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HomeMy WebLinkAbout0146 COBBLESTONE ROAD 1 '�r(v &6 61 - ' S+ 'r�L�p� .p . -- , , a, t A t r ;; - , a.- u „ it .,.� a I ex. u'ri . - °.. r I .,' , C y r, Q 5 ' .. v . -., i, .,r,:. :{ {:�, J .,.'� t .:. . .. .r:[.. .. e ... 4t Y , ... -'}- e s, 7 I, - •.�:: ,. x t J r C .fY ..:z .,a, 1., '.,::A "":.. {.. i-" A A' .; ,. ;` S: - ,,.,. - :....:, -.,. .. ..,. ,. ,. �:. ., ;S r.r' .. av - M1 J f P L - ,.� ', .Y• :. ., ,' J .d.,, -,:, " •T.�: , + '. ..n x - �....) •. '::.:r ":* ,, 1. J ... ,,.:,. 4'. rs -.:.,.. a :, r t qs: r, 5< A, a. ,..,. a.., r..,,.,. t. 1, , i .a , G+. _. -,,. - r :.., -. : ..... ., .:: r, ...6 f....� :J .."' i „ ,..,... :.;.... :.... ..T ,s .,..-., :,... is .. „.. :::. ., .,y v i' ..r. r-. , - -- ,.. l ' .. ,:. t, y . r \. .i ..f... �, , .. , .3. .a s a 1 .,'. v:, r „ .,:3 .,s, s ..- .: .. Y f pp� C 9 g 1 py W r .. . , ... a F 2 ,*a „ -- - _—�— .- _ _� ...,,� _ . u.t„ _ .. _- _ —_�-__ ..-.. -, ..i. , — — -� s___ a. '.--,..�. _— —u— r<.N </'..,d. ti_F'.:::Y. b,e) e.--1Mo��► i Town of Barnstable p Building . ., ',e .;� � �z^,� asp` � `z y`7• E,,'�, ,.'y'� M.z`.srY r�r^a_�,�.'°y�, 'Po t This:.0 rd'So That�t..is;Uisible:Frorri-the.Street-<A roved Plans Must,be,,,Reta�ned on,Job,andrth�s Card Must be;.Kept . WFNf3PABlE. $� a § pp, .� r �' x �'��'� � M' PosteiJ.,'' Until Final Uspection�Has�Been Made 6 E� ��' � R Whe Certificateof;Occu anc ,;�s=Re aired¢<�such BuildinshallNotYbe_Occu ied until,aF,nal�lnspectiiinhas been made Permit Permit No. B-19-1709 Applicant Name: MICHAEL J KENNY Approvals Date Issued: 06/27/2019 Current Use: one or two family dwellingsone or Structure two family dwellings Foundation: Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/27/2019 Sheathing: Location: 146 COBBLE STONE ROAD,BARNSTABLE H Map/Lot 316 0 Z�onmg District: RF-1 . :, Framing: 1 Owner on Record: STRATIL,MARKS&WATERHOUSE, MOLLY T � ContractorName 2 Address: 146 COBBLE STONE ROAD 1COntrdCtOt License BARNSTABLE, MA 02630 � Est Pro ect Cost: $80,000.00 Chimney: J Description: Conversion of an existing,detached garage into aNFamil A artment Pe mit Fee: $458.00 Insulation: P l;, g g ;, Y P Michael Kenny is acting as the Agent for Molly Waterhouse and Fee Paid $458.00 Fina Mark Stratil. AA Date c 6/27/2019 r � Plumbing/Gas Project Review Req: Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz onths afterissuance. Rough Gas: All work authorized by this permit shall conform to the approved appl"ication and the;,approved construction documents for whichths permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or rbaknd shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures bygthe Building and Fire',O�fficials are providedEon 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 Bk 32032 F's347 �22576 05-20-2019 Q 0 3 = .340 BARNSTABLE TOWN CLERK t Town of Barnstable �► Zoning Board of Appeals 19 APR 24 R.j -00 Decision and Notice Special Permit No.2019-018-Stratil/waterhouse Section 240-47.1 (B) (4)-Family Apartment To establish a family apartment to be located in a detached structure Summary: Granted with Conditions Applicant: Mark Stratil and Molly Waterhouse Property Address: 146 Cobble Stone Road, Barnstable, MA Assessor's Map/Parcel: 316/064-001 Zoning: Residence F-1 (RF-1 Hearing Date: April 10, 2019 Recording Information: Deed: Book 31704 Page: 151 Background Mark S. Stratil and Molly T. Waterhouse applied for a Special Permit pursuant to Section 240- 47.1.B(4) — Family Apartments. The applicants requested relief in order to convert the existing garage to a one-bedroom 860 square foot family apartment. The subject property is located at 146 Cobble Stone Road, Barnstable, MA as shown on Assessor's Map 316 as Parcel 064-001. It is located in the Residence F-1 Zoning District. The subject property consists of 1.48 acres and'is located near the end of Cobble Stone Road to the south of the railroad tracks in Barnstable Village. The area is single family residential in nature with similar lot sizes. According to the Assessors records, the lot is currently developed with a single family dwelling and a 2-car garage. The dwelling contains 2,148 square feet of living area (4,328 gross square feet)4 bedrooms, and constructed in 1985. Procedural& Hearing Summary Special Permit Application No. 2019-018 to create a family apartment in a detached structure was filed at the Town Clerk's office and office of the Zoning Board of Appeals on March 18, 2019. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested.parties in accordance with MGL Chapter 40A. The hearing was opened on April 10, 2019 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were: Alex Rodolakis, Herbert Bodensiek, Paul Pinard, Todd Walantis and Jacob Dewey. Applicant Molly Waterhouse presented the application before the Board. She stated the garage exists and it's structurally sound and a perfect place for her parents to live. The Board Chair requested public comment. No testimony was given. Findings of Fact At the hearing on April 10, 2019, the Board made the following findings of fact in Special Permit Application No. 2019-018, a request to create a family apartment in a detached structure: 1. The application falls within a category specifically excepted in the ordinance for a grant of a special permit. Section 240-47.1. B. allows a Special Permit for a Family Apartment in a detached structure. 2. Site Plan Review is not required for single-family residential dwellings. Bk 32032 Pg348 #22876 Town of Barnstable zoning Board of Appeals-Decision and Notice Special Permit No.2019-018-Stratil/Waterhouse 3. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. The Board is also asked to find that: 4. The proposed family apartment above the detached garage would not be substantially more detrimental to the neighborhood than the existing dwelling. 5. The single-family nature of the property and of the accessory nature of the detached structure are preserved. The vote to accept the findings was: AYE: Alex Rodolakis, Herbert Bodensiek, Paul Pinard, Todd Walantis and Jacob Dewey NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2019-018 subject to the following conditions: 1. Special Permit No. 2019-018 is granted to Mark S. Stratil and Molly T. Waterhouse, to convert an existing garage to a one-bedroom family apartment at 146 Cobble Stone Road, Barnstable, MA. 2. The site development shall be constructed in substantial conformance with the plan entitled "Proposed Garage Conversion, Molly Waterhouse" by ARC Designs, LLC dated February 16, 2019. 3. The proposed development shall represent full build-out of the lot. Further expansion of the dwelling or construction of additional accessory structures is prohibited without prior approval from the Board. 4. The Applicant must comply with the restrictions in Section 240-47.1 Family Apartments C. Conditions and Procedural Requirements 1-4 of the Ordinance. 5. All mechanical equipment associated with the dwelling (air conditioners, electric generators, etc.)shall be screened from neighboring homes and the public right-of-way. 6. The decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to the issuance of a building permit. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Alex Rodolakis, Herbert Bodensiek, Paul Pinard,Todd Walantis and Jacob Dewey NAY: None Ordered Special Permit No. 2019-018 to create a family apartment in a detached structure at 146 Cobble Stone Road, Barnstable, MA has been granted with conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20)days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstable Town Clerk. 2 Bk 32032 Pg349 #22876 Town of Barnstable Zoning Board of Appeals-Decision and Notice Special Permit No.2019-018-Stratil/Waterhouse til � Alex Rodolakis, Ch . Date Si ned I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of M0W 6?O/9 under the pains and penalties of perjury. Ann Quirk, Town Clerk !u. " r . O . t < is b 3 I Town of Barnstable • Building Department • Brian Florence,CBO ienrrsrABM M4M Building Commissioner 6. 200 Main Street,Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 B,k 32116 Ps33i t -`29g42 06-26-2019 a 12 2 41 v AGREEMENT FOR FAMILY APARTMENT We Mark Stratil and Molly Waterhouse, the undersigns, being the owners of property situated at 146 Cobble Stone Road, Barnstable, MA holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 31704, Page 151, being shown on Assessors' Map 316/064 as Parcel 001, 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 apartment unit 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. Occupants of Main Residence: Mark Stratil and Molly Waterhouse i 4 Relationship to Owner: Owners Residents of Family Apartment: William and Claudia Waterhouse Relationship to Owner: mother and father .� This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental wo9td 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 day of 20j-ei. TOWN OF BARNSTABLE: OWNE : By: Maz Brian Florence,CBO Molly Wat use Building Commission r THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date 4; d101 �9 Then personally appeared the above-named (owner), /�7" S�Q,�i/4941 *1 lV�/�/�nd made oath as to the truth of the foregoing' s ent,before me. KRISTINA BAL Notary Public Notary Public COMMONWEALTH OFMASSACHUSETTS My Commission Expires: My Commission Expires On December 19, 2025 gsample BARNSTABLE REGISTRY OF DEEDS Town of Barnstable _ Building Department EARMHAM"m'& Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Family Apartment Supplemental Form Owner must complete and sign Address of Property 1 V I Cobble Check one: CIO Apartment is located within the single family home . .Apartment is located in a detached accessory structure V-" Zoning Board decision number 1 C Check one: to' I am the owner and I will occupy the dwelling. The apartmentwill be occupied by person or persons related to me by blood or marriage. As defined by §240-128 {20) Family member(s) name (s) bill,*& - l/ W67100te I am the owner and-I will occupy the apartment and the single family dwelling will be occupied by a person or persons.related to me by blood or marriage. Family member(s) name (s) Name Signature,.', Q:wp/forms/FAMILYAPT PLIMENTALFORMt.DOC Town of Barnstable Building t sip Post This Card SO:That it is Visible Fromahe Street=Approved Pla'ns.Must be Retained on'Job and this Card Must be Kept , Posted Until,Final lnspectiori Has Been Made.- Permit t 1639 A1� a jji Where a Certificate of Occupancy;is Required,such"Building shall Not be Occup!ed,until a Final Inspection"has been made:, Permit No. B-19-129 Applicant Name: JONATHAN C CARPENTER Approvals , Date Issued: 01/29/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/29/2019 Foundation: Residential Map/Lot: 316-064_-00_1 Zoning District: RF-1 Sheathing: Location: 146 COBBLE STONE ROAD,BARNSTABLE -� Contractor Name: JONATHAN C CARPENTER Framing: 1 Owner on Record: STRATIL, MARK S&WATERHOUSE, MOLLY T " Contractor License: CS7070396 2 Address: 146 COBBLE STONE ROAD 5 - - Est Project Cost: $45,000.00 Chimney: BARNSTABLE, MA 02630 e� �!Permit Fee: $279.50 Description: Kitchen Renovation-Demolition of Cabinets and Island, Floor. Install ) Insulation: Fee Paid;i $279.50 Cabinets, Island and tile floor. .~ Date s 1/29/2019 Final:� � Project Review Req: Cscrn Plumbing/Gas Rough Plumbing: Building Official ''_ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months aftei,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. This permit shall be displayed in a location clearly visible from access street or:road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. d� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building a`nd Fire Officials are provided on this permit.. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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. Work shall not proceed until the Inspector has approved the various stages of construction. Health Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: f k - } r aLL- °u a a , - T' f � a Note:This drawing is an artistic Designed: 1/2/2019 interpretation of the general Printed: 1/4/2019 appearance of the design. It is s� � not meant to be an exact rendition. } Dynasty Blair All Drawing#: 1 :uid a r F1, t y 1 a tlbk", y — Y -....«..__. `..�.-.-.+.._��_.� �.. .�_._... .M ..r-ter•— .. .....r _ �+r. ' r 1 p s 4ElRYRy 0. .p'�4 b •� � .: „y,zr, a ........^......,.., �,-. .. .n+w+.swd..rwglt,.+h•/'^., � ...+wMia4r,• At .. JN E t � x.. 4 -L' .„� .,. �w'�..*•„'"rw..n: ham. ,wr. . .... .,"" wow",� awwW°�,,�s +t"„!�,t�•.�":'aea,,.._.._ ..�'M°w°�^�`'�.wyu:. Note:This drawing is an artistic Designed: 1/2/2019 interpretation of the general Printed: 1/4/2019 appearance of the design. It is not meant to be an exact rendition. Dynasty Blair All Drawing #k: 1 I I �� 4w I I } v. < s o s , �,✓' ..� � �,� Kra ). �l 4' i {f { t, Note:This drawing is an artistic Designed: 1/2/2019 { interpretation of the general' 'Printed: 1/4/2019 j appearance of the design.It is { not meant to be an exact rendition. 2020 II } Dynasty Blair All Drawing#: 1 i i i� # Install FBB8 inbetween TUR-F4-345 and perimeter under CT I { _ Insta1134CGPL54x34.5 SfR34 k j 'I 1; at end of island. TBD12 .a KUSP012 D-34C GPL54x34.5 Install FBB8 at base of 34CGPI_54x34.5 (1 Tray cabinet Base K nife'/Utensil ! DB30-3T'UR-F4-3 5 2' 30„ storag pull out f -30" 24; Z'�I" . 4 End of island ! E WINDOW SIDE OF ISLAND � 3 { SB130FWD- D' i ( Open area for D-34CGPL54x34.5 counterto microwave TUR-F4-345 [ SIDE OF ISLAND- ►1 { Note:This drawing is an artistic Designed:1/2/201' interpretation of the general Printed; 1/4/2019 j appearance of the,design.It is i not meant to be an exact rendition. 4 II l r sa 4 7 8 I 42 3 11 4 A M I-w i I j o H, 00 talliLler TF6-87_ C� ti UC338724ROT-B i O (4) ROTS in bottom section Broom, storage UC098724-L TF6-87 fig 33 --- '4 $ 4 All dimensions_size designations This is an original design and must Designed: 1/2/2019 given are subject to verification on not be released or copied unless Printed: 1/4/2019 job site and adjustment to fit job applicable fee has been paid or job conditions. 2 order placed. r X Dynasty Blair El 3 Drawing 4: I No Scale. 186 „ �24"-----�--18" 1,04 a" - - _2 —FB iece op mou i B8 + MACOVE8 (tY_P_•) IN D LU ° Install TF06-87 on face of rT F6- 7 TF6-87 Cn F0 ° °° w °° SBLC36-L ROTS-BD BWB18 SBVVTR3 D : `.DVV24 B'12- (2) ROTS4 Double Trash Farmers sink base t1 36" I' I, 36" 24 , 40 a" — -- 22 " All dimensions maize designations This is an original design and must Designed: 1/2/2019 verification on not be released 019 or copied unless Printed: 1/4/2 given are subject to job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. 5 t El 2 Drawing#: 1 No Scale- Dynasty Blair •� �'---24 .. - ....... ... . . Jt • w SBLC36 L w I All dimensions_size designations This is an original design and must Designed: 1/2/2019 S Prjnted: 1/4/2019 given are subject to verification on not be released or copied unless ' job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. El 1 Drawirxg#: 1 No Scale. Dynasty Blair 3 4041a' 36, 24'I 18 { 5a" i �.. 1 23g. 23g 28e„ i e - 4 j 93'E" 27"-- -43'�'--- -22 . 6 - 44 --24" 18" - —30"-- -24"—�'-12"t'---40 " Cl) Cq 824R0T -B BllUB78 :- DW24.:c B12- RW3615 BD Af I, _ __...... TEPF...... . t: ---'- - 'c { TF6-87 ij t B sP I?'is-11 1130a I ' 17-1-7 N A TF3-87 a TF6 87 f j 59 C U03387-24ROT--BD A 2" 371" 42, OR s �h `�Nof�e)osting central vacuum.lines.. wa Tall cabinets to be pulled forward 33" i 9" to dear. z i 47;" *Note:E,dsting'length } of wall to Increase to accomodate tall cabinets being pulled. li i FI i �j All di ions-ize design Lions ' This is,an original design and must Designed:.1/2/2019 given are uliject,to verific 'on on not be released or copied unless Printed: 1/4/2019 job site a;d adjustment to fi job # applicable Fee has been paid or job oondi o order laced. Dynasty lair JAU I Drawing fl: 1 No Scale. Ntas!5 6Aj . tts a m nt a#�Ub#' 7S-34el :g r i ' #,B u(st f nG Regillais.-Is i nd Stanch rcis ii L►c ri. e. CS-D703 i JO?AX bl;G CARPEt 8 PINNAC LE LANE YARf.4D ! ,*RT mg 7t i Ex ( t Co a-1as's►oanec I 0311 1t2049 i ,1 ' f I 1 its 7nerrr irs&H�r5lnuus Rcgs;�l5ice TYPE-. P Li 2 n Fst. ,. i 162 1 t to a !y l,r7 If S i 1 i ! 11 if j ! J l i i I i The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluntbers Applicant Information Please Print Legibly Name(Business/Organization4ndividual): �oh n (?A-rZR•PN-fe2 Address: f�i AJNA7 c Lan e City/State/Zip: r 6�67fhone#: 50 2' ZZ-I B y 7S Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.P 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 mein any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.: 9. ❑Building addition 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.[5�Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby fy under the pains and penalties of perjury that the information provided above is true and correct Si aturre: v Date: —� i Phone#: (r 401'S 0J)cial use only. Do not write in this area,to be completed by city or town ofliciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would bike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ' The commonwealth of Massachusetts ,, t Dgwtment of Industrial AWdents Qfce of Investigaflow 600 Washington Street Bosh,MA 02111 - Tel.#617-727-4900 ext 4.06 or,1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 w .mass.gov/dia • Application NurnbehB..-...Iq ............... BUILDII� PT .........T--. MASS. JAN Permit Fee.................................. Oth Fee........................ 03 I TOWN OF ­,AOLE Total Fee Paid...... ................-....I. ...... G-OA&W TO" OF BARNSTABLE Appby.. A . ......on..I.-.al.... .t . I BUILDING PERMIT parcel..............W.. ................... APPLICATION Section 1 - Owner's Information and Project Location Project AddressCep 6b)Es-h),Aie- 2c]—Village Owners Name Mollv \1VAteehouse Owners Legal Address I LI (P C6b61e,,!Aoiie- Rd , MA City State zip 0 2 (Q3 0 Owners Cell# JrH F-UMOO� E-mail mo114wa4crhousc--o2GmAiL-.CoM Section 2 —Use of Structure Use Group_ E] Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,060 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction F-1 Move/Relocate E] Accessory Structure Fj Change of use El Demo/(entire structure) El Finish Basement 0 Family/Amnesty El Fire Alarm Rebuild 0 -Deck Apartment Sprinkler System ❑ Addition F-1 Retaining wall E] Solar Renovation Pool 0 Insulation Other—Specify. Section 4 - Work Description F I TC14EAJ REA100+1 01Q — 10 /5 CL + al FLoof TAf STA L L CAJO I rl t ii of a/v f) -,e Last updated. 11/15/2018 Application Number..................................................... Section 5—Detail Cost of Proposed Construction Y 5 Square Footage of Project a6 D Age of Structure Dig Safe Number #Of Bedrooms Existing `7/ Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics [� Wiring ❑ Oil Tank Storage Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i Water Supply 1� Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I amusing a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number........................................... Section 9- Construction Supervisor Name_J o h n &.rue n-1,e;i Telephone Number SO-6 2 Z. I $y B Address $ f?o n n ac ke Lc ne City arm 0 u + State ALI Zip d Z(o 717, License Number CS--0'70 3%,, License Type Expiration Date Contractors Email C"-e co cl e.a g4P Co rn c,�s4 n e+ Cell # o'r 2 2- i -4 aS 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 documentatio required by 7807and�Town of Barnstable.Attach a copy of your license. r Signature , Date t Section 10—Home Improvement Contractor Name d a �' c Telephone Number Address 8 Q,16n2cA f Cc. -a City i & State A4& Zip Registration Number I&QSi7 Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature C Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature lu Date -- Print Name Ck Telephone Number.�G� a�l gq g� E-mail permit to: nP c.3,4 Cgzc p A Ce,wu j—L Last updated: 11/152018 t_ , Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization L M a 0 v W kkx hdvs F , as Owner of the subject property hereby authorize John eAr p±n•tr to act on my behalf, in all matters relative to work authorized by this building permit application for: L4 U Co bb e `-on-e_ RoAd i3 r s able_ (Address of job) Signat e f Owner date Mo J 1JA use �j Print Name ° . • « 1 JyiS 1 ' • e Last updated: 11/15/2018 K • q j v 1 r f 1 t f Town of Barnstable Building Department • « Brian Florence,CBO •AnMSTABIA MAA& Building Commissioner �1°rFo 39. h�4$ 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 B,k 32116 Ps 330� 291,11,142 06-26-2019 a 12241P AGREEMENT FOR FAMILY APARTMENT We Mark Stratil and Molly Waterhouse, the undersigns, being the owners of property situated at 146 Cobble Stone Road, Barnstable, MA holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 31704, Page 151, being shown on Assessors' Map 316/064 as Parcel 001, 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 apartment unit 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. Occupants of Main Residence: Mark Stratil and Molly Waterhouse kZFE Relationship to Owner: Owners c "f Residents of Family Apartment: William and Claudia Waterhouse 1 �n Relationship to Owner: mother and father This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental wow 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 ay of NJ�UU 20]_ej. TOWN OF BARNSTABLE: OWNE : By: Mar Brian Florence,CBO Molly Wat use Building Commission r THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personally appeared the above-named (owner),9" -FX ZXAA19t11*A made oath as to the truth of the fore oin ' s. ent,before me. KRISTINA BAL Notary Public Notary Public //�� ,�' COMMONWEALTH OFMASSACHUSETTS My Commission Expires: ML IgI OoA My Commission Expires On December 19, 2025 gsampie BARNSTABLE REGISTRY,OF DEEDS Inhn F Mparle_ RAJIMer Assessor's office 1st Floor l / _ (C'rAP$P R 0 Assessor's map and lot number �.��/ � �`� � ��/ �� ��I ILL DIN .✓'' Board of Health(3rd floor): r �,. $wage Permit number Engineering Department(3rd floor): f )'• ' ENVIROENTA LE House number ` ! TOWN REGU AM ia}o. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .. . TOWN : OF BARN'STABLE BUILDING INSPECTOR t APPLICATION FOR PERMIT T0#44/ q d{»�/D!1 �Y/Sr//U1� il� Yirr .�?/iJ_S aGQ�A��. s TYPE OF CONSTRUCTION ,[ /)Qd 19 TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit according to the following information: Location I i/e ( e R RGC 1"OIUL ►r1 A$L�r,tz q . Proposed Use s Al"J All L? PAS) R0 d/}') Zoning District Fire District IVY Name of Owne4e&V i !r mJQ(21F KAS %A— Address 46 Name of Builder Address�C Name of Architect Address �e Number of Rooms Foundation Exterior S Roofing &,g:4 /A4,� Floors Interior daI1f—A901Qe—h Heating Plumbing Ra f/b P06,71 Fireplace N I)JOL Approximate Cost Area Diagram of Lot and Building with DirnEaWnS — Fee I1 a A7 G+�� ,h 11 Dop UX�Srt OCCUPANCY PERMITS REQUIRED FDR NEW DWELLINGS L' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction. Name zA(, Construction Supervisor's License KASETA, VINCENT & MARIE - GIN; s t` No 34508 Permit For Build Addit; n & Garage - Single Family Dwelling 14 6 Location Cobblestone Road Barnstable \ 1 Owner Vincent & Marie K.aseta Frame Type of"Construction -t ti Plot / Lot h k� , • r � •T Permit Granted August 6 , 19 91 . r4 Date of Inspection 9 Date Completed 19 - . 1741 i s e� s TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER-LICENSE-EXEMPTION Please print. DATE v! JOB LOCATION IV& S T2 " Number Street address HOMEOWNER Section of: town " " X. Name Home phone Work phone.. .: •. PRESENTMAILING ADDRESS /�(� i41177111town State .. - ` The current exemption for homeowners" was extended to l ZiP 'code dwellings of six units or less and"homeowner allow such home Ividual for hire who does not include owner-occupied owners to engage an .in-. acts as supervisor Possess a license, provided that the owner DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides side, on which there is attached or detached stru�turesr is lacceasorto be Ides or intends to re- side,person who constructs more than one home in such one to six family dwelling, y to such use and/or farm structures. considored 'a homeowner. Such two-year on a form ac to the homeowner" shall submit top the oBuilding d shall nOfficial for all suchGworkblerformed undedr1theOfficial, that he/she shall be res onsible build - , ermit. (Section 109. 1.1) The undersigned ."homeowner" assumes . responsibility Building Code ,and other a for compliance with the Star Pplicable codes, by-laws, rubs and regulations. The undersigned "homeowner"Barnstable Building Department that he/she understands the Town of and that he/she will compnimum inspection procedures and requirements y ith said p ocedures and requirements. HOMEOWNER'S SIGNATURE • APPROVAL OF BUILDING OFFICIAL Notes Three family dwellings ~� Complyto ngs 35, 000 cubic feet with State Building Code Section 127• �� or larger, will be required Construction Control. . • • �,�J 'O✓EI7-----��rAG}Tc`� <-i��'a�E 3L�oxZ21�o rbi� O hi ' 'I. N.C.C. ..�.` �9 e.._b• ,�tr:.� „ - -- IFlir I I �. 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W `1 FT+c+•" .s..o« +�a.t ArlGlt pit 5 erm+a-a° Ptya it„yfaAGiC s'tr=rir.+ t`• - --i�'�+r y:�F�-. -2•'R+Y�(Crlc*tr..PQ+a�'1 try.�wT°wi: to°'f�uFty vnc idt' .r aY1cf� CbH,F.GT® 3v+aSune ! j, k 6U1>.pltJl� SECTION '. �pUNs�e+ tot.t .FL°aN ..H vl',nvFl _ - - P 1 ::�' T��rrns*l�or�'PLAIN:• �''' f FLQO '' f7ETA1l��ta�-� `W� ► ec�tchc ..rwvtoer.�. I10 owtr .. ntvlxo y WINON f•tl° - ' f1 yy ._ � '" '.. _. .. _ .. _. e..,x �, ff}y ati"�,._aw-'� ._mot=-�._'L_�t__.;k�-f?'•..!'f':5�.9'k2.4'a s1ksE�kia g.T''.'' - '•n..�+tl#�•p-.M►l.1:ra�,r, y._,.e,_-:d:4„_•�.e..''��"r :-.' __ I 3Z'-o � �. ' i 'rrl- .-a>=r al -� i �-. \ Ih1 I U --.'„tr1n�j,.o✓ `'r •I,t i.' ", ,. -71 - V. 1 E4' .0. Fy UIV y�("r101-� �...a•. 't-� _ I i <\ I � - - �jiD, ui.�r_G-�I - I � � �n.��rE� •,r qIf.F _. .. — .-4 far tt.uF Nwll. eK- 9�2'sn- .. ••t' I C•e4'n s ' OI � nv�r=- -eo t.-� o:"..fs � ..�_. _ t I rl,•.e. 9 - nF• v wn_�+ � Hu P!.•`� . ,.. �i - I � - • i awe v.v I,E=NT {�.'��•.-L. •J - I S.P�1C •.-� '' LAY- IL min•OwIAI_-1�U��U I �_• Ar�mr Fir, ; I I (�� Vi l";•IIOM1l� ,I T. __ ,/... - .n. � .. _ I .. I� � i.":. I I I , t l � � ��,N:� F•->K- 5Z'ox ZS-o -P�T'A�1tCV 4.e.F� . L 4 �r>F.J_O - Hart+ t� •� �n G.l Ll.9 Z_ G-nT.yu��:U�i--_ill SC�IE.�y !bJ.l., AVMOYED\Y . gZ�0 1J �' -'i2 �P.�1 G99.1v I �5'ra•.n 7=�''i" DATE y aev�xo . c«.n s.m .:, r t-:jr,.c n: n.c rr.a.:,r.:. n•.;i<j oaaw,ac resew - 5 o� TOWN OF B!RNSTABLE Permit No. 1 Building Inspector cash ,'a o F ' OCCUPANCY PERMIT Bond __----_` ____�_U_ 1� Is,ntcd to Address nrn, Wiring Inspector :1 . ' Inspection date Plumbing Inspector !' t Inspection date Gas Inspector f Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................................... 19... ._._ .................................... .._........_ ....._ ........... ..... .... .................... ............... Building Inspector 20 wr�e c�riwe esm� .89 LOT 88 3 4Z C.�9+ s.�r o . in . �84-018 4=,Q=ar6Et&-D pL oT CL AN P P-E PA P-E o. Foe: LOCATiO BAD' NSTABLE MASS. `VIKJCEEWT MAP I E SG�4.G.E: _ O' ' Z5, 1985- J�EFE.ee�c/cE: K A S ET A LOT 88 N FLAN . BP, 3r? l , PG. qq 2 NEBEBY CE.BT/FY TNFiT T.4E 8t//LD/c/r. ' SHOWN O.V TN/S P/-oQ" /S L.00/gTED Opt/ THE Cj.6ol/.c./a AS 3N0 W.V'NEQEOJV. , • I uwn ca Cn iraeerir� _ G•4wa suevrsYoe �� �� I�$ . 1 20tJTE 6A^-YX�BMOCJTf-/, A, SS. afire- LFiwa uevr�►�oe K. o,s< Assessors map and lot number' „ 7 E Sewa-g a Permit number .......... G ............... Q House number ........... .................................................. _ ro a MM Ar .. . . TOWN OF B A� � AN{�S T1 a� 0MP'� R � aAt BUIL11GINSPECTOR APPLICATION FOR PERMIT TO .. ...:.: .P .......... .... . ............TYPE OF CONSTRUCTION .......... . ... ....... ............:..... ... .................. ..... ....................... .............. .......... ...............1 .. TO THE INSPECTOR OF BUILDINGS:' i The undersigns hereby a lies for a permit accorcfjng to t following information: Location .....,. .. .. .....� � C . ............ ......( ` \... �7`.Y?... L/ZS ProposedUse ... ... ...................................................................... Zoning District ..............................Fire District ....:. A11f.-1*1Ir-:;i*!,!!.11�. 310/ Name of Owner /1.., A 1 .. //. 7d.. ...Address /.I� �Q AL� Name of ,Builder ......... ..................... ...............................:....Address ( I Fdt7 V �1 _ Name of Architect (..........................('.,"'"'`�•.'••...................Address�;� L. c....)....2�-C..�..�C_-��'d.�•..���� .:� . Number of Rooms ... ....... ...............................................Foundation ....I .....( ...... .. ...................... Exteor .�Q/�,�.. L<�! . ... .:..............................Roofing ...�!.........................ri Floors C .....V��J.C. ..................................Interior .. . —. .......... ................ ... ............................................................................. Heating MCA. -C ...................................................Plumbing .....l ... . 0. o ��a Fireplace ...... .... ...................................:................................Approximate Cost .................... /........................................ . Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ......, Q .. ....'� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l 0 1 o� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. Name ........C :. ......... ................. Construction Supervisor's License ............... KASETA, VIN—MIT A=316-064-1 �Y No emit for tork .single....' family dwelling $ , ................... ........ ..... ................................... 3 .. Location .....Lot .8$. .....146. . ... ...... Cobblestone - ......... . .. . . ........................ Rd. , Barnstable .......................................................................... ? ✓ t Owner Vincent & Marie Kaseta - Type of Construction fratile { ..... ..... _ ... ✓.'. .......................................... .................. Plot ............................ Lot Permit ;Granted ........ .............19 85 b D ite of Inspection 7:7A-t93'� .....19 f Date Completed e�e 77 .:..Pff....19