HomeMy WebLinkAbout0176 INDIAN HILL ROAD it
..........
Town of Barnstable
Building Department
BARNSeABL. ..
MASS. Brian Florence, CBO
039•
Building Commissioner
200 Main Street, Hyannis, MA 02601
I
Office:.508-862-4038 Fax: 508-790-6230
January 7, 2019
Elizabeth A.Warren
176 Indian Hill Rd
Cummaquid, MA 02637
Re: Family Apartment
Dear Property Owner,
Please complete the enclosed Family Apartment Affidavit and return it to the Building
Commissioner's Office by February 20, 2019.
You are required under Section 240-47.1 of the Town of Barnstable Zoning
Ordinances to submit an affidavit annually indicating the status of the Family Apartment.
Failure to submit the affidavit is a violation of your Family Apartment approval and may
result in the loss of your rights.
If you have any questions, please call Brenda Coyle, Permit Tech., at 508-862-4039.
Sincerely,
Brian Florence
Building Commissioner .
Enclosure
Town of Barnstable
pp SHE 1p�
do Building Department Services
Brian Florence, CBO
* BA1tNSTABLE.
� MASS. g Building Commissioner
200 Main Street, Hyannis, MA 02601 OF $�RO
www.town.barnstable.ma.us01 —4 t15
Office: 508-862-4038 Fax:. 508-700-6230'
Town of Barnstable Family Apartmer TAW1 lavit
I, being on oath, depose and state as follows:
My name is I am the owner/resident of the
property located at:
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner:
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
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 day of 2019.
Signature Phone Number.
Print Name
q:forms/famaffid.doc
rev 11/08/13
Message Page 1 of 1
Shea, Sally
From: Schlegel, Frank
Sent: Thursday, June 07, 2012 10:06 AM
To: Shea, Sally
Subject: RE: Update
Will do!
-----Original Message-----
From: Shea, Sally
Sent: Thursday, May 17, 2012 3:27 PM
To: Schlegel, Frank
Cc: Barrows, Debi
Subject: Update
The owners do not know their address is 176 Indian Hill Rd as they are
identifying the 164 on recent documents from 2012. Please let them know.
Thanks.
Sally
6/7/2012
Message Page 1 of 1
Barrows, Debi
From: Shea, Sally
Sent: Thursday, June 07, 2012 10:47 AM
To: Barrows, Debi
Subject: FW: ADDRESS PROBLEM
-----Original Message-----
From: Schlegel, Frank
Sent: Thursday,June 07, 2012 10:04 AM
To: Shea, Sally
Subject: RE: ADDRESS PROBLEM
Hi Sally,
Sorry for the delay in response, I was out for surgery...AGAIN.....ARRRRRGH!Anywho, I have had the
address of 176 Indian Trail on that property; Map 318 Parcel 032 since 9/11/2001. Number 164 was
assigned to Map 318 Parcel 033 which was vacant. The parcels must have been combined back in 2001
and that's why they ended up with#176: Map 318 Parcel 033 was combined with Map 318 Parcel 032
which is where GIS shows the building and the address for that parcel was always#176. So, Map 318
Parcel 033 was deleted at that time and the info was combined with Map 318 Parcel 032 as#176 Indian
Hill Road. Hope this helps. Let me know if you need more info on this.
Thanx,
Frank
-----Original Message-----
From: Shea, Sally
Sent: Thursday, May 17, 2012 3:24 PM
To: Schlegel, Frank
Subject: ADDRESS PROBLEM
Frank,
We have a street folder for 164 Indian Hill Rd. Parcel lookup does not identify
that address but has a 176 Indian Hill Rd. Did this address get changed??? 318
032 Matches everything in the 164 Indian Hill folder. Do they know their
address??
Thanks
Sally
6/7/2012
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Town of Barnstable
Regulatory Services
oFt"E rqy, Richard V. Scali,Director -A Building Division _ o
9B" BIAM Thomas Perry, CBO,Building Commissioner 0.
.i63q �m t',r „�;t
�rE1639 200 Main Street, Hyannis, MA 02601 e CP
www.town.barnstable.ma.us €
Office: 508-862-4038 Fax: 508-790-6N0
Town of Barnstable Family Apartment Affidavit
I,being on oat .,-depose and state as ollows:
M name is I am the owner/res'den Y t of the
property located at:
CiT
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: 1P ox
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 Afdavit 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 beer.dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sworn to der the pains an enalties of perjury this day of 2016.
0 r '%3c)
Signature. Phone Number
Print Name: . rr
q:forms/famaffid.doc
rev 11/08/12
Town of Barnstable
oFTHE 1p�, Regulatory Services
ti
Richard V. Scali,Director
BARNSTABLE. » Building Division
9�bAr M�1 A.�� 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 oats ose and state s follows:
My name is �� �r I am the owner/resident of the
property located at: f V�_
Lcyv M_ 014
I� Co3�
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: c r
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 ApaYtments. I agree
to note the Building Commissioner immediately in the event of the sale of thinfoperty.
s =)
If there is no longer a Family Apartment at this location,please explain: 3
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No.
Other W
0 M
Sworn to under d penalties of perjury this day of d � 2015.
q Llr)
Signa e Phone Number
Print Name
q:forms/famaffid.doc
rev 11/08/11
Town of Barnstable
Regulatory Services
�t"E roq, Richard V. Scali,Interim Director
Building Divib 4a
9B^x''',',ASS. * Thomas Perry, CBO,Building Commissgq#er: 6
039 �• 200 Main Street� Hyanns) '026�01 `
AtFO��A
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 �� !t �. t ff" ►'1 y` -��'�{ I am the owner/resident of the
r r n erty located at: �h �� R
i
Lmrnct+_ r R e
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: F.( �lL�JQ�J
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to 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 b day of 2014.
�, r 5l�30
Sign ure Phone Number
Print Name ►��
q:forms/famaffid.doc .
rev 11/08/11
1 �y AfNN 1 �. 170
r
Regulatory Services
ofTME n�ryti Thomas F. Geiler,Director
Building Division. ' Qf`BARNSTA`�
MASS. Thomas Per CBO Buildin Commissioner
�, $, rY> g
. 200 Main Street, .Hyannis, MA 0260 ko ,t,� '2 ;" 55
www.town.barnstable.ma.us
Office 508-862-4038 : Fax: 508-790-6230.
CI' � ' `
Town of Barnstable family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is Elizabeth A. Warren I am.the owner/resident of the
property located at: 164 Indian Hill Road, Cummaquid, MA. 02637
u
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: Roger D.. Warren - Husband
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. l 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 2 4 t h day of ;T a nu a r 2013.
-A 508-362`,4630
Sign e Phone Number
.Print Name ,eZ �e /l •" 1 A,2 Re iJ
q:forms/famaffid.do c
rev 11/08/11 .
Town of Barnstable
Regulatory Services
oFti Thomas F. Geiler,Director
Building Division TOVIIN OF fR =3i!1:E
MUMSTABM
Thomas Perry, CBO, Building Commissioner
039. ,0 ; y,
Ar� p 200 Main Street, Hyannis, MA 02601"'
www.town.barnstable.ma.us
Office: 508-862-4038 _; :" - -`;:,f F'ax: `508-790-6230
D'I if S`€fi t
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is Elizabeth A. Warren I am the owner/resident of the
P.O. 202
property located at: 164 Indian Hill Road, Cummaquid, MA. 02637
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name & relationship to owner: Roger D. Warren — Husband
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 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 18th day of January 2012.
508-362-4630
Signdt6re Phone Number
. a
Print Name ✓ >9 1'�' '� '� �
q:forms/famaffid.doc
rev 11/08/11
' f
r
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I
Town of Barnstable
Regulatory Services
FI►+Eroyti� Thomas F. Geiler,Director ;, 0;'
Building Division
MMSTABM Thomas Perry, CBO, Building Commissioner 1"' `1 10
MAW
At 1639. �0� 200 Main Street, Hyannis, MA 02601
ED MAy
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 F..1 i zaheth A. Warren _ I am the owner/resident of the
l'�Gr
property located at: Indian Hill Road, CiaoFda , MA. 02637
`�arw-s {-cv Ic
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name & relationship to owner: Roger D. Warren — Hushand
Name & relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said
Family Apartment is permitted.
1 understand that 1 am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 17th day of January 2011.
QL 508-362-4630
Sign re Phone Number
Print Name ) On n R e IV
Town of Barnstable
Regulatory Services
pFfME t0 Thomas F. Geiler,Director �) ( (�
Building Division
'* swarvsrnBLE, Tom Perry, Building CommissionerMASS ,...t ,,, �, `', .
9Q� 1 . ,0� 200 Main Street,Hyannis,MA 02601 -� "l
www.town.barnstable.ma.us
Office: 508 71l.1%S1����t�-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is Elizabeth A warren I am the owner/resident of the
property located at: 164 Indian Hill Road, Cummaquid , MA. 92637
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: "t
x
Name &relationship to owner: Roger D. Warren — Husband
Name & relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 20thday of January 2010.
508-362-4630
SignaVire Phone Number
Print Name e74 z.R k),9ee e fJ
Q/bldg/forms/famaffid
Rev:12/08
l
Town of Barnstable
Regulatory Services
FINE rok, Thomas F. Geiler,Director
10„ 101�ct f£1 8ARf4E
Building Division STk,aL
BARNSTABLE, ' Tom Perry, Building Commissioner
9�A 16
1�9• ��� 200 Main Street, Hyannis, MA 02601 Z � �'
www.town.barnstable.ma.us
MRION
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 Elizabeth A. Warren „I am.the,ownerlresident.of.the
property located at: 164 Indian Hill Road , Cummaauid, MA. 02637
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name & relationship to owner: Roger D. Warren — Husband
Name & relationship to owner:
a;
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that Lam required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 17th day of January 2009.
508-362-4630
SignatureU Phone Number
,q.
Print Name Elizabeth Warren
Q/b l d g/fo rm s/fa m a ffi d
4.
Rev:12/08
Town of Barnstable
Regulatory Services
oFT INE t°pr Thomas F.Geiler,Director
Building Division
■ARNSTABLE, ` Tom Perry, Building Commissioner
y MASS.
i639•� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us
Office: 508-862-4038 _ _
Fax: 508 790 6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is E1 i zabE�t:h A Ularren I am the owner/resident of the
property located at: 164 Indian Hill Road, Cummaquid, MA. 02637
The following members of my family will be the sole occupants of the Family Apartment at the
p Y p
aforementioned address:
Name & relationship to owner: Roqer D. Warren — Husband
Name & relationship to owner:
t
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately .
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building =='
Commissioner listing the names and relationship of occupants in said Family Apart ent. I do
understand that I am required to comply with all conditions imposed by the ZBA Special Permit r
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agrye co
to notify the Building Commissioner immediately in the event of the sale of this property. w
t
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. r•-
Other
Sworn to under the pains and penalties of perjury this 2?_ day of January 2008.
508-362-4630
Signature Phone Number
Print Name Elizabeth A. Warren
Q/bldg/forms/famafd
Rev:l/03
Town of Barnstable v b
Regulatory Services
pFIHE T Thomas F.Geiler,Director
°^ Building DivisionBLE
, ,
x lo
BARNSTABLE,
rr «
Tom Pe
rry, Building Commissioner
v Ass. �
rEc3:Aim 200 Main Street Hyannis,MA 02601 `@11P JAN 22 AM 1 I. 19
www.town.barnstable.ma.us
Mvislou
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 Elizabeth A. Warren I am the owner/resident of the
property located at: 164 Indian Hill Road, Cummaguid, MA. 02637
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name & relationship to owner: Roger D. Warren Husband
Name & relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of
said Family Apartment is permitted.
.I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 12th day of January 2007.
lam . 508-362-4630
Signature U Phone Number
Print Name Elizabeth A. Warren
Q/bldg/forms/famaffid
Rev:1/03
Town of Barnstable
Regulatory Services
FIKE TOE Thomas F.Geiler,Director
O ,V � ;
°� Building Division
sAxivsTAat.E Tom Perry, Building Commissioner
MAss { S �t4
i0;9• ,�� 200 Main Street,Hyannis,MA 02601QQ z6
�pTFn �A 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 E1 i zabeth A. Warren - I am the owner/resident of the, .
t914 lb
property located _UA- Indian Hill Road Box 202, Cummaquid, MA. 02637
Map and Parcel Number Map A. 318 Parcel 012
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: Roger D. Warren - Husband
Name &relationship to owner:
11 The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family.Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 24th day of January 2006.
Sign e Phone Number
Print Name Elizabeth A. Warren
Q/bldg/forms/famaffid
Rev:1/03
Town of Barnstable 0 /c,
/6
Regulatory Services
of11HE rpw Thomas F.Geiler,Director
Building Division
BARMSPABLE, : Tom Perry, Building CommissionerMAES
039 o� Hyannis MA 02601
i6��. � 200 Main Street, ,
ATFo► `�a 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 Elizabeth A. Warren i am the owner/resident of the
property located at: 164 Indian Hill Road Box 202, Cummaquid, MA. 02637
Map A 318 Parcel 032
Map and Parcel Number
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: Roger D. Warren - Husband
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
1 understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 18th day of January 2005.
508-362-4630
S nature Phone Number
Print Name Elizabeth A. Warren
Q/bldg/forms/famaffid
Rev:1/03
Town of Barnstable /0
Regulatory Services
pFTHE'tgf, Thomas F.Geiler,Director �'.'a 3 ;+�:;;= K
ti
Building Division
t sAMSTAate, Tom Perry, Building Commissioner'`''3�� � �
MASS.
1639. 200 Main Street,Hyannis,MA 02601 i
QED MA't a
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state as follows:
Myname is R3}aabiath A Warren I am the owner/resident of the
property located at: 164 Tndi an Hi 1 1 RnA8 � Cummaquid r MA 02637
Map and Parcel Number A 318 Parcel ' 032
Registry of Deeds : Book 6056 Page 83 12/10/87
Rgg c2S2 ded at the am
a�,1. 1 AA7—
e �A granted me a S$pecia� er *VVariance on 10,L22,L87 8.
Date Appeal No.
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: Roger D. Warren - Husband
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment,I will immediately
notify the Building Commissioner in writing.I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. Tagree to-notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 1st day of Feb. 2004.
Ajxx2t �, C 508-362-4630
Si ture . Phone Number
Print Name Elizabeth A. Warren
Q/bldg/forms/famaffid
Rev:1/03
Town of Barnstable 6 ��
Regulatory Services
°FINE�Oy� Thomas F.Geiler,Dirido"EN OF 8%RNSTABLE'
Building Division-
* BARNSTABLE, = Tom Perry, Building Co mid sioi►e 10 AIM ��
MASS.
9Q3 1639. p 200 Main Street,Hyannis,MA 02601
AjEp�r
DIVISION
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is Elizabeth A. Warren la m the owner/resident of the
property located at: 164 Indian Hill Road , Cummaquid, MA. 02637
Map and Parcel Number A 31,8 Parcel 032
The ZBA granted me a Special PermitlVariance on 10/2 2/8 7 19 8 7—8 5
Date Appeal No.
The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in
Barnstable County: Book 6056 Page 83 December 10, 1987
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: Roger D. Warren
Name &relationship to owner: Roger D. Warren Husband
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I.am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 8th day of April 2003.
Si ture C-,`,x A beS�.F' A Id q C Ce ry Phone Number
Print Name E1 i 9ahPt.h A Warap 508-362-4630
Q/bldgdormsdamaffid
Rev:1/03
Town of Barnstable
Regulatory Services p
Thomas F.Geiler,Director
Building Division TOWN OF BAN4STABLE
�BMWSTABM$* Peter F.DiMatteo, Building CommisS}}MAM
'4i1} � 28 {�
%639. �0 200 Main Street,Hyannis,MA 0266 3. 12
�ArED MA'S A
Office: 508-862-4038 Fax: 508-790-6230
D!W1SION
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state as follows:
My name is Elizabeth A. Warren I am the owner/resident of the
property located at: 164 Indian Hill Road, Cummaguid, MA. 02637
Map and Parcel Number A 318 Parcel 032
The ZBA granted me a Special Permit/Variance on 10/2 2/8 7 19 8 7-8 5
Date Appeal No.
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: Roger D. Warren
Name &relationship to owner: Roger D. Warren - Husband
Name &relationship to owner:
The Family Apartment will be the.primary-.year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this 26th day of March 2002.
Signature `' Phone Number
508-362-4366
Print Name
Q/bldg/forms/famaffid
Rev:010702
I CC �
6\ COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE AFFIDAVIT
1/ I, Elizabeth A. warren , being on oath,
depose and state as follows:
1.) I reside at 164 Tnrli an Hill Rnar3 Rnx 9Q2 ., Cummaquid, MA. 02637
2.) I am the owner of the property located
at 164 Indian Hill Road Box 202 Cummaquid, MA. 02637
shown on Barnstable Assessors' maps as MAP A 318 PARCEL 0 3 2
3.) I Do x Do not have a Family Apartment at this location.
1987
4.) On October 22 , __M 8 7 , the Zoning Board of Appeals, on Appeal No. 19 8 7-8 5
�- a r e a -Spe-c a Pe'.T,it/variance to maintain a Family Apartment at the above address.
b'1411LC.li ilal. 11 Vt/�.�.aw � �.�
5.) I understand that the Family Apartment may only be occupied by members of my family who
are persons related to me by blood or by marriage.
6. The following members of my family will be the sole occupants of the Family Apartment at the
above address:
a) NAME Roger D. warren
Relationship to owner: Husband
b) NAME -
Relationship to owner:
7.) The Family Apartment will be the primary year round residence for the above-identified family
members.
8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the
Building Commissioner in writing.
9.) I understand that no subletting or subleasing of said Family Apartment is permitted.
10.) I understand that I am required to annually file an Affidavit with the Building Commissioner
listing the names and relationship of my family members occupying said Family Apartment.
11.) I understand that I am required to comply with all conditions imposed by the Board of
Appeals in Appeal No. 19 8 7-8 5
12.) I agree to immediately notify the building Commissioner in the event of the sale of the above-
listed property.
Sworn to under the pains and penalties ofpedury this 10 thday of Janua r v J%�, 2001
Signature
P ' Name
Assessor's offioe Ust floor): r
Assessor's map and lot number ....d/(/....- Oc . ]'PTIC SYSTE
.......
7A LLED IN
Board of Health (3rd floor);'-:Z,
Sewage Permit number .......... .. 4... ... WITH T'I 9TAXE, i
Engineering Department (3rd floor): r1y9'1°�
Housenumber ........................................................................
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......... O A .✓c iC...!7..........�c........ .!.✓..'.^�.�!....- !�c�.......................
TYPE OF CONSTRUCTION .........4 O d..17...........F..l .f�.!!'I. ..........................................................................
..................�/ .-/.19.�r .
TO THE INSPECTOR OF BUILDINGS: ff
The undersigned hereby applies for a permit according to the following information:
Location ..I..&Y....... ........N...t1f......
....... ................ .... ..41...
�... r 1..�S..S.........................
i. ...
ProposedUse ............. ..........f3.2 e!C,.....................................................................................................................
Zoning District .............. .............................................Fire District ....�.1 e........................................
Name of Owner .../tio'.Q.Q..'t'... �l.A..l4... ....WAA.&&.Address .../..4.y....._:!�..�.L+`►.."� � ��.��.....CuMmAvut-
................. ..........
D w+►�e_r
Nameof •t� .........5.A I.t...........................................Address .............s!4^o.e.........................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ...............�.............................................Foundation ................................................................
Exterior ....................................................................................Roofing ....................................................................................
Floors ..........�!tJ PV,;P .......P-1c-........��14.��T....................Interior ........ / .Y...LR1.!Q.1. ............................................
Heating ...............�/ .4.7rXA.C,...........................................Plumbing ............ ....................................................................
Fireplace .................-...............................................................Approximate Cost ..../ .d4..4......... ..................................
Definitive Plan Approved by Planning Board --------------------------------19-------- • Area
Diagram of Lot and Building with Dimensions Fee //QQt
SUBJ CT TO APPROVAL OF BOARD OF HEALTH
OP
I
I
1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .........
Construction Supervisor's License ....................................
WARREN, ROGER & ELIZABETH
No 30836 Permit for ...) e.mod.e.l.....G...a..r.a..ce to
ist Floor/,..mingle„Family..pwelling
................ . .. ... ..............
Location" �. ...'Indian Hill' Road
' ......................................
................... ....................................
Owner .......Roger & Elizabeth„ Warred..........................n..........;irjen
Type of Construction ..F.--r.zmQ...........................
Plot ........ Lot ................................
87 dune 9'
P6�rmit Granted ....................... ...........19
Date of- ........... ............19
Inspection
-6ampleted .....-bate� ........1,9
rwt
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE AFFIDAVIT
I, Elizabeth A. Warren __________TlZin g.on1 oath
depose and state as follows:
� T
_
1.) I reside at _�'_64d $� dL_Cumma�uid.MA._�0'`63
U �-1998--
2.) 1 am the owner of the property located tl
' 0 at 164 Indian Hill Cummaquid, MA. 02637
shown on Barnstable Assessors' maps as MAP 318 __PARCEL_ 033
3.) I Do--xx -__-_--Do not __have a Family Apartment at this location.
4.) On__`-----------------, 199____, the Zoning Board of Appeals, on Appeal No.______
granted me a Special Permit/Variance to maintain a Family Apartment at the above address.
5.) I understand that the Family Apartment may only be occupied by members of my family who
are persons related to me by blood or by marriage.
6.The following members of my family will be the sole occupants of the Family Apartment at the
above address:
a) NAME Olive_Antonioli
- --------------------------------------------
Relationship to owner:_Mother
b) NAME
Relationship to owner:---------------------------------------
7.) The Family Apartment will be the primary year round residence for the.above-identified family
members.
8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the
Building Commissioner in writing.
9.) I understand that no subletting or subleasing of said Family Apartment is permitted.
10.) I understand that I am required to annually file an Affidavit with the Building Commissioner
listing the names and relationship of my family members occupying said Family Apartment.
11.) I understand that I am required to comply with all conditions imposed by the Board of
Appeals in Appeal No. ----------------------------------------------------------
12.) I agree to immediately notify the building Commissioner in the event of the sale of the above-
listed property.
Sworn to under the pains and penalties of perjury this 16 t h day of January
1998
Signature
Work # 508-888-4366 Home # 362-4630
--- ----- -----------------------------------------------
Pri ame
16 e- 'r A/ 14, Lj A )C ��
My
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss: AFFIDAVIT
I, Elizabeth A. Warren being on oath, depose
and state as follows:
1 . ) I reside at 164 Indian Hill Road Box 202
Cummaquid, Ma. 02637
• 2 . ) I am the owner of tie a operty located at
164 Indian Hill Rd. Cummaqui ,
shown on Earnstable Assessors ' Maps as: '
Map Lot
3 . ) On , 19 , the Zoning Board of
Appeals, on Appeal No. granted me a special
Permit to maintain a family apartment�at the above address.
4 . ) I understand that the family apartment may only be
occupied by .members of my family who are persons related to
me by blood or by marriage.
5 . ) The following members of my family will be the
sole occupants of the family apartment at the above address:
(1) Name: Olive Antonioni
Relationship to Owner:
(2) Name:
Relationship to Owner: '
6 . ) The family apartment will be the primary year-•
round residence for the above-identified family members.
7. ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the Building Commissioner in writing.
8. ) I understand that no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said
family apartment.
10. ) I understand that I am required to•.comply wit i
all conditions imposed by the Board of Appeals in Appeal No.
agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
Property.
Sworn to under the pains and penalties of perjury this
--Sth day of July 1994
(Signature)
(Please Print Name) :
Elizabeth A. Warren
,:TOWN OF BARNSTABLE
BUILDING DEPT.
AUG 16 '19931
COMMONWEALTH OF MASSACHUSETTS
�A�N�TABLE, ss:
AFFIDAVIT
Warren
I , - RnQer D. Warren & Elizabeth
and state as follows : being on oath, depose
P.O. Box 202
1 ° ) I reside at Indian Hill Road , Cummaquid, Ma.
2 . ) I am the owner of the °
Same as above property located at
shown on Barnstable Assessors ' Maps as :
Map A318 , Got 032
3 ' ) On 10 '=r-, 19 93 ° the Zoning Board of
Appeal--, on Appeal No._ -
2er....i to maintlail) a family apartment/atrthe above anted me aaddress,
4 . ) ' I understand that the family apartment. me ' only be
occupied by ,members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members of my family will be the
sole occupants of the family apartment at the above address:
(1) Name : Viola M. Warren
Relationship to Owner: Mot er o r--Wa-rren
(2) Name : Olive Antonioli
Relat.ionsl1ip to Owner : mO E 1za e . a
6 . ) The f,ymily apartment will be the
round residence for the above-identified family members.
7 . ) In the event that the above-listed relative(:)
vacate said apartment , I will immediately notify the
Building Commissioner in writing .
8 . ) I understand t.h4at no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
family apartment .
names and relationship of my faimily members occupying said
10 . ) I understand that I am required to•.comply with
all conditions imposed by the Board of Anpeal�: i;, "Pt-�3i �V.
10 . ) I agree to immediately notify thy. Building
Commissioner in. the event of the sale of the above-listed
property.
Sworn to under the pains d t,12 19�� Penalties of perjury this
t13ay of August
s �
y
(Please Print Name) :
2
9'
• � RfCEI vEO
992
COMMONWEALTH OF MASSACHUSETTS �
MAY, 6 � -
BARNSTABLE, ss:
AFFIDAVIT
I , Roger D. Warren & Elizabeth Warren
and state as follows : , being on oath, depose
P.O. Box 202
l. ) I reside at Indian Hill Road, Cummaquid, Ma.
2 . ) I am the owner of the property located at
]fi4 Tndian Hill Rri Quid. Md
shown on Barns e
Barnstable Asses b,,e,,,,ors Maps as
Map J1218_______, Lot 032
3 . ) On 10/ZZ 1987 the Zoning Board of
Appeals, on Appeal No. 98 - granted me a special
permit to maintain a family apartment/ at the above address.
4 . ) I understand that the family apartment may only be
occupied by .members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members of my family will be the
sole occupant:, of the family apartment at the above address:
(1) Name: Viola M. Warren
Relationship to Owner; Mother of Roger Warren
(2) Name: Ra 1 nh Wa rrPn
Relation'ship to Owner: _ Father of Roger Warren
6 . ) The family apartment will be the Primary year-
round residence for the above-identified family members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment., I will immediately notify the
Building Commissioner in writing .
8 . ) I understand that no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that. I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said
family apartment .
10 . ) I understand that I am required to..comply with
all conditions imposed by the Board of Appeals in Appeal No.
19-K-85
10 . ) I agree to immediately notify t.h(. Building
Commissioner in the event of the sale of the ,above-listed
property.
Sworn to under the pains and penalties of perJury this 's
nth day of May 19 92
.,
Gt7 (Signature
(Please Print Name) :
Elizabeth A, Warren
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss: AFFIDAVIT
I , Roger D. Warren & Elizabeth Warren , being on oath, depose
and state as follows:
1 . ) I reside at 164 Indian Hill Road Box 202 g
Cumma ui d Mass.02637
2 . ) I am the owner of the property located at
164 Indian Hill Road Box 202 Cummaguid,_Mass. 02637
shown on Barnstable Assessors ' Maps as .
Map A 318 Lot 032
3 . ) On Oct. 22 , 1987 the Zoning Board of
Appeals , on Appeal No. 1987-85 grunted me a special
permit to maintain a family apartment� at the above address .
4 . ) I understand that the family apartment may only be
` occupied by ,members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members of my family will be the
sole occupants of the family apartment at the above address:
(1) Name : Viola M. Warren
Relationship to Owner: Mother of Roger ,
(2) Name ; Ralph G. Warren
Relationship to Owner: Father of Roger ,
6 . ) The family apartment will be the primary year-
round residence for the above-identified family' members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing .
8 . ) I understand that no subletting or subleasing of
said family apartment is permitted.
9 . ) I understand that. I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said
family apartment .
10 . ) I understand that I am required to•.comply with
all conditions imposed by the Board of Appeals in Appeal No.
1987-85
10 . ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
Sworn to under the pains and penalties of perjury this
day of June 19 gi
11
A4
(Signature)
t` WN �` Z �99�� (Please Print Name)
b �'
COMMONWEALTH OF MASSA CHUSETTS /
BARNSTABLE, ss: AFFIDAVIT
I , Roger Warren & Elizabeth Warren being on oath, depose
and state as follows:
1 . ) I reside at 164 Indian Hill Road Box 202 Cummaquid, Mass. 02637
2 . ) I am the owner of the property located at
164 Indian Hill Road;;,Box 202 Cummaquid, Mass. 02637
shown on Barnstable Assessors ' Maps as:
Map A318 Lot 032
3 . ) On Oct 22, 1987, the Zoning Board of
Appeals, on Appeal No. 1987-85 , granted me a special
permit to maintain a family apartment at the above address .
4. ) I understand that the family apartment may only be
occupied by members of my family who are persons related to
me by blood or by marriage.
5 . ) The following members of my family will be the
sole occupants of the family apartment at the above address:
(1) Name: Viola M. Warren
Relationship to Owner: Mother of Roger Warren
(2) Name: Ralph G. Warren
Relationship to Owner: Father of Roder Warren
• 6. ) The family apartment will be the primary year-
round residence for the above-identified family members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing.
8. ) I understand that no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said ,
family apartment .
10 . ) I understand that I am required to comply with
all conditions imposed by the Board of Appeals in Appeal No.
1987-85
10. ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
Sworn to under the pains and penalties of perjury this
27th day of April 1990 ,
(Signature)
(P ease Print Name) :
<2 ' rz LUA R P&L( be 7rA � k1A<e a Av
r � '
:� ' � ...ram•`
Joseph D. DaLuz Telephone: 775-1120
Building Commissioner. Ext . 107
i
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE Bi_r.I LD1 NG
H'YANNIS , MASS. 02601.
I
1
April 16 , 1990
i
Mr- and Mrs. Roger Warren
Box 202
Cummaquid, MA 02637
Re: Family apartment. 1c)r,:•clted at
164 Indian Hill Road
J.)ear Mr. and Mr m. Warr.'&n:
A year ago you filed an affidavit with this office re
the above referenced enced family apartment , It Is required, by
Section 3-1 . .1 (3) (D) (1) of the Town of Barnstable Zoning
By-law, that an affidavit be submitted annually for the
duration of such occupancy .
Enclosed .is an affidavit form for your convenience.
Please complete this form and return it to this office as
soon as possible.
Peace ,
Jar
3 ,eph D. n.. G
..u.i. lding commrssionel.
JDD/km
encl o urtt-
COMMONWEALTH OF MASSACHUSETTS
BARNSTAB ss: ��,,JJ AFFIDAVIT
I • (2, ing on oath, depose
and state follows :
1 . ) I reside at
C:u��cQ •�( �-C�. Oe2 6��
2 . ) I am the owner of he property located at
shown on Barnstable Assessors ' Maps as :
Map A 94? Lot 03 z
3 . ) On 0eT, as , 19,Y-7 , the Zoning Board of
Appeals, on Appeal No._ i9,P9- 8-6- , granted me a special
permit to m.aintain •a family apartment at the above address .
4 . ) I understand that the family apartment may only be
occupied by members of my family who are persons related to
me by blood or by marriage.
5 . ) The following members of my family will be the
sole occupants of the family apartment at the above address:
(1) Name:
Relationship to Owner:
(2) Name:
Relationship to owner: ti 6
6 . ) The family apartment w 1 be the primary year-
round residence for the above-identified family members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing.
8. ) I understand that "no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said
family apartment.
10 . ) I understand that I am required to comply with
all conditions imposed by the Board of Appeals in Appeal No.
/17 5117
10 . ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
Sworn t-o under the pains and penalties of perjury this
R'Y day of - 19 f'9 .
(Signature)
• (Please Print Name,,):
�CD�pG:. A C EN
i -losePh D . OaLuz Telephone: 775-1120
Building Commissioner Ext . 107
TOWN OF BARNST ABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
HYANNIS, MASS. 0260 )
April 24, 1989
R(--)ger, and E I izabeth Warren
2 A 2 1 no i an H i I Road
CLIMMar-luid, MA 02637
Re: Appeals No. 1987-85
Dear Mr . and Mrs. Warren:
On October 22 , 1987, as applicant(s) you were granted a
Special Permit for a family apartment. "'The intent of this
by- law shall be to allow one ( 1 ) additional living unit, complete
with kitchen and bath to supply a year-round residence for a
member or members of the property owners family, . . . . . . . . . . . " In
addition, the by-law also states that "The property owner, and
the person or-. persons who will reside in the family apartment
shall sign affidavits before occupying said family apartment and
further- , all shall sign Said affidavits ' each year said family
apartment is occupied. . . . . . " . Within sixty (60) days from the
date the person or persons residing in the family apartment
vacate the premises , the owner or his repr-esentative shall remove
the kitchen facilities and request the Building Inspector to
inspect the premises .
It is important that YOU Understand that there are
restrictions which relate to the applicant 's family 'living at the
same premises . The use cannot be transferred.
Conviction of a violation of this by- law is subject to a
fine of $100 Per day for each day from the established date of
offense and, also, Subject to a criminal complaint to issue from
the First, C)is-t:rict (_'ourt of Barnstaole.
Affidavits Must be signed and filed at the Building
Commissioner 's office between the hours of 9:30 A. M. and 1 : 30
P.M. Monday through Friday.
This by-law shall be Strictly enforced.
Peace,
oseph D. D z
Building Commissioner
JDD/km
cc Board of Appeals
Town, COUnsei
TOWN OF BARNSTAB]LE
N CLERK
Zoning Board of Appeals \ BARNS�TA 91-F,
ASS.
..............RQBER....&...ELIZABBETH...WARREN...................................... Deed duly recorded.6 the ..................... ..............................
Property Owner I NOV -4 A 9 :12
County Registry of Deeds in Book ..............................
SAME
..............._....................................................................................................................... Page ........................I ............................................................Registry
Petitioner
District of the Land Court Certificate No.
........................I ........................ Book ........................ Page ..................
AppealNo. _........19.8.I..-.85....................................... ........................................................................ 19
FACTS and DECISION
ELIZABETH WARREN filed petition on 19
Petitioner ......... ......................................................................................................._........: p ................................................
requesting a variance-permit for premises at ...........,164 Indian Hill Road in the village
(Street)
Cummaquid , adjoining premises of .................. (see attached list) ....................................
Locus under consideration: Barnstable Assessor's Map no. .........A-318 lot no. ....
_...032
"Petition for Special Permit: ❑
Application for Variance: ❑ made under Sec. .................................................................. of the Town of Barnstable
Zoningby-laws and See. ........................................................................................................................ Chapter 40A., Mass. (den. Laws
for the purpose of _,.remodel existing attached garage into family ,apartment
... .................................. ..._.................... ..... .... .... ............................
under Section V.
Locus is presently zoned in........................RF-2 ........ ...............................................
Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and
by publishing inBarnstable Patriot newspaper published in Town of Barnstable a copy of
which is attached to the record of these proceedings filed with Town Clerk.
A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town
Office Building, Hyannis, Mass., at .......a_:.. 0...............UN. P.M. _. .0.c.tsiber....22.........................................-. 19 87 ,
upon said petition under zoning by-laws.
Present at the hearing were the following members:
...............R9U_.S.n....Jatla S?Il - -................RI clu :d....L......8ay................ .....Luke.... .......Lally. ................................
Chairman
Dexter Bliss ELizabeth Horton
j At the conclusion of the hearing, the Board took said petition under advisement. A view of the
locus was made by the Board.
f
1987-85 2 3
Appeal No. ...__.. Page ....._.__...... of...... ....._._..__...
On _.__ October 22.t ,,, ................................_...... ...... 19 8.7........, The Board of Appeals found
Mrs. Warren appeared on her own behalf and requested a special permit to
allow a. family apartment for her elderly inlaws at Map A-318, Lot 032, at
164 Indian Hill Road, Cummaquid in an RF-2 zoning district.
The petitioner is owner of the locus which consists of 27,770 square feet.
The petitioner presented a Site Plan dated July 17, 1987, indicating the existing
residence and proposed family apartment consisting of 506 square feet which will
be the permanent home for the applicants mother-in-law and father-in-law who are
both in failing health.
The family apartment will be located in an existing two-car garage and will
consist of a living room, bedroom, bath and compact kitchen and will comply with
Section V of the Zoning By-Laws (old) , the petitioner has agreed to file an
affidavit yearly and stated that they would discontinue the apartment at the end
of the parents use.
No one spoke in opposition to the petition, however, Mr. George Cronin did
raise some questions about the issue of the building permit and the fact that the
work has been started,. he also questioned the recourse of a violation in the
future. Chairman, Jansson, informed Mr. Cronin of his rights regarding that issue.
---------- ------------ --- - -.-. _._.._...._ _.._._. ..-.. DECISION
Dexter Bliss made the following findings:
That the intent of the Barnstable Zoning By-Law is to allow the use of a
family apartment given that the applicant agrees to abide by the conditions of
said by-law, but finds that the applicant in this case has agreed to abide
by these conditions and Mr. Bliss would therefore make a motion to approve the
relief requested in petition No. 1987-85 based on these findings.
The motion was seconded by Luke P. Lally.
Richard L. Boy indicated that this is to be according to the Plan filed
with petition.
I, ...-...._-...._........................................_...._................_...................._............... Clerk of the 'Down of Barnstable, Barnstable
County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals
rendered its decision in the above entitled petition and that no appeal of said decision has been filed
in the office of the Town Clerk.
Signed and Sealed this ........................ day- of ....................................................................... 19 ...................... under the pains and
penalties of perjury.
Distribution:—
PropertyOwner .............................................................................................................
Town Clerk ltoard of Appeals
Applicant Town of Barnstable
Persons interested
Building Inspector
PublicInformation By __....._..._......................................_.................................
Board of Appeals Chairman
At the conclusion of the hearing, the Board took said petition under advisement. A view of the
s locus was made by the Board.
Appeal No.__..._...19aZ-85 __._ Page _.........3......... of _._ _...
On 19 ......8�7....._, The Board of Appeals found
Elizabeth Horton voted affirmatively, as did Luke P. Lally, Dexter Bliss,
Richard Boy and Ron Jansson.
The Board voted unanimously to grant the special permit to allow the
family apartment subject to the compliance of Section V of the Zoning By—laws,
Town of Barnstable. All construction to be per the Plan submitted with the
filing.
I �J. __...... ................
.............. -Clerk of the Town of Barnstable, Barnstable
County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals
rendered its decision in the above entitled Petition and that no appeal of said decision has been filed
in the office of the Town Clerk.
Signed and Sealed this . ��' "d✓ 198 ........... under he
............. d,. of ............_.............................................. _._. pains and
penalties of perjury. A..,
Distribution:—
PropertyOwner ........................................................................................................................................
Town Clerk l.toard of Appeals
Applicant Town of Barnstable
Persons interested
Building Inspector
PublicInformation 13y .........__.._...................._......................................_............
Board of Appeals Chairman
i~ti%`
R318 0=:2. A P P R A I S A L D A T A klEY 233624
WARREN, ROGER D
LAND BLD/FEATS IRES BUILDINGS NUMBER ZN/FL=RF- 1
90, 100 1 , 300 0 141 , 100 1 A-COST 232,5oO
B-MKT 152,300
BY 00/ BY ME 3/88 C:-INCOME
J POA=1011 PC:S=00 SIZE= 2802 _BUST-VAL 2 500
LEV=1i O CONST-C: 0
----COMPARISON TO CONTROL AREA 76BB ------------------------------
NEIGHBORHOOD 76BB BARNSTABLE
PARCEL CONTROL AREA TREND STANDARD
103 10 LAND-TYPE
901003 LAND-MEAN +0%
2325001 137949 IMPROVED-MEAN +2% 25%
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
100%] LOC:AT I ON-AD J APPLY-VAL-STAT 1
LNR]LAND LFT/IMP]AD_S/SB/FEAT STR]STRUC:TURE ARR]AREA-MEASI IREMENTS I li�R 7 NOTES
C:CAM]MARKET I NC:] I NC:OME PMR]PERMITS GRR]GRAPHIC:
FUNCTION-E I STRUCTURE-CARD NO-E 000] DATA-[ I X MT E ]
/
|
\
|
| R318 032. P E R M I T ACTION[R] CARD[000] KEY 233624
� 000000001
/
' PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT
[B30836] [06] [87] [AD] ] 150001 ILK] [01 ] [88] [100] [NEW ] [BA REMOD'L] \
( [ ] [ ] [ ] [ ] ] ] [ I I I ] [ ] [ ] /
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I ]CR318 0 2. ]
LOC]0176 I ND I AN HILL ROAD CTY]04 TDS 3 100 BA KEY] 233624
----MAILING ADDRESS--- --_ PC.A]1011 P • ]t:0 YR]00 PARENT] 0
WARREN, ROGER D MAP] AREA]76 END _IV] MTO]1003
EL I ZADETH A WARREN :3P 1 ] SP2] SP3]
BOX 20 INDIAN HILL RD i�T1 ] UT21 .63 SQ FT] 2 0'.
C UMMAQU I D MA 02637 AYB]1959 EYB] 19r?0 OBS] CON'ST]
0000 LANE, 90100 IMP 1411 oO OTHER 1300
-----LEGAL DESCRIPTION---- TRUE MKT 232500 REA CLASSIFIED
#LAND 1 90, 100 ASD LND 90100 ASD IMP 141100 ASD OTH 1300
#BLDO(S)-CARD-1 1 141 , 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#OTHER FEATURE 1 1 , 300 TAX EXEMPT
#PL I ND I AN HILL RD RE3I DENT L 152300 23 500 232500
#DL LOT 24A OPEN SPACE
#RR 0759 o 126 COMMERCIAL
INDUSTRIAL
EXEMPTIONS
=;ALE300/00 PRICE] ORB31801/89 AFD]
LAST AC:TIVITY700/00/00 PC:R]Y
BARNSTABLE COUN EGISTRY OF DEEDS
\ /
M -
/o-D a- STEPHEN WEEKES
REGISTER
3
Dec 131
1=;ARN71TA ttE.
17EG''S !')� °,I.W "
STEPHEN V�E.Ek c
REGISTEn
TOWN OF BARNSTABLE
Zoning Board of Appeals TOWN CLERK
BARNS TA.P�!
.-F, MASS..
..............ROGER....St ELUABEIH WARREN Deed duly recorded in the ..................................................
Property Owner
County Registry of D'X; iftomd 49-:14
SAME
CD ................................. ....................................................... Pare ........................ ............................................................Registri,
LAJ Petitioner
District of the Land Court Certifica te No.
L'_ C.5
C:j Uj C-V
C...)
N ........................ ....................... Book ........................ Pame
ce
wLU Appeal No. ..........19.K=85..................................... .................................................................... ...... 19
Cc Ca U
CL
.j
CL FACTS and DECISION
C) cf)
C-.') C..) ELIZABETH WARREN
Petitioner .............................................;......................................................................... filed petition on ................................................ 19
requesting a variance-permit for premises at 164 Indian Hill Road
...........I............................................................................................... in the village
(Street)
Cummaquid
of .............................................................................................. adjoining premises of ................ (see attached list) ........................
............
Locus under consideration: Barnstable Assessor',s Map no. ..........A-.3..118........................... lot no. ......... ..........
Petition for Special Permit:
Application for Variance: made under See. .................................................................. of the Town of Barnstable
Zoningby-laws and See. ....................................................................................................................... Chapter 40A., Mass. Gen. Laws
for the purpose of remodel existing att
...................................................................�aS�!�q .....i.n..t.o f.a.m..i.ly a2..a.r.t.m.ent
....................................
under Section V.
..........................................................................................................................................................................................................................................................................................
Locusis presently zoned in......................R.F.-.2.........................................................................................................................................................
..........
Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and
by publishing inBarnstable Patriot newspaper published iii Town of Barnstable a copy -of
which is attached to the record of these proceedings filed with Town Clerk.
A public hearing by the Boa rd of Appeals of the Town of Barnstable was lield at the To,.%-n
Office Building, Hyannis, Mass., at ..............Mm. 22............................................ 19 87 ,
r, by-laws.
up-on said petition under ronin
Present at the hearin- were the following niembers:
.............. Jauhaa.=.... .......... ...............Ri.c.hazd L-3.Q.Y. ................. ......Luke :ft........Z4
Chairman
Dexter Bliss ELizabeth Horton
........................................................................... ............................................................. ..............................................................................
At the conclusion of the hearing, the Board took said petition under advisement. A view of the
locus was made by the Board.
Appeal No._.__.._...1987-85
2 3
Y _.............................
................. Page ........................ of ..._. _ .._...
On ...._..........October 22.,................................................................ 19 ....a.7........., The Board of Appeals found
Mrs. Warren appeared on her own behalf and requested a special permit to
allow a. family apartment for her elderly inlaws at Map A-318, Lot 032, at
164 Indian Hill Road, Cummaquid in an RF-2 zoning district.
The petitioner is owner of the locus which consists of 27,770 square feet.
The petitioner presented a Site Plan dated July 17, 1987, indicating the existing
residence and proposed family apartment consisting of 506 square feet which will
be the permanent home for the applicants mother-in-law and father-in-law who are
both in failing health.
The family apartment will ue located in an existing two-car garage and will
consist of a living room, bedroom, bath and compact kitchen and will comply with
Section. V of the Zoning By-Laws (old) , the petitioner has agreed to file an
affidavit yearly and stated that they would discontinue the apartment at the end
of the parents use.
No one spoke in opposition to. the petition, however, Mr. George Cronin did
raise some questions about the issue of the building permit and the fact that the .
work has been started, he also questioned the recourse of a violation in the
future. Chairman, Jansson, informed Mr. Cronin of his rights regarding that issue..
DECISION
Dexter. Bliss made the following findings:
That the intent of the Barnstable Zoning By-Law is to allow the use of a
family apartment given that the applicant agrees to abide by the conditions of
said by-law, but finds that the applicant in this case has agreed to abide
by these conditions and Mr. Bliss would therefore make a motion to approve the
relief requested in petition No. 1987-85 based .on these findings.
The motion was seconded by Luke P. Lally.
Richard L. Boy indicated that this is to be according to the Plan filed
with petition.
I, -__...........:......_.............................................................._._..........................:....... Clerk of the Town of Barnstable, Barnstable
County, Illassachusetts, hereby certify that twenty (20) days bare .elapsed since the Board of Appeals
rendered its decision in the above entitled Petition and that no ippeal of said decision has been filed
in the office of the Town Clerk.
Signed and Sealed this ........................ day. of ...................................................................... 119 ........................ under the pains and
penalties of perjury.
Distribution:—
PropertyOwner ..................................................................................:......................................................
Town Clerk hoard of Appeals
:Applicant Town of Barnstable
Persons interested
Building Inspector
PublicInformation 13y. ........,_................................................_._.............................
Board .of Appeals Chairman
,..••4t:'the conclusion of the hearing, the Board took said petition under advisement. A view of the
'locus was made by the Board.
Appeal No...................1.987-85
� ........................_................... Page ......,..... .,...,... of ....._..._3.........
On ..................QS. o.beX:..:.22.a..._............................ _.__ _ ly $7......., The Board of Appeals found
Elizabeth Horton voted affirmatively, as did Luke P. Lally, Dexter Bliss,
Richard Boy and Ron Jansson.
The Board voted unanimously to grant the special
permit allow th .
family apartment subject to the compliance of Section Vof the oZoning By-laws,
Town of Barnstable. All construction to be per the Plan submitted with the
filing.
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gp3pOgp v.`� "y'� cti osJ a�'0 a $ q = '=0 `° a0
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E oo . ucm +, aoeCL ° vV.ter� V Ea` 0 oOV Np^
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vv caoQ¢ oo orgtor, acc m: w u•5 0 ao^�
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.12
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t.,•.�.���.0.Na�r3 maac3 8wa � � °at~�>• o'er
I, 212:.%1/��.:............
.................
.....__.... n��
./ ._ _._.....t Clerl; ( i HIC, ' ,wxil of Barnstablo, Barnstable
County, Massachusetts, hereby certify, that twenty (20) days have..elapsed since the Board of Appeals
rendered its decision in the above entitled petition and that no appeal of said decision has been filed
in the office of the Town Clerk.
Signed and Sealed this .....3.�. ., (Ia}, of�:..' �r✓ , s•�
7., ll under theains and
.penalties of,perjury. �"--`.•���.................... .
Distribution:—
Property Owner
Town Clerk ...............................................................................................
. .........................
Applicant �.: �;,•,
Itpard of Appeals
Town of Barnstable
Persons interested
Building Inspector
Public Information
Boardof A Y —__. .. ... ...... ..........................................................
Appeals Chair a
PARTIES IN INTEREST 1987-85 - ELIZABETH A. WARREN - Meeting of 10/22/87
Blair, Henry E.
Elizabeth T. Blair Indian Hill, Barnstable 02630
Daly, Richard H. & Laurie B. 116 Pinehill Rd. , Southboro 01772
Warrr�n, D.
Elizabeth A. Warren Box 202 , Indian Hill Rd. , Cummaquid 02637
Blair, Patricia S. 150 Indian Hill Rd. , Cummaquid
Wylan, Barbara Box 548, Barnstable
Thauer, Helen J.
Agen, Sandi L. 100 Indian Hill Rd. , Cummaquid
Perez, Robert F.
Marie H. Perez 195 Indian Hill Rd. , Cummaquid
Hieronymus , Janice &
Gardner, Sheldon R. 10.1 Indian Hill Rd. , Cummaquid
Walters , Joseph M.
Barbara L. Walters 110 Indian Hill Rd. , Cummaquid
Berard, Leo J.
Berard-, Anne M. P.O. Box 244 , Cummaquid
Janney, Richard B. & MaryJo Box 131, Barnstable
Rochette, Robert E.
Rochette, Grace M. Box 423,' Cummaquid
Lewis , Richard B. &
Leweis , PriscillaB. 87 Wild Rose Ln. ,. Cummaquid
Lewis , Stanley M.
Leslie B.- Lewis 427 Riverside Ave. , Medford 02155
Rudzinski , Neil
Joanne Rudzinski 73 Gates Ln. , Stowe 01775
Howa.Ld, Robert F.
Howard, Maureen T. 31 Pleasant Garden Rd. , Canton 02021
Cronin, George G.
Marion L: Cronin 53 Hillcrest Rd. , Concord 01742
Ballard, Edward G. . & Jane B Box 360, Cummaquid
AFFIDAVIT
November 12, 1987
We, Ralph and Viola Warren (Father and Mother) of Roger D. Warren,
Indian Hill Road, Cummaquid, MA. hereby declare that we will be ,
residing within the family apartment at this address.
See Board of Appeals # i Y Q 7
Building Permit # 3® & 3
*ahrren
Viola Warren
Notary Public
My Commission Expires:
r