable Regulatory Services * BARNSfABLE, v Mass. Thomas Thomas F.Geiler,Director �ArFDMA'�ae Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 October 24, 2005 Ms. Lianne Corbiere 101 Stoney Cliff Road Cneterville, MA 02632 RE: 101 Stoney Cliff Road Centerville, Ma 02632 Map 190—Parcel 011 Dear Ms. Corbiere This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14 (A). You must contact this office by November 15, 2005 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. Thank you for your attention in this matter. By Or r da Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 Bk 19089 Ps I43 -76803 09-30-2004 & 02 2 580 NOTICE Pursuant to Paragraph XI of a certain Regulatory Agreement and Declaration of Restrictive Covenants dated November 1,2001 and recorded with the Barnstable \ County Registry of Deeds at Book 14411 Page 208, and there being no tenant occupying j the subject premises,I,Lianne Corbiere, as Owner of property located at 101 Stoney Cliff Road, Centerville, Town of Barnstable,Massachusetts,hereby cancel the Comprehensive Permit referred to in said Regulatory Agreement as of September 30, 2004 and notify the Zoning Board of Appeals of the Town of Barnstable of the same. Dated: September 30,2004 %11 1 Y Lianne Corbiere COMMONWEALTH OF MASSACHUSETT'S CCounty of Barnstable On this 301h day of September, 2004 before me, the undersigned notary public, (n personally appeared Lianne Corbiereproved to me through satisfactory evidence of ,11 identification, which were c t c t, to be the person whose name is ` signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose, Witness hand and official seal. (ate Lpi� My omM d4ssion e : <.Z BARNSTABLE REGISTRY OF DEEDS of Town of Barnstable &UMSfABL& : Regulatory Services v�AtEMAS& a Thomas F. Geiler,Director D MA Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 13, 2004 Ms.Lianne Corbiere 101 Stoney Cliff Road Centerville,MA 02632 Re: 101 Stoney Cliff Road Dear Ms. Corbiere: We have been notified by the Zoning Board of Appeals that the Comprehensive Permit for the Accessory Affordable Housing unit at the above-referenced property has been cancelled. Therefore,the Certificate of Compliance for the unit is also cancelled. You are hereby ordered to restore the property to a single-family home, and you must apply for a building permit to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose, we will be more than happy to help you. If we do not hear from you within fourteen days of the receipt of this letter, we will be forced to seek criminal action against you. SincerelyPerry Thomas Building Commissioner TP/lb QlMtoneycliff Town of Barnstable Regulatory Services sn MASS. Thomas F.Geiler,Director. 39. 6 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 12, 2005 Mr. Jordan McAdams 101 Stoney Cliff Road Centerville, MA. 02632 Re: Illegal Apartment—101 Stoney Cliff Road Centerville,MA. 02632 Map 190- Parcel 011 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Ile coda Edson Zoning Officer Building Department gfonns:zoning3 Pagel of 3 Listing# DOM Listing Price St# Address BD Town Village&ZIP Yr Status Type Selling Price SP%LP Listing Office BA(FH) Lot Sz Sq Ft Tax ID 2040153 93 $349,000 101 Stoney Cliff Rd 3 BARN Centerville 02632 1967 Sold(09/30/04) Single Family $346,500 99.28 CENTURY 21 Sam Ingram 3(3 0) 0.480ac 1801 11 ;W Spacious Home(2000+sf);Has Legal-fn law On First_Floor,Wth--Sep tee -Entrance.A Bargain At Thi`s-Price;This-Home Needs=A Littie Tlc. y. -Lo ated In A Quiet Residential Neighborhood,This Gambrel Has A Flexible Floor Plan.Home Sits On A Corner Lot That Is Cleared And k <' Level With Plenty Of Room For The Family Or Pets.Generous Size Bedrooms With Large Eat In Country Kitchen With New Tile Recently Installed. wn r H P t N w roof /21 New Siding,Trim And Paint Owner as u e o0 08 S g, i x � On The Exterior.Additional Features Include Outdoor Shower,Built Ins In Living Room,Oversized 2 Car Garage,Ceiling Fans,And Centrally Monitored Security System.In-law Also Has Nice Size Bedroom,Kitchen And Bath With New Carpeting 2 Closets And Slider With Small Deck Leading To Spacious Backyard. Listing Price Selling Price 11 Address Listing# 349,000 F$346,500 1014Stoney Cliff-Rd;Centerville-02632— 2040153 840 Agent Timothy Kinski (ID:U0228)Pdmary:508-362-1191 Secondary:508-780-1690 Office CENTURY 21 Sam Ingram(ID:C21C)Phone:508-362-1191,FAX:508-362-7889 Property Type Single Family Property Subtype(s) Single Family Status Sold(09/30/04) DOM 93 Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 2.5% 2.5% 5% No Listing Type Excl.Right to Sell Owner Name Corbiere County Barnstable Tax ID 11 Subdivision Other Beds 3 Baths (FH) 3(3 0) Structure(approx sq ft) 1801 Sq Ft Source Field Card Lot Sq Ft(approx) 20909 Lot Acres(approx) 0.480 Lot Size Source (Field Card) Year Built 1967 Publish To Internet Yes Listing Date 05/08/04 All Office Remarks Need Some Notice,Call Tim At 508-685-0075.Owner Has Cats Please Dont Let Them Out.Leach Field Has Failed Owner Is In Process Of Bringing Up To Title 5 Cert. Directions To Property Route 28 To Ames Way Which Turns Into Stoney Cliff#101 Or Old Stage To Buckskin Path Follow To End Take Left On Powderhorn Home On Left Look For Sign. Selling Information Selling Price 346,500 Selling Date 09/30/04 Listing Price 349,000 Pending Date 09/04/04 SP%LP 99.28 Original Price 369,900 Financing Conventional Comments Selling Agent Timothy Kinski(U0228) Selling Office CENTURY 21 Sam Ingram(C21C) Listing Page Commission-Other none Showing Instructions Yard Sign,Pet(See Remarks),Call Listing Office,Appointment Only General Page Zoning Residential Year Built Desc. Actual Total Rooms 9 Total Levels 2.0 Basement Baths 0.0 Level 1 Baths 2.0 Level 2 Baths 1.0 http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPr... 1/12/2005 Page 2 of 3 Level 3 Baths 0.0 Basement Yes Basement Description Interior Access,Full,Bulkhead Access Foundation Concrete Foundation Width 58 Foundation Depth 24 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Road Frontage 217 Lot Depth 140 Lot Width 0 Topography/Lot Desc. Level,Corner,Cleared Association Unknown Annual Assoc.Fee 0 Assoc.Fee Year 0 Garage Yes #of Cars 2 Garage Description Direct Enty,Attached Parking Description Paved Driveway Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc First Floor Waterfront No Water View No Convenient To Shopping,School,Major Highway,Golf Course Miles to Beach 1 to 2 Beach/Lake/Pond Craigville Beach Beach Description Ocean Beach Ownership Public Street Description Public,Paved Interior Page Fireplace Yes Number of Fireplaces 0 Master Bedroom 16.00xl6.00 Level:Second Floor Bedroom#2 OxO Level:Second Floor Bedroom#3 OxO Level:First Floor Foyer 10.00x12.00 Level:First Floor Laundry Room OxO Level:Basement Living/Dining Combo Unknown Living Room 12.00x20.00 Level:First Floor Kitchen/Dining Combo Yes Kitchen 23.00x12.00 Level:First Floor Other Room 1 20.00x25.00 Level:First Floor Floors Vinyl,Tile,Partial Carpet,Hardwood Exterior Style Gambrel Pool No Dock No Exterior Features Exterior Lighting,Deck Roof Description Asphalt Siding Description Shingle Mechanical Heating/Cooling Natural Gas,Hot Water,3+Zone Heat Water/Sewer/Utility Town Water,Telephone,Private Sewerage,High Speed Internet,Gas,Cable Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax 2117 Tax Year 2004 Land Assessments 122500 Improvement Asmt 145200 Other Assessments 0 Total Assessments 267700 Annual Betterment 0.00 Unpaid Betterment 0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single Family Title Reference-Book 9262 Title Reference-Page 263/X Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPr... 1/12/2005 r Page 3 of 3 Asbestos Unknown Flood Zone Unknown Information has not been verified,is not guaranteed,and is subject to change.Copyright 2005 Cape Cod&Islands #apt3t#!a Multiple Listing Service,Inc.All rights reserved Copyright©2005 Rapattoni Corporation.All rights reserved. a http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPr... 1/12/2005 r Sk 19089 Ps 144 AW76804 09-30-2004 8 02 a 58P QUITCLAIM DEED I, LIANNE 1. COREIERE, being unmarried, of Centerville, Barnstable County, Massachusetts, for consideration paid in the amount of THREE HUNDRED FORTY-SIX THOUSAND FIVE HUNDRED and 00/100 ($346,500.00) DOLLARS, hereby grant to JORDAN G. McADAMS, of 101 Stoney Cliff Road, Centerville, MA 02632, with QUITCLAIM COVENANTS, the land with any buildings thereon, situated in that part of Barnstable known as Centerville, Barnstable County, Massachusetts, shown as Lot 39 on a plan entitled "Subdivision Plan of Land in Centerville-Barnstable, Mass for Alan E: Small et ux-Centerville.Highlands Section Four" recorded in Plan Book 204, Page 117. The above-described premises are conveyed subject to and with the benefit of all rights, restrictions, reservations, easements, appurtenances and rights of way of record, insofar as the same are still in force and applicable. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS For title see Deed at Book 9262, Page 263. Date: 09-30-2004 8 02:58aa► CtIA: 1531 DocO: 76804 Fee7. 01 185.03 Cans: 4346,500.00 Property Address: 101 Stoney Cliff Road Centerville, MA 02632 Witness my hand and seal this_Jog day of September, 2004 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 09--30-2004 0 02:58pa Ctlr: 1531 Doc:: 76804 Fee: $790.02 Cans: $346,500.00 Uanne I. Corbiere COMMONWEALTH OF MASSACHUSETTS County of Barnstable On September Q, 2004, before me the undersigned Notary Public, personally appeared Lianne I. Corbiere, proved to me on the basis of satisfactory evidence of identification, which was a Driver's License, to be the person whose name is signed in the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Wi my hand and official se Benjamin J. Losord/, Notary Public van �,w,-.. �x•� (�- �-S_O"t r � BARNSTABLE REGISTRY OF DEEDS Parcel petail« Page 1 of 3 THEe t Y CLASS RE Logged In As: Parcel Detail Tuesday, Decemb, Parcel Lookup Parcel Info Parcel ID 1190-01.1 —f Developer I�OT 39 Location 101 STONEY CLIFF ROAD I Pri Frontage 126 Sec Road 1POWDERHORN WAYm _ Sec Frontage 91 ___ Village ICENTERVILLE_ Fire District C-O-MM Sewer Acct 1 _ Road Index 1539 Asbuilt Septic Scan: Interactive 190011_1 Mapbt �1 # i MEMO k Owner Info Owner,MCADAMS, JORDAN G - co-owneri%RIGS, MYRNA K Streets F169 COMPASS CI'R_ �� Streetz _ city IHYANNIS state MA zip 02601 .. Country US __. Land Info Acres,0.48 use Single Fam MDL-01 Zoning SRC Nghbd 0106m Topography{Level �� ( Road Paved Utilities ;Public Water,Gas,Septic v Location Construction Info Building 1 of 1 Year r� ._w _. .__.� Roof Ext Bunt I1967 struct Gambrel _L Wall lWood Shingle EAreca AC 12418 � Co�er jAsph/F Gls/Cmp�, Type I one Int Bed Style iColonial I Wall j rywall x� Rooms i Brooms Int I— _ _-_._ Bath Model Residential Floor Rooms3 Full + 1 H Grade Average ' Heat kHot water v ��� Total�9 Rooms Type Rooms v� http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13099 12/11/2007 Parcel petail r Page 2 of 3 F;�._._ Heat. _..- Found- stones 11 3/4 Stones Fuel[Gas 0 anon I Toured Conc. Permit History _____ _ Issue Date Purpose Permit# Amount Insp Date Comm- 8/19/2004 New Roof 78947 $5,200 2/4/2005 12:00:00 AM 12/5/2001 Remodel/Renov 57520 ADD Al Visit History Date Who Purpose 2/4/2005 12:00:00 AM Martin Flynn Drive by inspection only 11/4/2004 12:00:00 AM Paul Talbot Meas/Est 10/20/2003 12:00:00 AM Gary Brennan Permit+ Corrected List'g 1/27/2000 12:00:00 AM Paul Talbot Meas/Listed 10/15/1992 12:00:00 AM ME Sales History Line Sale Date Owner Book/Page Sale P 1 9/30/2004 MCADAMS, JORDAN G 19089/144 ; 2 6/15/1994 CORBIERE, LIANNE 9262/263 3 6/15/1982 THURESON, DENNIS A& MARIE 3493/203 4 1/19/2007 RIOS, MYRNA K 21711/328 Assessment History Save# Year Building Value XF Value OB Value Land Value - Total Parce 1 2007 $223,300 $10,900 $0 $172,700 2 2006 $202,900 $10,900 $0 $158,600 3 2005 $183,400 $8,400 $0 $144,100 ; 4 2004 $141,000 $4,200 $0 $122,500 5 2003 $125,700 $4,200 $0 $48,200 6 2002 $125,700 $4,200 $0 $48,200 ; 7 2001 $125,700 $4,400 $0 $48,200 8 2000 $94,500 $4,100 $0 $33,300 9 1999 $94,500 $4,100 $0 $33,300 ; http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13099 12/11/2007 Parcel Detail Page 3 of 3 10 1998 $94,500 $4,100 $0 $33,300 11 1997 $104,100 $0 $0 $29,600 12 1996 $104,100 $0 $0 $29,600 13 1995 $104,100 $0 $0 $29,600 14 1994 $97,600 $0 $0 $33,300 15 1993 $97,600 $0 $0 $33,300 16 1992 $111,300 $0 $0 $37,000 17 1991 $117,900 $0 $0 $59,100 18 1990 $117,900 $0 $0 $59,100 19 1989 $117,900 $0 : $0 $59,100 ; 20 1988 _ $80,600 $0 $0 $22,500 21 1987 $80,600 $0 $0 $22,500 ; 22 1986 $80,600 $0 $0 $22,500 Photos f http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13099 12/11/2007 r a C R BAF &�Sr.,LF Town of Barnstable Zoning Board of,Appeals Decision- Expired Comprehensive Permit Corbiere -Appeal 2001-97 Comprehensive Permit— MGL Chapter 40B Summary Determination that Comprehensive Permit.Has Expired Applicant(s): Lianne Corbiere Property Address: 101 Stoney Cliff Road,Centerville,MA Assessor's Map/Parcel: Map 190 Parcel Oil - Zoning: Residential B and Groundwater Protection Overlay Districts Background: On August 02, 2001,Lianne Corbiere made application to the Town of Barnstable under the Accessory Affordable Housing Program for a comprehensive permit pursuant the General Ordinances Chapter III Article LXV. The applicant was seeking to convert an existing un-permitted one-bedroom apartment unit ,r of approximately 520 sq.ft.,within the existing dwelling to an accessory affordable.rental unit. Comprehensive Permit Number 2001-97 was issued to the applicant on October 11, 2001 and is recorded at the Barnstable Registry of Deeds in Book 14411,Page 214. The Regulatory Agreement and Declaration.of Restricted Covenants was executed and signed on November 01, 2001 and recorded at the Barnstable Registry of Deeds in Book 14411,Page 208. On July 29,2004, a letter,including a signed affidavit from Paulette Theresa-McAuliffe, Special Projects Coordinator,and Monitoring Agent for the program, was submitted to Ms. Gail Nightingale,Zoning ® Board of Appeals Hearing Officer. That letter advised Ms.Nightingale that Comprehensive Permit 2001- 97 issued to Ms. Corbiere;was not executed within twelve months after it was issued as required by the m permit, and has therefore expired. Procedural& Hearing Summary: A public hearing was duly advertised in accordance with MGL Chapter 40A, and notice sent to the. applicant that the hearing would be held to review and act upon the report of the Monitoring Agent that the permit had not been exercised within the twelve-month time limitation imposed and therefore, has expired. The hearing was opened September 22,2004 at which time the Zoning Board of Appeals Hearing Officer made the following finding and decision that Comprehensive Permit 2001-97 has expired and is null and void. Findings:of Fact: At the hearing of September 22,2004, the Zoning Board of Appeals Hearing Officer made the following findings of fact: 1. In.Appeal 2001-97;the applicant,Liaiine Corbiere, sought to convert an existing un-permitted apartment unit into an affordable rental unit attached to the main house. The property is shown on Assessor's Map 190 Parcel 011, and is commonly addressed as 101 Stoney Cliff Road, Centerville, MA in Residential B and Groundwater Protection Zoning Districts. i r Affordable Housing Inspection Date: Address: 10 Ul `Inspect 12 ❑ Ingress/Egress ❑ Air Quality �Citorvy atisfacto Unsatisfactory ❑ Ceiling Height(Basement units) ❑ Floor Surface Satisfactory Repair Unsatisfactory Replace ❑ Electrical ❑ Rodent Infestation Plugs ❑ Privacy Lighting Repairs Replace ❑ Plumbing El Heating Kitchen Qooking ot Water Lav Fixtures Repair Replace Comments: AJ Town of Barnstable Regulatory Services E MASS. Thomas F.Geiler,Director �Eo;o. & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-8624024 Fax: 508-790-6230 February 1, 2005 Mr. Jordan McAdams 101 Stoney Cliff Circle Centerville, MA 02632 RE: 101 Stoney Cliff Circle Centerville,MA. 02632 Map : 190 Parcel : 011 Dear Mr. McAdams This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 3-1.(3)(C). You must contact this office by March 1, 2005 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, Lind dson Amnesty Zoning Enforcement Officer Building Department ;, Q:zoning5 10/6/04 Tom, Amnesty issued the attached Notice canceling the Comprehensive Permit for 101 Stoney Cliff Road, Centerville. Should someone also cancel the Certificate of Compliance? Also see my 9/17/03 memo. Lianne Corbiere still owns the property. How long do we wait before taking action? I have drafted a letter you may or may not want to send. Let me know. Perhaps you will want Linda to get involved. Lois of Town of Barnstable Regulatory Services MASK �b0 9. ��� Thomas F. Geiler,Director QED MA'S A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry I DATE: 9/17/03 RE: 9/15/03 Report from Amnesty 101 Stoney Cliff, Centerville The Amnesty report we received refers this back to our office for"appropriate action." The owner, Lianne Corbiere, is planning to sell the house to someone interested in the program. When I spoke with her in August, she was planning to sell in October or November. A Certificate of Accessory Affordable Housing was issued for this property on 11/28/01 (see attached). What happens when an owner has an actual Certificate and deed restriction and decides to drop out? Do you want me to call Ms. Corbiere for an update on her plans to sell, or what do you suggest? l ` LAJ � met in� to .�c1�.e ar p 9 � Town ofBa nr a sta e Certificate of AccessoryAffordbl "Affordable e Housing_ Granted to a unit at the following location: t ..r Location 101 Stoney Cliff Road, Centerville x } Unit Capacity p tY 2 Inspector/date 11/28/01 Bldg�7rW * This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code :4 a and Town of Bamstable zoning ordinances in accordance with the Amnesty program. NOTICE Pursuant to Paragraph XI of a certain Regulatory Agreement and Declaration of Restrictive Covenants dated November 1, 2001 and recorded with the Barnstable County Registry of Deeds at Book 14411 Page 208, and there being no tenant occupying the subject premises, I, Lianne Corbiere, as Owner of property located at 101 Stoney Cliff Road, Centerville, Town of Barnstable, Massachusetts,hereby cancel the Comprehensive Permit referred to in said Regulatory Agreement as of September 30, 2004 and notify the Zoning Board of Appeals of the Town of Barnstable of the same. Dated: September 30, 2004 Lianne Corbiere COMMONWEALTH OF MASSACHUSETTS County of Barnstable V On this 301h day of September, 2004 before me,the undersigned notary public, personally appeared Lianne Corbiere proved to me through satisfactory evidence of. identification, which were to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose, Witness hand and official seal. m ZZ My ossion Expire . Q r a oFt Town of Barnstable lAMSTABLE, : Regulatory Services 94� 639.9• ,•� Thomas F. Geiler, Director RFD MA'S� Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry DATE: 9/17/03 RE: 9/15/03 Report from Amnesty 101 Stoney Cliff, Centerville The Amnesty report we received refers this back to our office for"appropriate action." The owner, Lianne Corbiere, is planning to sell the house to someone interested in the program. When I spoke with her in August, she was planning to sell in October or November. A Certificate of Accessory Affordable Housing was issued for this property on 11/28/01 (see attached). What happens when an owner has an actual Certificate and deed restriction and decides to drop out? Do you want me to call Ms. Corbiere for an update on her plans to sell, or what do you suggest? LIJ c � I �fet ivy to t ,a.7ze or agile kopu< 3 Town ofBarnstable r Certifi cate of w s AccesAfHsory fordable ousin :Gr`anted to a unit at the following location: Location 101 Stoney Cliff Road, Centerville Unit Capacity 2 Inspector/date 11/28/01 i. F: Bldg # This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code \ and Town of Barnstable zoning ordinances in accordance with the Amnesty program. F Barry, Lois From: Mcauliffe, Paulette Sent: Thursday, September 25, 2003 1:24 PM To: Barry, Lois Subject: FW: Update Lois, c r Here's an update I sent to Tom. PT g. -----Original Message---- From: Mcauliffe, Paulette Sent: Thursday,September 25,2003 1:21 PM rt To: Perry,Tom r Cc: Shea, Kevin Subject: Update a Tom ° Here goes. 1. 101 Stoney Cliff Road, CN (Corbiere) Ms. Corbiere says her real estate attorney is currently working out some terms on the P &S. She hopes to move out the end of October or shortly thereafter. In addition, the future owner is aware of the Amnesty Program's Comprehensive Permit and the Deed Restriction. According to Corbiere, the new owner is interested in staying.in participating in the Amnesty Program too. I asked Corbiere to contact me once the house is finally sold. She agreed, and also gave me her forwarding phone number. My plan,is:to allow the new owner to get settled.in'a couple of months-and then,sornetime,after the holidays.(mid January); give them a call to encourage them to do the program.- 2. 1183 Shoot Flying Hill Road, CN (formerly Rossire, currently Larnis) Ms. Larnis says she's in receipt of my letter to her dated September 15, explaining the Amnesty Program. I scheduled an appointment with her for next Tuesday, September 30th to answer her questions in order to help her determine what she wants to do regarding the unit. That's all for now. Will keep you posted. Thanks. PT k ,l _ •. .. t. ,a fy - r i f 9/24/03 Tom, Paulette called this morning in response to your email. ,101 Stoney-Cliff Road, Centerville Paulette will call Lianne Corbiere for status report and will let us know. 99 Arrowhead Drive,Hyannis This is a family apartment again. She submitted (and you approved) the affidavit for 2003, so no enforcement is needed. Barry, Lois From: Mcauliffe, Paulette Sent: Wednesday, September 24, 2003 9:19 AM To: Perry, Tom Cc: Barry, Lois; Shea, Kevin Subject: RE: Book-em Danno Tom, 1. When you speak with Lois, I'm sure she'll bring you up to speed with 99 Arrowhead Drive (Smith). 2. 1 have a call into 101 Stoney Cliff Road (Corbiere), and will get back to you on it by tomorrow. 3. On another one: 1183 Shoot Flying Hill Road (formerly Rossi re/currently Larnis). I have not yet received a response from the attached letter dated September 15th. Will try contacting her one more time before officially forwarding this over to your office. LTR-LRNS.DOC(76 KB) Thanks. PT -----Original Message----- From: Perry,Tom Sent: Wednesday,September 24,2003 8:18 AM To: Mcauliffe,Paulette Subject: Book-em Danno In looking at your memo of 9/15/03 at the end you mention how 101 Stoney Cliff(Corbiere)and 99 Arrowhead (Smith) are no longer in the program and are fair game.We have the tree stand set-up and we're ready for the turkey shoot.Unless I hear otherwise we'll start with enforcement on these two at the end of the week.Let me know 1 �oftNIE Tq�ti Town of Barnstable Regulatory Services KAM 9� t ,fig '°rEnr Thomas F.Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 30, 2003 Ms. Lianne Corbiere 101 Stoney Cliff Road Centerville,MA 02632 Re: <101-Stoney Cliff Road,Centerville Dear Ms. Corbiere: We have been notified by Paulette Theresa McAuliffe at the accessory affordable housing program that your Amnesty Comprehensive Permit has expired. Therefore, you are hereby ordered to discontinue the use of the above-referenced property as it is now being used and restore it to a single-family home. You are to accomplish this work and notify this office to inspect within fourteen(14) days of receipt of this letter. A building permit must be applied for to restore the layout to accommodate the conversion. You must do this before you make any changes. If you have any further questions, please call Lois Barry,Division Assistant, at 508 862-4039. Sincerely, Thomas Perry Building Commissioner TP/lb cc: P. McAuliffe CERTIFIED MAEL 7002 0510 0003 5436 1900 - Q030730c ® Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. D to of Delivery ® Attach this card to the back of the mailpiece, �'a� or on the front if space permits. l—J 3 D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No / 3. Service Type NrCertified Mail ❑ Express Mail V [ ❑ Registered Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer,from service 1®bel) ► 70 0 2 :!10 0 0i 0 0 Q5 i 107, 81 £8 0 6,5 j PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL r3CF474'�*�N 0 ' =P©stag�&-Pees Paid �u # Perm N0. G.AQ • Sender: Please jr (a3t.rename, address,and Zr IP+_.4.:ia-fts bo:_ TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS,MA 02601 101 Stoney Cliff Road, Centerville Lianne Corbiere Sent letter 5/28/03. She called and was referred to Paulette. See Paulette's memo of 5/30/03. House to be sold. Paulette will contact her, this is now an illegal unit. 7/30/03 Certified letter. Respond by.8/18. 8/18/03 Called Lianne Corbiere at 508 809 9058. Mailing address is PO Box 924, WB. She has Certificate of Accessory Affordable Housing and occupancy permit for the Amnesty unit (see file). She is planning to sell the house in Oct. or Nov. New owner is aware of Amnesty unit and wants to continue in the program. C-all J030609A Amnesty Meeting, 6/24/03 Perry,McAuliffe, Shea, Barry Bob Shea, inspector, 862-4955 Paulette will send me her form. I'll add our info and send it back to her. When properties need final inspection,Amnesty will send form to me showing Bob Shea's approval. We will schedule appointment for Tom to inspect. After inspection, we issue Certificate. Continue to prepare certificate as we have been, to property without owner's name. Amnesty runs with the property—deed restriction in perpetuity. But new owner must get new Comprehensive Permit. Paulette will contact;Lianne Corbiere, 101 Stoney Cliff. She opted out of program and plans to sell house. She did not complete the Amnesty process, and at this point it is an. illegal unit. Wording of Comprehensive Permit now: "This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire." A number of them have expired. Paulette will send a list. She will contact them and tell them they must start the process over again. She thinks 6 or 7 will start again. If she sends over forms for any that have expired(example, 64 Hampshire Street) it is okay for inspection and certificate. h �OFZME T Town of Barnstable Regulatory Services * BARNSTABLE, v MASS. Thomas F.Geller,Director lfo,rw�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 28, 2003 Lianne Corbiere 101 Stoney Cliff Rd., Centerville, MA 02632 RE: Amnesty Apartment Map : 190 Parcel : 011 Dear Ms. Corbiere: We have been notified by Paulette Theresa at the accessory affordable housing program that you have opted out of the program. Therefore, you are hereby ordered to discontinue the use of the above-referenced property as it is now being used and restore it to a single- family home. You are to accomplish this work and notify this office to inspect within fourteen(14) days of receipt of this letter. .A building permit must be applied for to restore the layout to accommodate the conversion. You must do this before you make any changes. If you have any further questions please call this office at 508 862-4038. Sincerely, Thomas Perry Building Commissioner TP/AW CERTIFIED MAIL 7002 1000 0005 0781 8065 l O1 STONEYCLIFF _ �F'THE Tp� Town of Barnstable BAMS.,BLE, ; Regulatory Services Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry DATE: 5/20/03 RE: 101 Stoney Cliff Road, Centerville Attached is a memo from Paulette McAuliffe stating that the owner of 101 Stoney Cliff Road, Centerville,has opted out of the Amnesty Program. The street address file includes an Amnesty Apartment Certificate of Occupancy and a copy of a Certificate of Accessory Affordable Housing (copies attached). What needs to be done to cancel the amnesty apartment? This was not a former family apartment. Is any enforcement action required? n /J 4Q 7-0 (e, oFTME �szADM Town of Barnstable MASS, �" ACCESSORY AFFORDABLE HOUSING PROGRAM v�AiFD 39. 230 South Street,Hyannis,Massachusetts 02601 (508)862-4683 or(508)862-4695 Fax(508)862-4725 M E M O TO: Tom Perry CC: Lois Barry,Kevin Shea FROM: Paulette Theresa DATE: May 8, 2003 RE: Accessory Affordable Housing Update Dear Tom, Here's a status report of what's happening with referrals made from your Department to the"Amnesty"Program. A. After receiving Comprehensive Permits, thetfollowing�property.owners-have, opted out: 1. Lianne.,Corbiere of 101 Stoney Cliff Rd:;Centerville; 2. Mark&Jolene Bissett of 496 Santuit-Newtown Rd.,Marstons Mills;' 3. Eda Smith of 99 Arrowhead Drive,Hyannis; and 4. Steve Jais of 97 Sterling Rd., Hyannis. My understanding is:- Ms. Corbiere-is-selling her house; 2. The Bissetts want to wait until their children are older before allowing strangers to stay on their property; 3. Ms. Smith wants the space for family use; and 4. Mr. Jais wants the space for family use. To my knowledge,Ms. Smith was the only "true.Amnesty"on this list, as she had someone living in the unit when she came into the program. B. We were recently asked to follow-up with five individuals: L Al Celeste of 60 Shady Lane in Hyannis. There are a couple of concerns: a) On 5/05/03, received memo from Tom McKean that the .26 acre: lot is in the zone of contribution. Mr. Celeste accordingly obtained proper permits (from ZBA and Building Dept.) in building the family apartment;plus had two septic systems installed to handle a total of five(5)bedrooms. But it's not certain that the 2 septics can handle 5 bedrooms. Therefore, Tom has requested that Mr. Celeste have two (2)certified DEP eleven page inspection reports completed before proceeding with his application. We have made Mr. Celeste aware of the Public r TOWN OEM BARNSTABLE AMNESTY APARTMENT CERTIFICATE. OF+' OCCUPANCY I /CE� 01.1. GEOBASE ID 11183 STONEY CLIEF ROAD PHONE.NTJZRVILLE I T OS BLOCK LOT SIZE A DEVELOPMENT DISTRICT CO i RMIT 57Ei20 DESCRIPTION AMNESTY APARTMENT—FIRST FLOOR I RMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY N'.ITECORS: Department of Health, Safety cxITECTs: - Y and Environmental Services TAL FEES: i ND $.00 Oxvo 1blr,_ 1 NST.RUCTION .COST, $.00 7561 CERTIF IF' OF' OCCUPY � 1 PRIVATE P C� * � * BARNSTABM39. ; l MA5$. I I p M,rtl BUILPJ.NG DIVISIJay Q j D.,1kTR ISSUED 12/75/2001 EXPIRATION DATE j E Afnnest PrvrA.Pn' I , del in to x ,e rAxpvi , A a �x�le siv� vssi�le. Wi �'� ��`� y' a � yam. ,max . • r TownofBarnstable' 4" Certificate of 5 AccessoryAffordable Housin . Granted to a unit at the following location: =a _ Location _ 101 Stoney Cliff Road Centerville 011Unit Capacity 5. Inspector/date 11/28/0 l b t Bldg;7 # M This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code i � and Town of Barnstable zoning ordinances in accordance with the Amnesty program. M IKE tqy, ti �: Town of Barn� , stable &6 $ ACCESSORY AFFORDABLE HOUSING PROGRAM 230 South Street,Hyannis,Massachusetts 02601 (508)8624683 or(508)8624695 Fax(508)8624725 M E M O TO: Tom Perry CC: Lois Barry,Kevin Shea FROM: Paulette Theresa DATE: May 8,2003 RE: Accessory Affordable Housing Update Dear Tom, Here's a status report of what's happening with referrals made from your Department to the"Amnesty"-Program. A. After receiving Comprehensive Permits, the followinpro erty owners have opted out:3 1. FLianne: . Corbiere`of:101--Stoney Cliff Rd.;Centerville; 2. Mark-&'Jolene Bissett of 496 Santuit-Newtown Rd.,Marstons Mills; 3. Eda Smith of 99 Arrowhead Drive,Hyannis; and = _ - 4. Steve Jais of 97 Sterling Rd., Hyannis. My understanding is: 1. Ms..Corbiere is selling her houspI The Bissetts want to wait until their children are older before allowing strangers to stay on their property; 3. Ms. Smith wants the space for family use; and 4. Mr. Jais wants the space for family use. To my knowledge,Ms. Smith was the only "true.Amnesty"on this list, as she had someone living in the unit when she came into the program. B. We were recently asked to follow-up with five individuals: 1. Al Celeste of 60 Shady Lane in Hyannis. There are a couple of concerns: a) On 5/05/03, received memo from Tom McKean that the .26 acre lot is in the zone of contribution. Mr. Celeste accordingly obtained proper permits (from ZBA and Building Dept.) in building the family apartment;plus had two septic systems installed to handle a total of five (5)bedrooms. But it's not certain that the 2 septics can handle 5 bedrooms. Therefore, Tom has requested that Mr. Celeste have two (2) certified DEP eleven, page inspection reports completed before proceeding with his application. We have made Mr. Celeste aware of the Public 11-08-200 4 al u:15 .:tr _ L R - /Mt Town of Barnstable Zoning Board of Appeals Decision- Expired Comprehensive Permit Corbiere -Appeal 2001-97 Comprehensive Permit-MGL Chapter 40B Summary Determination that Comprehensive Permit.Has Expired Applicant(s): Lianne Corbiere Property Address: -101 Stoney Cliff Road,Centerville,MA' Assessor's Map/Parcel: Map 190 Parcel 011 Zoning: Residential B and Groundwater Protection Overlay Districts Background: On August 02,2001,Lianne Corbiere made application to the Town of Barnstable under the Accessory Affordable Housing Program for a comprehensive permit pursuant the General Ordinances Chapter III Article LXV. The applicant was seeking to convert an existing un-permitted one-bedroom apartment unit of approximately 520 sq.ft.,within the existing dwelling to an accessory affordable.rental unit. Comprehensive Permit Number 2001-97 was issued to the applicant on October 11,2001 and is recorded at the Barnstable Registry of Deeds in Book 14411,Page 214. The Regulatory Agreement and Declaration of Restricted Covenants was executed and signed on November 01,2001 and recorded at the Barnstable Registry of Deeds in Book 14411,Page 208. On July 29,2004, a letter, including a signed affidavit from Paulette Theresa-McAuliffe, Special Projects Coordinator, and Monitoring Agent for the program,was submitted to Ms. Gail Nightingale,Zoning Board of Appeals Hearing Officer. That letter advised Ms.Nightingale that Comprehensive Permit 2001- 97 issued to Ms. Corbiere,was not executed within twelve months after it was issued as required by the permit,and has therefore expired. Procedural & Hearing Summary: A public hearing was duly advertised in accordance with MGL Chapter 40A, and notice sent to the applicant that the hearing would be held to review and act upon the report of the Monitoring Agent that the permit had not been exercised within the twelve-month time limitation imposed and therefore,has expired.The hearing was opened September 22, 2004 at which time the Zoning Board of Appeals Hearing Officer made the following finding and decision that Comprehensive Permit 2001-97 has expired and is null and void. Findings of Fact: At the hearing of September 22,2004,the Zoning Board of Appeals Hearing Officer made the following findings of fact: 1. In Appeal 2001-97,the applicant,Lianne Corbiere, sought to convert an existing un-permitted apartment unit into an affordable rental unit attached to the main house. The property is shown on Assessor's Map 190 Parcel 011, and is commonly addressed as 101 Stoney Cliff Road, Centerville, MA in Residential B and Groundwater Protection Zoning Districts. r r 2. On October 11,2001 a comprehensive permit was.issued for the subject locus and recorded at the Barnstable Registry at Book 14411,Page 214. Additionally,on November 01,2001 a"Regulatory Agreement and Declaration of Restrictive Covenants"was executed between the applicant and the Town and is recorded at the Barnstable Registry of Deeds at Book 14411;Page 208. 3. Condition Number 9 of the Comprehensive Permit requires that it be exercised and the unit occupied in accordance with the permit within twelve months of it issuance. 4. By affidavit dated July 29,2004,Paulette Theresa-McAuliffe, Special Projects Coordinator,and Monitoring Agent for the Accessory Affordable Housing Program,has provided evidence that Ms. Corbiere has not exercised the comprehensive permit within twelve months of its issuance. Decision: At the hearing on September 22,2004,the Hearing Officer determined that the comprehensive permit issued to Ms. Corbiere for the property located at 101 Stoney Cliff Road, Centerville,MA is.no longer valid. Said property shall revert to the use currently permitted under zoning. Transmission: In accordance with Part II, Section 4.02 and Part III,Section 3.72 of the Town of Barnstable Administrative Code,the Hearing Officer has transmitted the written decision to the Zoning Board of Appeals on September 22,2004, and fourteen days having elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes the final decision. Ordered: Comprehensive Permit 2001-97 has expired and is null and void. The property owners shall take all steps necessary to assure that the property reverts to the use currently permitted under zoning.This decision shall be recorded of the Barnstable County Registry of Deeds within sixty(60) days by the property owners. Should the property owner fail to record said decision within said sixty(60)day period, then the town shall cause said decision to be recorded. G=earing fficer Da a igned I, er,Cler 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 tlyd of i e of the Town Clerk Signed and sealed this day o- ?2_ under the wins and.penalti ;s of perjury. Linda Hutchenrider Town Q Ierk 2 oFTMET The Town of Barnstable do Department of Health, Safety and Environmental URNSTABIA % Building Division 367 Main Street Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: 0,,�_-J 3 -9 9 Name: / Phone#:3-0d'-'J'75-33V/ Address: /0/S7dit1cY Cl_/FFlfb eENT�_: _ LI-E A44 Village: M19 Type of Business: 190co1)PiTlAfG- Map/Lot: 190—00 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. `10 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. �10 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: Date: O5`13- 9 J' Homeoc.doc I Barnstable Assessing Search Results Page 1 of 2 L✓ p _ + s �y r ; Home: Departments:Assessors Division:Property Assessment Search Results ....... 101 STONEY CLIFF ROAD 2003 Owner Information: Owner Name Property Sketch Legend CORBIERE, LIANNE Map/Parcel/Parcel Extension 190 /011/ Mailing Address CORBIERE, LIANNE 101 STONEY CLIFF RD i= CENTERVILLE, MA.02632 2004 Owner Information (as of January 1,2003) Owner Name CORBIERE, LIANNE Address 101 STONEY CLIFF ROAD 2004 Total Assessed Value $267,700 2003 Assessed Values: Appraised Value Assessed Value Building Value: $ 125,700 $ 125,700 Extra Features: $4,200 $4,200 Outbuildings: $0 $0 Land Value: $48,200 $48,200 Interactive Property Map: ap requires Plug in: Totals:$ 178,100 $ 178,100 1 have visited the maps before Show Me The Mao + . April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: CORBIERE, LIANNE 6/15/1994 9262/263 $ 124,900 THURESON, DENNIS A&MARIE 6/15/1982 .3493/203 $72,000 2003 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,674.14 Town Fire District Rates Other Rates 9.40 Barnstable 2.88 Land Bank 3%of Town Tax C.O.M.M. FD Tax $274.27 C.O.M.M. 1.54 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 8/18/2003 Barnstable Assessing Search Results Page 2 of 2 Cotuit 1.88 Land Bank Tax $50.22 Hyannis 2.89 West Barnstable 1.96 Total: $ 1,998.63 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.48 Year Built 1967 Appraised Value $48,200 Living Area 2082 Assessed Value $48,200 Replacement Cost$ 151,459 Depreciation 17 Building Value 125,700 Construction Details Style Colonial Interior Floors Hardwood Model Residential Interior Walls Drywall Grade Average Grade Heat Fuel Gas Stories 1 3/4 Stories Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gambrel Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 1/2 Bathrms Total Rooms 9 Rooms 1 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,500 $2,500 BRR Bsmt Rec Room 400 $ 1,700 $.1,700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch ` PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch, TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 8/18/2003 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I 7 0 Parcel j 9 00// Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Cog �17/13 Historic - OKH _ Preservation/ Hyannis Project Street Address _Q/ toned eviff gi d. 14-enf d l e— , II�L A OZ(' 3 Z Village :RQa4i 41GtU-Q, Owner ;J�Ma" RQ A4iAeA N, Address I QI SAri" (CJ,'#- ?A• &fvi t)/*� Telephone 2(a q & 5�5 Permit Request : --IV %&Aja// & Y D kw p y&ICt4610 �eY►� foo�lU E►d n� !/S%r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction 1 'Construction Type Lot Size Grandfathered ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ©' Two Family ❑ Multi-Family (# units) Age of Existing Structure Q, Qio Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ®(Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: = o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ `-' PIN) n NO Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use RAJ y"_ ww. APPLICANT INFORMATION -� ' (fiUILDE R HOMEOWNER) Narhe Jr��/A ice, Sk 1 yUlf Telephone Number CJD 3 ' M26p Address 0 License #__CS - 00 S �/3 4o GaAk it /_,, m A . Home Improvement Contractor# Worker's Compensation # &9_ 31S 37k5`f•7- 0l2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'glut SJe4-.;uk Sw 11 Join 04 S&AkA UJ;ce p ode r-'-o OQ J 7 SCA a Usk Cameo SIGNATURE�/I�� DATE 13 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: t FOUNDATION k FRAME # INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING It 's DATE CLOSED OUT ASSOCIATION PLAN NO. _ The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston,MA 02111 " www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ��p SdelA � L�� �Address: �� ,J Q� �e,h Q/.� Ga in - RUAi 1 Z City/State/Zip: 01 15L3 Phone #: 1508 8 33 q S e-o AWIou an employer?Check the appropriate box: Are of project(required): 1. 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ 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.[OtherSQ/04, e comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: l�C.2 - S 3 5 `1 • 0 1 I Expiration Date: � - /5 - 2O% Job Site Address: 101 S+D0 e" Pd. LA AA.6dL .N 62632- City/State/Zip: ,MR 01&30 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 under the pains and penalties ofperjury that the information provided above is true and correct Sianature: 7Date: Phone#: Sots - 8 33-9 0 0 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#: C .aco CERTIFICATE OF LIABILITY INSURANCE D/18/201/DD/Y 418/ 3 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CO MNTACT NA MELANIE REEFS C.L. HOLLIS INSURANCE PHONE . (508)295-9500 aCNo:(508)295-9898 140 Marion Rd aoo�SS:MELANIE@insurehollis.com INSURERS AFFORDING COVERAGE NAIC# Wareham MA 02571 INSURERA:Hanover Insurance .Group 22292 INSURED INSURERB:LIBERTY MUTUAL 23035 BLUE SELENIUM SOLAR INC INSURER C: 17 JAN SEBASTIAN DR INSURER D: UNIT 12 INSURER E: SANDWICH MA 02563 INSURERF: COVERAGES CERTIFICATE NUMBERCL133400267 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 TR TYPE OF INSURANCE D POLICY NUMBER DLISUBR MM/DD EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 A CLAIMS-MADE Y OCCUR DHN9478699 /9/2013 /9/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X__1 POLICY PRO- F—] LOC $ A AUTOMOBILE LIABILITY DHN9478699 3/09/2013 03/09/2014 Ea BIKEDd.n SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $X HIRED AUTOS X NON-OWNED DAMAGE $ AUTOS Per accident) X UMBRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ OHN9478699 /9/2013 /9/2014 $ B WORKERS COMPENSATION WC231S378547012 6/15/2012 6/15/2013 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N OFFICER/MEANY MBER EXCLUDED9 PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 DEStRIbe under PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A CONTRACTORS HN9478699 03/09/2013 03/09/2014 INSTALLATION 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,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 JAMS RASSMAN ACCORDANCE WITH THE POLICY PROVISIONS. 101 STONEY CLIFF RD CENTERVILLE, MA 02632 AUTHORIZED REPRESENTATIVE Melanie Keefe/MFK ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 rgninn..,il ni Thu arnian numu onri Innn taro►unia4urcri mu'Irc of Ar npn - Massachusetts-Department of Public Safety Board of Building Regulations and'Standards (Gon.iructiont upunis�ir , License. CS-005813 WH.LIAMMSZJLLIVAN ar PO BOX 63 NO EASTHW MAC 02651 .1 41 Expiration Commissioner 01/03/2014 Office of Consumer A airs n ABusess Regulation. ` 10 Park Plaza Suite 5170 . .Boston, Massachusetts 02.116 Home Improveneoontractor Registration Registration: 166151 Type: Supplement Card rk # l '(h Expiration: 4/29/2014 BLUE SELENIUM SOLAR LLC t � r kt�A WILLIAM SULLIVAN 4 Ir 17 JAN SEBASTIAN DRIVE SUITS 2 r�Ju SANDWICH, MA 02563 -'f Update Address and return card.Mark reason for change. sCA 1 G 2one-05/1 r Address Renewal ❑ Employment Lost Card ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistratio 4661 }- TYPey 10 Park Plaza-S-uite 5170 OExpiratior 4 2f 520gF Supplement ::ard Boston,MA 02116 , BLUE SELENIUM§Olffl'1 LR WILLIAM SULLIVAN t>' 17 JAN SEBASTIAN DRIVE SUITE SANDWICH,MA 02563 Undersecretary Not valid without signature FTME�ot'ti Town of Barnstable Regulatory Services • sARNsrAsM MASS. g Thomas F.Geiler,Director Evnn9. Building Division, Tom Perry,Building Commissioner 200 Main Street,Hyannis,AA 02601 Nswtiytown.barnsta ble.ma.us Office: 508-862-4038 Fax: 608-790-6230 Property Owner Miist Complete and Sign This Section If Using.A Builder R, Adfk,l rz r� ;as Owner of the subject property, `7 r ( , hereby authorize l��s if 1 c rt e ,��cl� ��,� {� ��lUz �c��i,�On, S to act on m} behalf. in all matters relative to work authorized by this building permit: �0 1 S fyn .., �, k a O ��A,.n'lle_ Ll�3 z . ddress 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. Signature of Owner Signature ofApphcant �fC}1tn f�tti� �:(:1� I(/r11,0,k �tt �� Jen Pr' !t Name Print Name Date Q:FOPJ,4S:OWNERPER,411SSI0\POOLS 6i2612 http•//mep google.comrmapsihlnen&teb=wl - xo> r 101 Stoney Cliff Rd.Centerv..X p- mcx G1�C�? File Edit Yew Favorites Tools Help . nral PVWatts-PVWatts Gc,. nstar hXerconnaction Sim._ PowerClerk Sign-in®Google(2)�O Massachusetts Departure.., v8ank of America Online S._ ,http--sysvwsrectmde.com-..C7 salesforce.com-Custom-O Enphase Energy-Enlighte... » �,� — ® �Cs'J mn Page Safety Tools s GQO$le «101 Stoney CIIff Rd.Centerville,MA 02632 Sign n 1 # "f'; N k� J � r � f S• _ M�,; r i7 r f,�s .1 Klk t• • 4 I i �i, t{ •s ��.s�_ + s +yx�s ,v' ,,,,w Yy, Y�fi../ '�. e�v ... Qdx1`,;1 y w"9�F' .`.a i ry r $m j:. 'sd.'lli �•a rxi"]i �i., W..znr�r�.z.�: . .ms.a ;F ✓`Z Rom' `tr ` �:r i' .,.�,��y.*a s{'.'; Traffic ^n F'-."Ti..x rX >. ;r •'{ 3. i + �..��j" '- F �. 'r� p .Ai' �'y,;�,�. f t, �/Y ' �''' 'o '� •,as - fit:: �. �; t � .� #+rr• -�t� Y �..i i Y�grn.:.�X t k' _s;,l'#..� •_v.� st ,r. 17 . f is .Z7� j/ :+,�.,• t �.• 'S ''r�r r• q. ] 7 {, ' ? a rc py( .�, 4i.y.3 tr A a,:•.ro. It-` f ��'•'�c .. ^��1�. F�� 4 �r stii3 . ,gr••r a1}� 1 t r •� u; .r' ''r"ar , ��w..! t r"+°� .10 MCI n, r 4 y K .: �'• a',i �„ - s3� �� � •y � r Vic.' ��; <A ��,j� '' �c.r . qry atit � �i ',d�'�* `�,�n �� � "k v. s ,`�'r ly. `1`'fir � � b+ W Fr• �� y ` P 5.s :Y+ *.r sf� j} -�R' � O R EUYNGoepaat�NRe RecanlpaaMn Yi +;100% James Rassman— 101 Stoney Cliff Rd. Centerville, MA 02632 508-269-1645 james.rassmangstate.ma.us 4.0 kW roof mount pv system: 16—Conergy 250 Mono Black& 16—Enphase micro-inverters M215-60-2LL-S2x Azimuth: 143 Tilt: 23 Snow Load: 30 psf Wind Speed: 110 mph 'Proprietary and Confidential Inforrnatlon. REV I S I❑N S: Disclosure without priorconsent of Blue Selenium Soler,t prohibited" NO. DATE BY ECN # e fi q 1 r 1, ,9 F. a ,ice ` u tr n +l ;Ao, RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION1u . x �"4 A JAMES RASSMAN ;.r.Rryt"' '" 4 °`. ,., ,` "� .'� iz "Ln' ,., ".�.•,+.."�' ''a 101 STONEY CLIFF ROAD CENTERVILLE, MA 02632 � . "It^ t . TYPEI ROOF MOUNT "p" a� ,•' �, 16 MODULES x 250W = 4.0 KW ROOF PITCH = 5/12 (23 DEG) AZIMUTH = 143 DEG CENTERVILLE, BARNSTABLE, MA WIND SPEED = 110 MPH SNOW LOAD 30 PSF BLUE SELENIUM SOLAR, LLC = 0 17 JAN SEBASTIAN DRIVE, SUITE 12, SANDWICH, MA 02563 PHONE (508)833-9500, WWW,BLUESEL.COM DRAWN IM MT DATE, 06-08-11 1 SCALE, N/A SHEET, 1 OF 2 1 BORDER, C NAME, DWG NUMBER-REV RASSMAN-101 STONEY, CLIFF RD 01021-01 7roPdemry ona coneaennoi Inrormotion. REVISIONS: Disclosure vithout Prior sent of Blue Selenium Solar,lie le Prohibited' N0. DATE BY ECN # 38' 9, 13'—4' RESIDENTIAL SOLAR PHOTOVOLTAIC INSTALLATION; JAMES RASSMAN 101 STONEY CLIFF ROAD CENTERVILLE, MA 02632 TYPE, ROOF MOUNT 16 MODULES x 250W = 4.0 KW ROOF PITCH = 5/12 (23 DEG) AZIMUTH = 143 DEG CENTERVILLE, BARNSTABLE, MA WIND SPEED = 110 MPH BLUE SELENIUM SOLAR, LLC SNOW LOAD = 30 PSF Q —� 17 JAN SEBASTIAN DRIVE, SUITE 12, SANDWICH, MA 02563 PHONE (508)833-9500, WWW.BLUESEL.COM DRAWN BY, MT ➢ATE, 06-OB-1l SCALE, N/A SHEET: 2 OF 2 1 BORDER, C NAME, DWG NUMBER-REV RASSMAN-101 STONEY CLIFF RD 01021-01 TR.fi''i—M6 GE0 ROOF ACCESSORY SYSTEMS SOLAR MOUNTING SYSTEMS o • - GaD�L� = • �4 � it •• { 5/16" Izt AN I 3" 1.57° � 3/4" O , EM - cti p - *Dimensions shown are in inches unless otherwise noted o Material 6063 T66 Aluminium Finishes Mill finish Allowable Load(Ibs) Uplift:400 Downforce:400 Shear:180 Companion Parts Simpson SDS 1/4"Fastener;L=3.5",4.5",6"(SDS25312-SS,SDS25412,SDS25600) Standard Roof Mount Flashing(77000501) Socket Head Cap Screw M8 x VAR(15100018, 19,20,21,22,23,38,58) Clamping Plate(72201701) Clamping Plate Adjustable(74022601) ` Compatible Mounting Rails All TRA-MAGE SunFIXINGS rails(22x65,40x40,40x60)as well as other major brands Warranty 10 Years(See warranty documentation for conditions) TRA-MAGE, INC. 1657 SOUTH 580 EAST,AMERICAN FORK, UT,84003 ©TRA-MAGE,Inc.,2011 PH: (800)606-8980 sun.tra-mage.com I Friday,June 01,2012 ry ..SnapNrack I Norman SnapNrack PV Mountirtg System 775 Fiero Lane,Suite 200 San Luis Obispo,CA 93401 Scheel Series 100 Roof Mount Summary Letter To Whom It May Concern, Structural This letter is to clarify that we have performed calculations for the 100 series roof mount PV system based on the information provided by SnapNrack. Included with this letter is the report and calculations. The calculations were done in accordance with the 2009 IBC, ASCE 7-05, 2005 NDS, and guidelines En g I n e e r stated in the Solar America Board for Codes and Standards. For some of the components the SnapNrack test data was used to determine Fair pro Sunrise Blvd. capacityand section properties of materials. The test data was collected using Fair oaks,CA 95628p g (916)536-9585 the procedures outlined in the 2009 IBC Chapter 17. (916)536-0260(fax) 1989-2012 The calculations were performed for the following wind, seismic, and snow load 23 years of excellence combinations and building parameters. e ASCE 7-05 wind speeds from 85 mph to 150 for B and C exposure categories e ASCE 7-05 Seismic Design Category E o ASCE 7-05 Snow Loads up to 120 psf ground snow Norman Scheel,S.E. a Buildings with mean roof heights up to 60 foot tilt angles !roof pitches LEED AP BD+C from 0 degrees to 60 degrees. LEED AP Homes Fellow-SEAOC Fellow-ASCE In our opinion the mounting system as outlined in the SnapNrack Series 100 PV E-mail:nnrmnnsse.can Mounting System Code Compliant Installation Manual 2012 is acceptable and Rob Coon meets the loading requirements as stated above. See report.and;calculations- ° Manager included with this letter E-mail:mail:n�bconnnnsswcom Steve Smith P.E. If thereare any further questions,please contact Norm Scheel. Project Manager E-mail:sievesmiflopasse.eom Steven Cooksey CAD Supervisor E-mail:sicve(acnssc.com JackOffice an e Manager Norman Scheel PE, SE of o �tia E-mail: LEED-AP BD+C,LEED-AP Homes - Fellow SEAOC " TRUCTURAL Fellow A.S.C.E. No.36044 C 6 + ''Ie FoIRT6P '�IO#A Series 100 SnapN'rack'M Structural Report and Calculations PV Mounting 4 ems_ r V Structural Report and Calculations Series 100 Roof Mount For SnapNrack 775 Fiero Lane, Suite 200 San Luis Obispo, CA 93401 Prepared By Norman Scheel Structural Engineer 5022 Sunrise Boulevard Fair Oaks,CA 95628 (916)536-95.85 + April 26,2012 NSSE 5022 Sunrise Boulevard Fair Oaks CA 95628(916)536-9585 Page 2 l Series 100 ' SnapNralck, Structural Report and Calculations PV Mountfnq,Systerm Table of Contents Section Page Cover Letter 1 Summary Report 2 to 11 Building Department Support Calculations Calculations 0 to 30 ft. Mean Roof Height Cl to C15 Wind Calculations Velocity Pressures&MFRS Cl Component and Cladding C3 Seismic Calculations C7 Snow Loads C8 Rail Properties C9 ° 65"PV Panel Connection to Rail C10 78"PV Panel Connection to Rail C11 Lag Bolt Connection to Roof C12 Rail Span Chart 0/12 to 4/12 Slope C13 Rail Span Chart 4/12 to 9/12 Slope C14 Rail Span Chart 9/12 to 12/12 Slope C1.5 Building Department Support Calculations Calculations 30 to 60 ft.Mean Roof Height C 16 to C30 Wind Calculations Velocity Pressures&MFRS C 16 Component and Cladding C18 Seismic Calculations C22 Snow Loads C23 Rail Properties C24 65"PV Panel Connection to Rail C25 78"PV Panel Connection to Rail C26 Lag Bolt Connection to Roof C27 Rail Span Chart 0/12 to 4/12 Slope C28 Rail Span Chart 4/12 to 9/12 Slope C29 Rail Span Chart 9/12 to 12/12 Slope C30 NSSE 5022 Sunrise Boulevard Fair Oaks CA 95628(916)536-9585 Page 3 Series 100 SnapNrack, Structural Report po t and Calculations P ! Mounting System . Introduction This summary letter is in reference to the Structural Calculation Packet for the SnapNrack Series 100 Mounting System, dated 4/12/2012. The calculations have been performed in accordance with the 2009 International Building Code (IBC). The racking system has been designed to withstand code-prescribed forces due to the racking system's own weight, the weight of the solar panels, snow loads, and wind forces and seismic forces. Rail Spans The main Rail (standard rails) support the PV panels. They are supported by standoff hardware which attaches them to the roof structure at the following center spacing's; 8'- 01, 6'-011,4'-0"or 2'-01' . The rail spans are determined based on wind exposure, building height, tilt angle, and- snow loading. See tables IA, 1B, IC, and 1D for rail spans based on mean roof heights up to 30 ft. For mean roof heights between 31 ft and 60 ft see tables IE, 1F,-1G, and 1H in this summary report. Table IA Rail Spans for Roof Slopes and Tilt Angles 0°to 190(Mean Roof Height Oft to 3011) P Wind Load g 85 90 95 100 105 110 115 120 125 130 135 140 145 150 0 8 8 8 6 6 6 6 6 6 4 4 4 4 4 a 10 8 8 8 6 6- 6 6 6 6 4 4 4 4 4 y 20 6 6 6 6 6, 6 6 6 6 4, 4 4., 4 4 ° 30 6 6 6 6 6 6 6 6 6 4 4 4 4` 4 3 40 4 .4 4 4 4 4 4 4 4 4 4 4 . q 4 0 c En 50 4 4. 4 4-- 4 4 4 4 _ 4 4, A, 4. 4; 4 c c 60 4 , 4 , 4 4 4. 4 4 4 4 4 4 4 4 4_ 70 4' ,, 4 q q 4 4 4 q 4 '4 4 4 4 4 80 _ 4 4 4 4, 4; 4 4 4 4 4 4 4 4 4 100 2 2 2 2 2 2 2 2 2 2 2 2 2 2 120 . 2 2 2 2 2 2 2 2 2 2 2 2 2 2 NSSE 5022 Sunrise Boulevard Fair Oaks CA 95628(916)536-9585 Page 4 - --20 to30` a— Height Oft to 30ft) (Table 1 B Rail Spans__for Roof Slopes and Tilt Angles (Mean Roof He -Wind Load P9 85 90 95 100 ' 105 110 115 120 125 130 135 140 145 1.50 0 8 8 8 8 8 8 8 8 6 16 6 6 6 6 10 8 8 8 8 8 8 8 8 6 6 6 6 6 6 V 20 6 6 6 6 6 6 6 6 6 6 6 6 6 6 0 30 6 6 6 6 6 6 6 6 6 6 6 6 6 6 c 9- 40 4 4 4 j 4 4 '4 4 4 4 4 4 4 4 41 Sb 4 4 4 4.. , A 4 4 4 4 4 4. 4 4 4 ,a ' a 60 4 4 4 4 4 4 4 4 4 4 4 4 4 4 tj 70 4 4 4 4 4 4 4 4 4. 4, 4 4 -- 4 4. 80 4. 4 4, 4 4 4 4 4 4 4 4 4 4 4 100 2 2 2 2 .2 2 2 2 2 2 2 2 2 2 120 2 2 2 2- 2 .2 2 2 2 2 2 2 2 2 Table 1 C Rail Spans for Roof Slopes and Tilt Angles 310 to 45°(Mean Roof Height Oft to 30ft) Wind Load Pg 85 90 95 100 105 110 115 120 125 130 135 140 145 150 0 8 8 8 8 8 8 8 8 8 6 6 6 6 6 10 8 8 8 8 8 8 8 8 8 6 6 6 6 6 20 6 6 6 6 6 6 6 6 6 6 6 6 6 6 co 30 6 6 6 6 6 6 6 6 6 6 1 6 6 6 6 3 40 4 4 4 4 4 4 4 4 4 4 . 4 4, 4 4 c c rn 50 4 4 4 4 4 4 4 4 4 4 4 4 4 4 60 4 4 4 ' 4 4 4 4 4 4 4 4 4 4 4 70 4 4 4 4 4 4 4 4_ 4 4 4 4 4 4 80 4 4 4 _ 4 4 4 4 4 4 4 4,-. 4 4 4. 100 2 2 2 2 2 . 2 2 2 2 2 2 2 2 2 120 2 2 2 2 2 2 2 2 2 2. 2 2 2 2 NSSE 5022 Sunrise Boulevard Fair Oaks CA 95628(9.16)536-9585 Page 5 3/18/2011 ` SDS&SD Wood Screws www.strongtie.com SDS & SD Wood Screws The Simpson Strong-Tie® Strong-Drive® screw(SDS)is a 1/4" diameter structural wood screw ideal for various connector installations as well as wood4o-wood applications. It installs with no predrilling and has been extensively tested in various applications. The new SDS is improved with a patented easy driving 4CUTM tip and a corrosion resistant double-barrier coating. S.L.. The SD8#8x1 1/4" wafer head screw is ideal for miscellaneous fastening applications. The needle point ensures fast starts and deep#2 Phillips drive reduces cam-out and stripping. Load Tables Gallery of images Also see: Code Reports Draw ings • Strong-Drive®SD Structural-Connector Screw catalog Page • SDW Strong-Drive® Structural Wood Screw Related categories • Titen® Concrete and Masonry Screw Technical Bulletins Fliers SDS Features: Featured Literature Help for dow nloads • The patented 4CUT tip has a square core and serrated threads to reduce installation torque and make driving easier with no predrilling and minimal wood splitting. • A double-barrier coating finish provides corrosion resistance equivalent to hot-dip galvanization. Now one screw can handle interior, exterior and certain pressure-treated wood applications. See Corrosion Information. • 3/8" hex washer head is stamped with the No-Equal sign and fastener length for easy indentification after installation. • Suitable for ledgers: The SDS is suitable for installing ledgers to meet the requirements of the building codes. Please contact Simpson Strong-Tie for spacing and other information. Material: Heat-treated carbon steel; Type-316 stainless steel STAINLESS STEEL:The SDS Strong-Drive 1/4"wood screw line has expanded to include stainless-steel SDS screws in 1 1/2"to 3 1/2"lengths,suitable for fastening Simpson Strong-Tie stainless-steel products.Offering the same easy-driving,split- reducing installation of the standard SDS screw,these screws are made from type 316 stainless steel.The new stainless-steel SDS screws are appropriate for higher- exposure environments where maximum corrosion-resistance is required. Finish: SIDS -New double-barrier coating. SDS screws may also be available yellow zinc dichromate or HDG (Not all sizes are available in all coatings -Contact Simpson Strong-Tie for product availability and ordering information). SD8x1.25-Electro Galvanized. WARNING:Industry studies show that hardened fasteners can experience performance problems in wet or corrosive environments.Accordingly,the SD8 should be used in dry, interior,and noncorrosive environments only. Installation: • Strong-Drive Screw Installation for LVL, PSL and LSL • Multi-Ply Wood Trusses Applications: Two-Ply 4)2 Floor Trusses • Multi-Ply Wood Trusses Applications: Girder Trusses strongtie.com/products/.../screws.asp 1/4 I 3/18/2011 ' SDS&SD Wood Screws Also see Simpson Strong-Tie Connector Selector®software. .� Gallery: 'Ltop roll over images below to see larger image i� z� SDS1/4"xY 'Identification The 4CUrtip SD8x1.25 US Patents on all SDS reduces (Not for 6,109,850; screw heads installation structural 5,897,280; (SDS1/4"xY torque and applications- • �s•t16l3rilldFAt•d a► aae"111> 7,101,133 show n) makes driving see note 8) easier. SDS 1/4"x8"Screw The SDS is suitable for installing ledgers and meets the requirements of the building codes.Please contact Simpson Strong-Tie for spacing and other information. Load Table: See code report listings below &top DThese products are available w ith additional corrosion protection.Additional products on this page may also be available W ith this option,check with Simpson Strong-Tie for details. SDS and SD Wood Screws OF/SP Allowable Loads' SPF/HF.Allowable Loads' Size Model Thread.Fasteners Shear(100)' withdrawal' Shear(100) Withdrawal'' (In.) No. Length per Wood Side Plate' Steel Side Plate 1100) Wood Side Plate'[ Steel Side3Plate (1o0) (in.) Carlon' 14 ga 8 10 ga or Wood or Steel 11/�" 14 ga& 10 ga or woad orsteel 1Yz SCl 16 ga 12 ga•,Greater` Slde Plate 1'6« SPF LVL16 ga 12 ga '.Greater Side Plate 50 1 50 50 - { - 45 45 45 ® Y.x 1:S SCS25112) 1 1500 — 250 1 256 250 170 — — 180 180 180 120 25 290 290 215' 10®) Yx2 SDS25200 1'/. 300 150 EDt%x 2 h SDS252121,I'A 1100 190 250: 390 .420', 255 135 = 1801 280 300 180 ®� J.x 3 SDS25300# 2 950 280 — 250 420 420 345 200 180 300 300 240 ® Y x3F SDS25312 VA 900 340 340 2601 420 420 1 385 245 245- 180 300 300 270 ®$yr <x a�$ SDS25412 2'w 800 "350 340 M, " 420 420 475 250 245 18t1 3A0 300 ( 330 5 SUS25500 Zy+ 500 3a0 3 : 2$01 420 # 420' l 475 250 245` 1 180 300 f 300 I 3N ® 'i x 6 SDS25600 3y. 600 350 340 0, a20 420 560 250 245 ,i80 300 300 395 01 ,x 8 SOS2580D 3'% 400 35+3 340 2501 420 1 420 550 250 , 245 18{1 300 300 Stainless-Steel SDS Wood Screws strongtie.com/products/.../screws.asp 2/4 Technical Data , Photovoltaic modules JY o00D 4� Conergy PH 230P-255P co Ey� The Conergy PH 230P-255P solar modules offer a high level of module output at an attractive price/performance ratio. They are equipped with 60 efficient, polycrystalline cells and have proven their worth in practical applications over the years.They are characterised by high yields and a long service life.Their production is certified in accordance with the ISO 9001 international quality standard and meets the high quality standards of Conergy. Thanks to the superb quality of manufacture and standardised dimensions,the Conergy PH 230P-255P can be used for all applications. Solar modules in the Conergy P-series are also available with monocrystalline and polycrystalline cells in other power classes and different module dimensions. -=` Features: oilI Attractive price/performance ratio 3 busbar cell design for better efficiency and yield Precision, +3% power tolerance 10-year product warranty ), PV wire cables for use with transformerless inverters g Anti-relective and self cleaning surface reduces power loss from dirt and dust High Salt Corrosion and Humidity Resistance- r complies with IEC 61701: Salt Mist Corrosion Testing Robust frame design allows short side frame mounting Certified to UL 1703(US and Canada), IEC/EN 61215 f Ed.2, IEC/EN 61730 - Black frame version available � 1 Technical Data I Photovoltaic modules 4�D Conergy PH 230P-255P o COnERG�1 16-3:5 nvn x Module dimensions &5W.W0.011 foot K - —" (LxWxH) 1652x994x40mm/650x391x1.57in 0.028 faet _ _ Cell dimensions 156 x 156 mm/6.14 x 614 in Number of cells _ _ 60.N Module weight 19 5kg/431b - 540OPa/113psf standard mount zones Maximum load 240OPa/50psf short side mount zones Glass_ 3.2mm tempered Ground hole e $ Junction box~ IP65CIass `-__.. Cable _ 1000mm/39.4 in,4mmz 12AWG �. - ry ( �� PV wire(UL4703) o Connector �� �MC4Compatible ..--.�.m�� Certifications Operating certifications UL1703(USA and Canada),IEC 61215 Ed.2 Fire safety classification Class C 6-7mm,c Warranty t is rr,m M0YA raet x Material and 10 years -�-- -� "38 f m 9SO fAW 3.1'17 teEt workmanship warranty Mounung holle Power warranty 1 90%/10 years _..__________.-.___-...---_.___-_- ___._-__—..__-_ ® _---- Powerwarranty 2 80%/25 years Act Conergy PH 230P I-V Curves IZ 230P 235P (i 24011 if 245R , FiPF 255P 9 100oW/m Rated power(P_jl : 230W:- 235W 240W 245W 250W 255W 8 T 7 800W/m m Power tolerance +3% +3% +3% +3% +3% +3%. g 6 _ _ 5 60oW/m Module efficiency 14 0% 14 3% N, 14.9% 15.2% 15.5°% I b U 4 40OW/m N Maximum power voltage(V.j 27.78V R 2916V 29.54V .29.92V 30.30V 30.68V ' s 2 20OW/m m Maximum power current(I.'� 7.99A . 8.06A " 8.13A 8.20A 8.27A 8.33A, 1 0 Open circuit voltage(V.) 37.4V 37.6V Y 37.8V 37 98V 38.19V 38.46 ° 5 10 15 20 25 so ss a o Short circuit current(Ij 8.53A 8 56A 8.59A 8.62A 8.65A 8.69A Voltage(V) 3 i? o Nominal Operating Cell 43t2°C Temperature(NOCT) K E Temperature coefficient(P,,j" 0.47%/°C U Temperature coefficient(Vj -0.34%/°C Temperature coefficient(Ij 0.05%/°C Maximum system voltage 600v(UL)/t000v(IEC) Maximum Series Fuse Rating 15A At Standard Test Conditions(STQ:1000W/m2,25 C,air mass 1.5 N 0 r NI I Available from: z 0 a N O N N N I www.conergy.com al a m C L J Q f o Blue Selenium Solar, Inc° Go Green with BlueTm April 19, 2013 Town of Barnstable Building Division 200 Main St. Hyannis, MA 02601 Building Inspector: Jeffrey Lauzon Ph: 508-862-4034 Fax: 508-790-6230 Dear Mr. Lauzon Attached is support documentation as a part of Blue Selenium Solar, LLC applying for a building permit to install solar panels at the residence of James Rassman, 101 Stoney Cliff Rd.,Centerville, MA 02632 On the following page is a table of the contents of the attached literature. Hopefully,we have included all that you require. Please call me at 774-368-0019, if additional information is required. Thank you. Sincerely, Michael Tanghe Blue Selenium Solar, LLC 17 Jan Sebastian Drive,Suite 12 Tel:508-833-9500 Sandwich, MA 02563 Fax: 508-888-2966 E-mail: info@bluesel.com www.bluesel.com o _ Blue Selenium Solar, Inc° Go Green with Blue' TABLE OF CONTENTS: Page 1,2 Copy of signature page of permit application Page 3 Builder Construction License Page 4 Home Improvement Contractor Registration Page 5 Workers Compensation Insurance Affidavit Page 6 Certificate of Liability Insurance Page 7-10 Assessment Record & Map Serve Page 11 Town of Barnstable Regulatory Services Property Owner Signs Page 12 Google Map, 101 Stoney Cliff, Rd.,Centerville, MA roof that the solar array will be mounted Page 13A,B Layout drawings of solar array on roof Page 14 Solar Mount L Base, mfr:TRA-MAGE Page 15- 19 PE Stamped structural review on rack system, mfr:SnapNrack,Series 100 PV Page 20-21 Screws-roof attachment, mfr:Simpson, model:SDS25412 (1/4"x 4-1/2" long) Note:2 screws used per bracket Page 22 &23 Solar panel manufacture's literature/brochure, Mfg'r: Conergy M250 mono black 17 Jan Sebastian Drive,Suite 12 Tel:508-833-9500 Sandwich, MA 02563 Fax: 508-888-2966 E-mail: info@bluesel.com www.bluesel.com t QyoFTNETo�� TOWN OF BARNSTABLE BARN TAII E. 4 O'EMASL -4 039. J 1 0 PUILDING INSPECTOR . APPLICATION,-FOR PERMIT T. ......... ................................................................................................................... TYPE OF CONSTRUCTION ....... ......... ...................................................................................................... ........... .... ................................................19........ TO THE INSPECTOR OF BUILDINGS:; The undersigned hereby applies for a permit according to the following information: Location ..... ................... .................................................................................../............................................................ ProposedUse ........................................................................................................................................................................ ZoningDistrict ........e......................................................Fire District ......e.—O......................................................... -i� .........................Address .. ........ ................ Name of Owner .././ .. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...../! ................................................................ A--6 4 Exterior ....................................................................................Roofing .......... ...... .................... ........... ........... Floors .................. Interior ........ ................. Heating ................ ... Plumbing .................... Fireplace ................................... ............. 7/ ST .....................16 V- 4 ...............................................Approximate Cost .......... Difinitive Plan Approved by Planning Board THE PROP ------SAWAIRY-4"Qf5-ED--METHOD OF PROVIDING FOR WATER SUPPLY, SEWAGE DISPOSAL, Diagram of Lot and Building with Dimensions AND DRAINAGE IS HjEfdp:*� APPROVED TOWN OF BARNSTABLE, BOARD OF HEALTH Sf6,X)y 36 1 � �ls, Lys 3q - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............................................. .................. Sullivan, 1�oxxaJd P. � ' 14888 add ������ to-----.-. Permit for ------. -- __._ox��-��r�|_._...________._.__`_.._ � � Location IOI. � . 1iƒ�'_}��od______ � � _—.—_---������'����_---------- jR Owner --.—�������...,�_~`���,ux ._,___. . a�a ' Type of Construction ----_�r—.—..-----.- ! ' � --------''--'---------''-'—'--- i o � Plot ............................ Lot .............. \ ^ _ Permit Granted � . ^ . ' ....... ����. � { . Date of Inspection ,�,a PERMIT REFUSED —_--._-'_---------------- 19 ' um _—_-'__—'---'------.----.—.---._.. � ..............� _ . --'--._--'_'----.----'.--'----------' ---.----'—'-----'--'----'------_--.- [ ��� - Approved _,.—.--------.--.--' lA � m� ! ---------.--..---__—~-.-.—,...,.--.. � � _______.__________._,._._.___.,_,,_ | ` � � TOWN OF BARNSTABLE AMNESTY APARTMENT CERTIFICATE OF OCCUPANCY PARCEL ID 190 011 CEOBASE ID 11183 ' ADDRESS 101 STONEY CLIFF ROAD- PHONE CENTERVILLE ZIP - LOT 39 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 57520 DESCRIPTION AMNESTY APARTMENT--FIRST FLOOR PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND -$.00 px THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPW* 1 PRIVATE P: *?,ECM., * BARNSTABLE, MASS. 039. A��� BUILDING DIVISION BY 'rr� DATE ISSUED 12/05/2001 EXPIRATION DATE ,�lr ,v�est 'ra rat�r�, - -Ifel ivy to PnA ka Affcpr xke, Avt�sivi ossi�le. VA <n^ Town ofBarnstable i � 3 P Certificate of Accesso Affordable Housing Granted to a unit at the following location: Location 101 Stoney Cliff Road, Centerville Unit Capacity 2 '� Inspector/date 11/28/01 �s z J, Bldg M/P No. R 190-01 1 This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. I Affordable Housing Inspection _ Date: Address: Ul Inspect ❑ Ingress/Egress ❑ Air Quality ;) Satisfactoptory atisfacto Unsatisfactory ❑ Ceiling Height(Basement units) ❑ Floor Surface Satisfactory Repair Unsatisfactory Replace ❑ Electrical ❑ Rodent Infestation &DC>-!> v'c S c Plugs ❑ Privacy Lighting c) k Repairs Replace ❑ Plumbing ❑ Heating Kitchen :::Hot Wate Lav ooking Fixtures � Repair Replace LP AJ Comments: F CrK 1 Art-At-1 1 t--9 Iiti ;irt._:c-;Or1 51• REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATOR AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this sf day of ,2001,by and between Lianne Corbiere of 101 Stoney Cliff Road, Centerville,MA 02632,and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/ Family(hereinafter. "Designated Affordable Unit";and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follo Ns: . I PROTECT SCOPE AND DESIGN: A. The terms of this Agreement and Covenant regulate the property located at 101 Stoney Cliff Road, Centerville,MA,as further described in Exhibit"A" hereto annexed. B. The Project located at 101 Stoney Cliff Road,Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate-income individual or family(the"Designated Affordable Unit" or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of the comprehensive permit, Appeal No. 2001-97 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations (A copy of the comprehensive permit is annexed hereto as Exhibit"B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons of low income (herein defined as 80% or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area (MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of Area Median Income or less of the Area Median Income (AMI) of Bamstable-Yarmouth Metropolitan Statistical Area (MSA) and that rent (including utilities) shall not exceed the rents established bythe Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In•the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authority shall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be,retained as permanent,year round rental dwelling units with at least one-year leases. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance-of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule dr regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, o�� T Town of Barnstable *Permit# a �w F-Vires 6 months from issue date grABIL% Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner �r 200 Main Street, Hyannis,MA 02601 ��E PER Office: 508-862-4038 AUG Fax: 508-790-6230 9.2004 EXPRESS PERMIT APPLICATION - RESIDENTIAL OMM OF BAF N /Q f Not Valid without Red X-Press Imprint Map/parcel Number Property Address l D �f-�? L�/FF Rat • l Get 44•` sx- 0 2.4 3 Z (Residential Value of Work? A0O Oro Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address Ie L q-iv{ C04/j t t s p 'Ler Contractor's Name Ci i �u'"8 Telephone Number s0 9-- 9?3- d$$/b , Home.Improvement Contractor License#(if applicable) 1.3 664 7 Constru :Is Supervisor's License#(if applicable) orlmia Compensation Insurance one: I am a sole proprietor am the Homeowner have Worker's Compensation Insurance Insurance Company Name i2 G j/ — i9N��lLICv . workman's Comp.Policy# 6 Z a (46 9?81 D AI 3�a_ Copy of Insurance Compliance Certificate must be on file. Permit Reques eck box) Re-roof(stripping old shingles) All construction debris will be taken to /Ale �d191 l�•9' lat-L ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows.;U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner roperty Owner Letter of Permission. Ho ,e rove ontr ctors License is required. Signature Q:Forrns:expmtrg Revisc063004 Town of Barnstable pFIHE TOKM Regulatory Services °' $ Thomas F.Geiler,Director . sr�x��'�'$ Building DiAsIOn pTFD � TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . _- W".town.b arnstable.ma.us Fax- 508-790-6230 Offiae: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder L(W q IlA_ C OV6(�-k- ,as Owner of the subject property -to act on mybehalf, hereby authorize in anmatters relative to work authorized bytEs building perm or: it application f of Spane CI rFF 2�Q • Ce�zVI (Address of Job) tore of Owner Date. Sigma print Name � � r'lee -�ommeauoea/�,o�„2cluaeka Board of Building Regulations and Standards HOME(MOVEMENT CONTRACTOR �i Re istratisnn 136667 � J�312006 C+C&REMO ► �` CHRISTOPHER 35 MOCKINGBIRD ` 6 _ p W.YARMOUTH,MA 02673 `` "`� Administrator t 1 1-05 -1-1001 a 02 e 48P REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATOR 'AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 5 day of -r,2001, by and between ianne Corb ere of 101=Stoney-Eliff-Road; ' CEa terville,MA-02632;an'd its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality'), a political subdivision of the Commonwealth; WI EREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit";and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: A- The terms of this Agreement and.Covenant regulate the property located at 101 Stoney Cliff Road, Centerville,MA,as further described in Exhibit"A"hereto annexed. B. The Project located at 101 Stoney Cliff Road, Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate'income individual or family(the"Designated Affordable Unit"or the"Unit"). C The Owner agrees to construct the Project in accordance with the terms of the comprehensive permit, Appeal No. 2001-97 and anyplans submitted therewith and all applicable state,federal and municipal laws and regulations (A copy of the comprehensive permit is annexed hereto as Exhibit"B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A- THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose.of providing safe and decent housing to persons of low income (herein defined as 80% or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area (MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Uriit shall be rented in perpetuity to a household with a maximum income of 80% of Area Median Income or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area (MSA) and that rent (including utilities) shall not exceed the rents established bythe Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Bamstable-Yarmouth Metropolitan Statistical Area. In'the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authorityshall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be retained as permanent,year round rental dwelling units with at least one-year leases. 4. The Omer has the full legal right,power and authority to execute and deliver.this Agreement. 5. The execution and performance-of this Agreement by the Owner will not violate or, as applicable,has not violated any provision of law, rule dr regulation, or any order of any court or other agency or governmental body,and will not violate or, as applicable,has not violated any provision of any indenture, agreement,mortgage, f At the opening of the hearing, the Ms Cobiere described the apartment,univrioting:.that-it had•existed`prior to.her_purchasing>of:theproperty> She confirmed that she understood her obligation and the program requirements. The public was invited to comment. Irene Mindel, Sidney Mindel, William Dutton, William Hauck, Helen Russo and Rudolph Russo objected to the grant of the permit. Three letters were submitted in opposition from Barbara Wilsom, Irene Mindel and Sidney Mindel. The objective appeared to stem from parking and maintenance of cars within the front yard area of the premises. The Hearing Officer determined to continue the appeal to allow the neighbors and applicant to discuss the situation and to come to some type of agreement. At the continuance,the applicant noted that she attempted to contact her neighbors but that nun would meet with her. The Chairman determined she would issue the permit. Findings as to Standing and The Comprehensive Permit: The Hearing Officer made the following findings of fact: 1. The applicant had submitted a copy of a recorded deed, in Book 204,page 117, documenting her ownership of the property. A site approval letter dated August 20, 2001, from Kevin Shea, Director, Office of Community &Economic Development, cited that the application was reviewed and found to meet the threshold criteria established for the Accessory Affordable Housing Program. The subsidizing agent and program is the Town of Barnstable, Office of Community and Economic Development, Community Development Block Grant. 2. The applicant is Lianne Corbiere with an address of 101 Stoney Cliff Road, Centerville, MA 02632. She is requesting a Comprehensive Permit to convert an existing apartment carved from the dwelling prior to her purchase of the property. The unit is a pre-existing unpermitted apartment documented to exist prior to the November 16, 2000, enactment of the "Accessory Affordable Housing Program". It qualifies for the program. 3. The unit is a one-bedroom unit that staff estimates at 520 sq.ft. located on first.floor of the dwelling. . 4. Town staff has reviewed the application and the Barnstable Housing Authority has completed an inspection of the unit. The May 30, 2001, inspection found that the unit passed all points of the inspection. The applicant is aware that the Building Division of the Town shall inspect the unit to assure it meets with all state and local building codes prior to the issuance of occupancy permit. 5. The house is connected to the public water supply and the on-site septic met Title V in 1994 when the apartment unit was identified as existing. 6. On August 1, 2001, the applicant signed.an Accessory Affordable Housing (Amnesty).Program Affidavit that commits to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants and this Comprehensive Permit. Those documents restrict the unit in perpetuity as an accessory affordable rental unit to the single-family dwelling. 7. The applicant understands that the affordable unit will be rented to a person or family whose income is 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area (MSA) and further agrees that rent (including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD). 8. The Barnstable Housing Authority has committed to the monitoring of this affordable rental unit. The maximum allowable rent for two people for this one-bedroom unit in today's dollars is $774.00, 2 including utilities. The tenant's annual income for one person cannot exceed $29,250.00 and for two people cannot exceed$33,400.00. Based upon the findings, the Hearing Officer ruled that the applicant has standing for an affordable housing. Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's program for Pre-existing Dwelling Units in Existing Structures, Article 65 of the General Ordinances. The project is also deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings, a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B. The grant of this Permit is to the applicant Lianne Corbiere, residing at101 Stoney Cliff Road, Centerville, MA. It is issued to allow for an existing one-bedroom apartment to be an accessory affordable housing unit to the owner-occupied single-family dwelling in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two people. 2. To meet the requirements of affordability, the cost of housing (including utilities) shall not exceed 30% of the 80% of the median income for a single individual or two people as the case may be for the Barnstable-Yarmouth MSA. Rents and utilities for the affordable unit shall not exceed limits set by the U.S. Department of Housing and Urban Development (HUD). Those limits can be secured from the Barnstable Housing Authority or from the agent of the town implementing this program. Today it is the Program Coordinator. 3. All leases shall have a minimum term of one.year. 4. The applicant shall have the unit re-inspected by the Building Division to assure that all necessary improvements are made to meet minimum state building and fire codes. 5. The applicant may select their own tenant(s) provided the tenant(s) meet all requirements of the program and provided that person(s) income is reviewed and approved by the Barnstable Housing Authority as a qualified individual. The applicant will be required to work with the Housing Authority to provide information necessary to document that the tenant(s) qualify.. The unit shall be rented on an open and fair basis. Preference is to be given to Barnstable residents to the extent allowable. When a vacancy occurs,the unit musi be listed as available with the Barnstable Housing Authority and Housing Assistance Corp. The applicant must notify the monitoring agent of a vacancy whenever it occurs. 6. Every twelve months the applicant shall review the income eligibility of those individuals occupying the unit. No later than July 30th of each year, the applicant shall file with the Barnstable Housing Authority a yearly affidavit listing the rent charged and income level of the occupant(s). The applicant shall provide any additional information deemed necessary to verify the information provided in the affidavit. Upon any report from the Barnstable Housing Authority that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 7. This Comprehensive Permit must be recorded at the Registry of Deeds and shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. If the ownership of the property is transferred,the Barnstable Housing Authority shall be notified within 60 days the name and address of the new owner. 3 8. All parking for the dwelling and accessory unit shall be accommodated on site. No parking is to be located within the front yard of the property. No commercial vehicle parking shall be allowed. No lodging shall be permitted and no conditions use special permits shall be issued to this property during the duration of this comprehensive permit. 9. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit 2001-97 has been granted with conditions. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds for it to be in effect. The relief authorized must be exercised in one year. Appeals of this decision,if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. (1/ C _ . kp_ D G/ G Nightingale earing fficer Date Signed I, Linda Hutche ider, 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 than.no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this / day of o7 O 0 / under the pains and penalties of perjury. Linda Hutchenrider, Town Clerk 4 ......v.r. ..r...f.�.r :....._�•�.iU^...�..,..,,.�Id.:F}'.i✓'�{��naiwe`µry�.n^�^w.�..r'w-',1.v,s.r4r`f".." ,�ya..tY•C'e:wli�-}^i...<P,;. .:�u�Y^Pww^�v-.. ...-..... _ _ r;1 kfF�.N.7Fl lid► jtu� tW.+,A w " ,1�'k"�,f��xr.�,, i, , FEE Y w� S 1 TowN OF,i BARNSTABLE, MASS. ` �rq THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO ' W .... .... ..... ..... ..._ �.. ..._ .................................._ ..�..�... ....� JL➢ • Y '•O - - - (PROPERTY OWNER) /� (ADDRESS) r TO '..: I. S7 '+ ' ..................__................._...Y..9;..... _. (ALTER) ((REPAIR)IF' pp'd . IBUILDI Er ' Ayy 03 W aF.„`.;Z N � , 1" �...... . . . { (TYPE OF;BUILDINOI3 FYv t�+'1 ^° dig it ° 5 ,(APPROXIMATE SIZHh,:' S 1 � c A •, LOCATION ..... .".r' ?kfs .......................................................... {(STREET AND`NU MBHRI p+ Y WILLA0H1 NAME OF BUILDER OR CONITifRACTOR' ° " _...='J18J A] F� _ ma '. APPROXIMATE COST. w Ed 1 H_EREBY•AGREE TO''CONF N FORM TO ALL'THE RULES,AND REGULATIONS OF THE TOWN '° ' OF,BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION oP4Da P ........................................./...... BBo� IOWNHRI {k�} .+ ••` .r ' ' { T 4NTRACTORI` T� I 1•�)• 1 11 �y.h1� pp y� u.>Y 1� .w V" `�W N�J'�,)t fj4i ��� �' ) ��.` .» '�i. al P'.J���,�J.•�'r-� ° ..BUILDING INSPECTOR:, Subject It Approval of t �'�' �� �� d �Ql�p� �'i .. ;� THE Tow TOWN '01�,.B•ARNSTABLE i BARNSTABLE, : ASSESSORS' OFFICE y MASS. p� pp 1639. \$� a MAY 367 MAIN STREET, HYANNIS, MASS. 02601 775-1 120 BOARD OF ASSESSORS DIRECTOR OF ASSESSING MARY K. MONTAGNA ROBERT D.WHITTY EDWIN F.TAYLOR ALFRED B.BUCKLER / 90 - / / /off CSfaneyG��F /�� I �c� IZ Assessor's map and lot numb rJ..73 / o% . �.�� _ � Sewage Permit number .....7.�g......................................... �QyoF?N roe`, T0WN OF BARNSTABLE • 13AW TODLE, 1 Y 6 .ae� DUeLDe C '9 SP `�0 MP APPLICATION FOR PERMIT TO .... . ..... . ..... r . .I 0 t�G�................................................................... h1e4P �0104n TYPEOF CONSTRUCTION ........................................................................................................ ............................ 1+ ..................�..::...`o.� .19.?3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location / 1...@J..�lt� l.�� ,1 ' ... �t�.'....... E�. "' .t/>f �.y.....'a9 � ProposedUse ........ C........ .G............................................ .................................................................................................. Zoning District /I G Fire District — ................................................ .............................................................................. Name of Owner fi r" ��d F'�f *A- 5; .......................... ............ .t............................Address ...................�............................................................. Name of Builder ........ 'z.`........... . ........../....®....WW.£194ddress .....� am!/..J.�.'."............................................... Nameof Architect ..................................................................Address .................................................................................... l "cNYLC Numberof Rooms ...............�Z"..........................................Foundation ................... ........................................................ Exterior � ................................................Roofing .... .1........................................................ Floors U .Interior ......60L a-D.............................................................. L�...�. ` .................................................. 1 / Heating ,f`..r �: .....................................................Plumbing ....Y..l ................................................................. Fireplace ....................... ..:..''...................................................Approximate Cost ...... ............ .................................... Definitive Plan Approved by Planning Board --------------------------------19--------. Area .................���... '.. JT Diagram of Lot and Building with Dimensions Fee ............. ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH • a� \ i •' Za I hereby agree tote the Rules and Regulations of the Town of karnstable regarding the above construction. Name . vf.... W1:4-1,.................................... Sullivan, Ronald P. ' lArin add ` No —��!.��.. Permit for�--- .. ' family dwelling / iff Road . _ Location ---.1°1 Stoney� ��� .... ' Centervill ------------^--- ---' ' Owner P. t ____...�����.--..�����r��----. / � Type of Construction ----- ----- | ' ----.—^---.--------------.'^-- Plot ............................ Lot ................................ Y - � ! ` r November 8 ~ �� Permit Granted ........................................lg ' ' Date of Inspection � Dote Completed . ..................... / � � PERMIT REFUSED ' - '----'------.. —.. ------. 1p � .... ��o -^� ---''��'��../�� �---------------. J ^ ^-----`^—'-----------------'' | � _________.__~_~_,.,__,,~_____ ! ^ �--------~.~.----------.---.— � . + � . � A Approved .... lg « ^ .....................'..............................',............,.........' � ` ` ----------------------....., . - . ' \ I Comulaint.Number." 1752. Taken bv: J11VGSIJRVICES Date: 5 00 , h _> Mab/barcel: - - Referred to: :U�LDINTG - ' - SUBJECT OF COMPLAINT . - Business/Occupant Name: `LL ffi - p777xr w Number 101 Street:t.STONEY_CLIFF -- x Village: U,N3T,RViLL11 COMPLAINT INFORMATION '¢ Complainant's Name: INEIGHBOR za Address: Telephone Number: F r y- Complaint Description:, `tea SEVERAL CARS--THINKS RENTING -4 ROOMS a Actions Taken/Results:= NO--=JUST 2 PEOPLE LIVING IN HOUSE I y - UN-REG. 3 CARS BELONG TO OWNER. } i Date Closed: 5/10/00 yaw w F,. t - i -. f r f Town of Barnstable CF SHE Tp� tic Building Department Services snxivsrnBiE. Brian Florence, CBO i - 9� MASS. ,0� Building Commissioner ATF p nw+" 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, depo e and state as follows: My name is s �1= 5 � I am the owner/resident of the property located at: C)L s— _AJ! -� C_; . f\Ag1 f� } The following members of my family will be the sole occupants of the Family A ment 411P. p aforementioned address: Q ' Z .` IN LA`S) Name &relationship to owner: t4:"_ ^-� a S� Name &relationship to owner: h� The Family Apartment will be the primary year-round residence for the above-identz zed- 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 Commissi ner listing the names and relationship of occupants in said Family Apartment. I also understan4that I am required to comply with all conditions imposed by the ZBA Special Permit. and/or the Town of Barnstable Zoning Ordinances Section.240-4.7.]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 . Z Z day of 2019. Signature Phone Number Print Name E q:forms/famafd.doc rev 11/08/13 f oFTME Town of Barnstable Building Department . Brian Florence,CBO * MUMSTast.E, hURK ,e$ Building Commissioner . FD► 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs m Office: 508-862-4038 508- 0-60 �- own o arras a e amp y pa men avit o I, being on oath, depose and state as follows: My name is \AAC s I am the owner/resident of the Property located:at: .[6— The f611u,`.. a°..;.1n e�my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �! ��C' l.M,�-'�� Id lE� I Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit 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 Cc,, day of 2018. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town•of Barnstable 13-UILDING DEPT Regulatory Services oFTME�rti Richard V. Scali,Director FEB 02 2017 Building Division • FOWN OF a AiilvS7�i3 �:, RAMMBMMAM Paul Roma,Building.Commissioner SAT i6 9' 200 Main Street, Hyannis,MA 02601 FD MA'S www.town.barnstable.ma.us ' Office: 508-862-4038 - 'Fax: 508-790-6230 Town of. Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is I am the owner/resident of the property located at:. , C. 32 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: t ')bSGi nn ' t� 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 notes the Building Commissioner in writing. I understand that no subletting or subleasing of said - Family Apartment is permitted. I understand that I.am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required.to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree . to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please�explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. Other Sworn to under the pains and penalties of perjury this 5- day of "'u 2017. .Signature fi Phone Number t Print Name q:forms/famaffid.doc rev 11/08/12 A. a . F Town of Barnstable Regulatory Services oFt"E rG�ti Richard V. Scali,Director Building Divisions F BARNSTABLE ' MAS&&UWgrABL& Thomas Perry, CBO,Building Commissioner i0rfn3x+°``� 200 Main Street, Hyannis,MA`0260'1� -7 PM M112: 1 www.town.barnstable.ma.us Office: 508-862-4038Fax: 508-790-6230 DIVA 10N Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state asfollows: My name is I am the owner/resident of the property located at: L p[ L L C2 �9 IAA The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: IU A-3 c, -15W TZ '. PA- AJ 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 notes the Building Commissioner in writing. I.understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit 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,apartmzrit 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 3 day of (h?rY?Lcq- 2016. 8 Signature Phone Number Print Name A'M�� (� q:forms/famaffid.doc rev 11/08/12 �, i Town of Barnstable pF1HE Tq�, Regulatory Services v ti Richard V. Scali,Director BARNSPABLE. » Building Division MASS. g 1639. lk 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 a follows: x My name is �15_s I am the owner/resid-it of the ; property located at:_ C) n M, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: `�1 L V N-3 L.� �3-{�2� f t 5 ►.�J Name &relationship to owner:l ri 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 note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner,listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this S— day of 'A_J 2015. Signature Phone Number Print Name SS n4,q,'J q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services tort, Richard V. Scali,Ixte '' ec Building Division —WS'! LE r t Thomas Per CBO Bui n =om iss.o Ma g Perry > ss gl �Ar 039. p�� 200 Main Street, Hyannis, MA 02601 ED MA'S www.town.barnstable.ma.us Office: 508-862-4038 DIV - Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state a follows: My name is �t<}M 1=S SM�_►� I am the owner/resident of the propeety to cated at: /bkfi- 62 3 2 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: � i L 1.1 AI,�t A l(LA S z P_r N - FtvB Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 074,,Q 2014. -3s �ignae Phone Number Print Name �- Es 'PAssm"gii q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services �n+e rq Thomas F. Geiler,Director °.� Building Division TO OF BA NST B E xxsTAs . ` Thomas Perry, CBO, Building Commissioner Mas A s A 200 Main Street, Hyannis, MA 0260`1 'J", 1 Q f' H � 1 i639 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 DIVH.Town of Barnstable Family Apartment Affidavit I, being on oath, depose and-state as follows; My name is - S I am the owner/resident of the property located at: [ The following members of in family will be the sole.occupants of the Family Apartment at the aforementioned address: C . Name &relationship to owner: l, A ' Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members...In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing.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 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 th ains and penalties of perjury this- day of: ^/ 2013: s Signature' ± Phone_Number Print Name q:forms/famaffid.doe'-., rev 11/08/11 Town 'of Barnstable Regulatory Services of Thomas F. Geiler, Director Building Division ram. ' Thomas Perry, CBO,Building,Commissioner 4, i639. A`e� 200 Main Street, Hyannis, MA 02601. Eo r� www.town.barnstableana.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as lows: My name is j '"�-�S I am the owner/resident of the property located at: 1 © �' b l T-r F-J The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: i L.UA-J I A Name &relationship to owner: _The Family Apartment will be the primary.year-round residence for the above-identified. family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no`subletting or subleasing of said Family Apartment is permitted. V ` I understand that.I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments.-I agree to notes the Building Commissioner immediately in the event of the sale of this pr p erty. t Z If there iswno 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 -) • .f. - • - _ »i Sworn to under the pains and penalties of perjury this:} ' 1 3 day of 2012. • Signature Phone Number r Print Name �S� s SS rnfJ q:forms/famaffid.doc rev 11/08/11 Town of Barnstable of THE Tp� 1,. ?25 3 08 I=°:s 3 0— 1 41rL 12 8 Regulatory Services �_� _ 03 ® 545o Thomas F.Geiler,Director * BARNSTAsr.e. MASS. g Building Division •9 i63 �� 'OrE Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 i Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I, the undersigned, being the owner of property situated at 101 Stoney Cliff Road, Centerville,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 24552,Page 44,or as Document No. ,being shown on Assessors' Map 190 as Parcel 011,hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartmentunit`must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupant(s)of Main Residence: James Rassman Relationship to Owner: Owner Resident(s)of Family Apartment: Silvania Dutra Relationship to Owner: Sister-in-Law This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this ��y, day offf) Arc,h 20". TOWN OF BARNSTABLE OWNER \t 1 B _ t omas Perry James Rassman Building Commissioner , THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date_1 y�� J-y 1, Then personally appeared the above-named (owner S and made oath as to the truth of the foregoing instrument,be V !e. Notary Pu My Commission ExpirdAMW pp, Nobly Pdk qsample COWAV"n Upues may 18,2012 . �M'BSlmCIrV� 3: of Town of Barnstable RMWSrABL& : Regulatory Services MAM 039. ,0� Thomas F. Geiler,Director D MA A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 13,2004 Ms.Lianne Corbiere i 101 Stoney Cliff Road Centerville,MA 02632 Re: 101 Stoney Cliff Road Dear Ms. Corbiere: . We have been notified by the Zoning Board of Appeals that the Comprehensive Permit for the Accessory Affordable Housing unit at the above-referenced property has been cancelled. Therefore,the Certificate of Compliance for the unit is also cancelled. You are hereby ordered to restore the property to a single-family home, and you must apply for a building permit to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within fourteen days of the receipt of this letter, we will be forced to seek criminal action against you. Sincerely, r Thomas Perry Building Commissioner TP/lb Q 101 stoneycliff f I