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0056 GOSNOLD STREET
V\ a o G ��; � � � � � � �. � � ���� � o � � ,� t � � � � s � , �..1' ' t �- . C � � o � �� � , a �� � � , � �� N' � �� � c � � '� �:. �� .,� _� � �� �� _ _�.�. _. ,_ ,e .� _.._ . . �. -�..,� � � i �: Y l ��i �J.., II A4 I F.i ), 1 1 f ,. 1 ��� �. - , _ �,� -- --- -- <:� _ •� ___tip �r� s 46, Town o.f Barnstable • r dui d an :.; . �. .. ....._ ... .: .. ra. m .�.._ ..ram.; , . i- �,. � .&. .:�. rd S : arned-drrJ,ob�and u # P st T is t.#.r . I, e t.eE y di rpyed�PlansMWst;be Rei „s.. "'Atard M, e # . , ha � ..<s. as; a Erp . r S i?t3 .:. ;. 4 P '$ �.. x Lxs S T<:. 4_. ..� �r r. _. os ection.Has:.Been M �. .... -_., ... :. r -ertr r ate . , �'� • '•:-:8• I rn �shalLN s feu red�untrL.a:.Ernalan�s ectran=;Ira been�rriade �•� ,,,� . .,:>'. ...•���.lt ;. . . p PermitNx B-17 3373 Applicant Name CAPE&.ISLAND CONSTRUCTION CO IN ' Approvals -- Datelssued. '10/16]2017 Current Use Structure Ex iration Date - " ` Foundation Permit,Type `�-Building=Addition/Alteration-Residential P 04/16/2018 Location: 56.G.OSNOLD STREET, HYANNIS :Map/Lot 324-025 Zoning District RB Sheathing: Owner on Record: JATKEVICIUS,WILLIAM E JR&PATRICIA D "on tractor,Name- CAPE&ISLAND CONSTRUCTION Framing: 1 ,f �� F a CO INC. Address: 102 STEBBINS ROAD 2 SOMERS,CT 06071 u Contractor License P 165936 Chimney: E5t�Pro' t Cost: $750,000.00 Description: REMODEL KITCHEN & BATHROOM.SEE ATTACHEDPLAN� i 0, Permit Fee: $ 110.00 Insulation: Project Review Req: NO STRUCTURAL WORK SHOWN Fee Paid: $110.00 Final: 'Vg ` Date- '" . . 10/16/2017 N IS Plumbing/Gas Rough Plumbing: x Jt Final Plumbing: ' Building Official v, ' Rough Gas: . This ermit shall be deemed abandoned and invalid unless the work autharJzed lihis permit is commenced within six months afte suance. p l Y p Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents'for which this permit has been granted. All construction,:a.lterations an.d;chan es of use of.an buildin a.nd strut esshall be in compliance with the local zonm b laws and codes. r g Y. g. . p Y This,permit shall be displayed_i-n:a.Iocation clearly visible from access street orroad and�shall be maintained open for public inspection for the entire duration of the ElectriCa work until the completion of the same. 3" Service: The Certificate of Occupancy will not be issued until all applicable signaturesby�the Buldmgand PireOfficialsa a provided;on this permit. Rough: Minimum of Five:Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.AII.Fireplaces must be.inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plum bing.Inspections to be completed prior to Frame Inspection - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health 1y/here,a;pplieableseparate permit5are required for Electrical;Plumbing,and Mechanical'Installations' F nal ' _Worlc ghall_-n't proceed until the Inspector has approved1he various stages of c6ns6ucUon men °Persgns COntractingwlth,:unre Istere..d:contractorsado.not have access toibe,guaranty fund" (as set forth In M G L c.142A): Final: Building plans are to be available.on.site. -ISSUED RECIPIENT - AlI.Permit Cards are the property of the APPLICANT- TOWN OF BARNSTABLE BUILDING PERMIT APPLIC,,, MaP Parcel Application # Health Division 3UILDH iGOEPT. �I r Date Issued z /nh Conservation Division SEP 2 9 2017 Application Fee h Planning Dept. Permit Fee 3Ai. ....ASLE Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address c�- s gaa Az Village Vlt,,14 0 Owner _Xtk:)7 � �'�� Address Telephone ��� Permit Request e i G` j la het c 4-4- 4 L94e-L� Cep A- 464,L / P14n t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation truction Type Lot Size L Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: i bn�o Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� � r Lam- Telephone Number ��-726 3 cC� Address 6 License #6 7Ga Home Improvement Contractor# Email4rl hpilV�.kjd$&2dv14140lorker's Compensation # �7'��7yu'®17 ALL CONSTRUCTION D IS RES LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE o��l FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: w FOUNDATION FRAME kw% 17.J1y INSULATION Zdtl? FIREPLACE ELECTRICAL: ROUGH FINAL +PLUMBING: ROUGH FINAL ;S GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ty ASSOCIATION PLAN NO. 17m CComrexarrfrjea!'ti ajflfassadrusetfs. . �e�sti�rer�t a,��rr�IrrstrialAccitlerrtr Owe-afhrmstigatEom r 600 Wadz>on jtreet _ -- Bastant MA 02M t mn mamgorldia . Wu-r mrs' Campensa Um Ins ce A f Havit B tderslCbntractarsMec dciaurJPhwahers A,ppHcan#1nfgrmia&n Please print Naze�sa �e Cam' r Address: Are employer?Checkthe appropriate baom ' T of project r L I am a l v� 7� 4. ❑I am a general conbmctor and I Type e ] t egnu-ed}: zftucticn employees Cful anandfor part-time)-* �e lAredfhe mb-contmctos 6- ❑New oa? l 2.❑ lam a sale prDp%ietc r or p.mtns- listed on the,attached sheet. nms . El Remodeling slop and have:no employeese -conRrac#ors bade $-,❑Demolition dhave worwre �vorl�.ug for.nn in any t5r- employees �an 9. ❑Budding addition. wo T a& come iksu ance comp.insara ml required-] 5- ❑ We area•corpozafilonand its 10-0 Eleo:dcal repairs or ad&im officers have exercised 3.El am.a homeovn:er doing all work 1 L❑Plumbing repairs or ad tsns myself No workers'MMP- Tight of exemmgfion per&1 GL . 12_❑Roofrepairs jusmanre rpgimd]i c.152,§IM andwe have no employees-(NO wodoe& 13_❑Other COOP-inane required_) •anyappEi�t�atcheftb,Daffl alsofiIleutthesectEoaheIaa�shASQagflieirworTcrss'comp®sa5e�poT yi 'uom fi Sameooiuecs za37a Sabmit�17.5 sfbdacu ig they il8+�m�Sg WAG e+�d t5eah€xe autsidQ con>mch+*�?mLct 5uhm]t a neW��Y�t iadicatinp rnrTi rcan�Est rhea thu s troy must attached rot additi®a1 sheet shotxaig thenmlt of the sub comdsctmg�d she t�d�es arnot Anse Qatitesba�e eiplurn.ifthesuh-costradmshaveempIaye-%they tgmri&thek uvrkWtomp.palicynumbm I acre are erlrpl r tlirrl irpratRdirrg workers'cae�rlrerrsa(tare iersrirartca�vr my elrrplvy�es Helow is tltspoScy and job sLfir iTrformathm LL Insmance:Companyxiame: q J ,1Lx ION h44 POficy Or pelf--ms I lC_ lY �7 3 J , `2M "--/ Fbgxim onDate: � 7 Job Site Addy? ,�<� /4-4Gilt.l.D! e p/S#afettip: r24- � — Attach 2 copy of the workers'comppensationpolicydectarationpage(showing the poflcy,numb and expiration date). Failure to secures coverage as requirednndes Section 25A of M L c�1572 can lead to the imposition of rdminai penalties of a fine up to$15lXUG andfor one-year • - o as wtr. as civil penalties.in i e fog of a STOP WORK ORDERand a fine of up to$250-00 a clay against the vio r_ a advised t a copy of this� ament=y.be forwarded fn the Office of In-estigations of the DIA for� ge' .I rl`a k�-.c�cc�f�aud`�r lit. .�s a�ra�Cr?''ffeatfJes ur;farma#iarFptmi�€da6vt�i� - �ayer�d rrect Si�ahtre ' pate: Phase iF ?"74 �-42 QjYchd use anTy. Do stot twits in dds area,tax be crtnp&ted by city artott7i�v;jJreurt City or Town: Pern itUcense;9 Bsui g Axilmr€ty(ci Cie one): L Board of 1•ealfh Building Depatment 3.#fiylfowa clerk 4.Electrical F.aspector 5.Phrmbmg bLvector 6.Other Contact Person: Phone#: Et to ro 0, ro ; ' p bI b n o 0 0 y17, oy riq �yo.# F, Er g EP � o o ' fig �, ° sue , " 1-4 � :,4 Er ��yj � � � • �� (➢ H 4.� Fy, (ny C7 I-h CP � H �h Qw � '1bH rt' A �' ' • �' '� p I� � r8 � a ►, 64 '"/` •('� Y�j. 1 . '�j' F�- o (➢ � �p ' p' [p .y �. `G y._�:��G �• P' ry,�, P �' cp. rya P4 El ° p � � p s Et 11 � in Ph � • " o Fb Et , ° � o �, ° PV 0 P. ° • Y ."1 SP . . � Office n �e f Consu �n�'s°juoll� - HOME merAff., 9eQ Re 9istra�oROVMENT COR°siness Regular oo t� :, Expiratio �,i165936._--�TRACTOn CAPE&ISl qND l'�`- 1 f`09r8? TYPe: CO' -T`r ,i� Private Corporatio . JO /'l C {qNICr n SHUq.._ y INC. !_ 55 ELM q VE URI j� ' IiYgNNIS, MA 02601 ,_z� Undersecretar Y Massachusetts Department of Public.Safety Board of Building Regulations and Standards License: CS-074660 Construction Supervisor JOSHUA X KOURI t PO BOX 210 CENTERVILLE MA 026324' ��rt�` — Expiration: Commissio er 02/12/2019 � 1 Patricia &William Jatkevicius 56 Gosnold Street Hyannis, MA 02601 September 22,2017 To whom it may concern: Cape&Island Construction is authorized to perform the renovations as described on our property located at 56 Gosnold Street, Hyannis, MA 02601. If there are any questions,we can be reached at the following numbers: Patricia cell—860-394-9663,William cell—203-223-0063. Thank you. Sincerely, DATE(MMIDD/YYYY) A��& CERTIFICATE OF LIABILITY INSURANCE 5/14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NCONTACT AME: 44 BARNSTABLE ROAD PHONE FAX PO BOX 250 A/c o xt: I a/c No): HYANNIS, MA 02601 no RIESS: INSURERS AFFORDING COVERAGE NAIC A INSURERA: LM Insurance Corporation 33600 INSURED INSURERS: CAPE & ISLANDS CONSTRUCTION COMPANY INC PO BOX 210 INSURERC: CENTERVILLE MA 02632 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35624081 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MM/DD MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAG R N i PREMISES Ea occurrence) b MED EXP(Any one person) E PERSONAL 6 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 JET LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT y Ea acdd.r" ANY ALTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA L1AB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE. $ DED RETENTION E $ A WORKERS COMPENSATION WC5-31 S-377540-017 5/7/2017 5/7/2018 ,/ STER ATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBEREXCLUDED7 FN] NIA (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ .100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-.POLICY LIMIT E 500000 DESCRIPTION OF OPERATIONS/LOCATIONS]VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 200 MAIN ST ACCORDANRCE WITH DATE THE POLICY NOTICE WILL BE DELIVERED IN CY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE LM Insurance Corporation C/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 35624081.1 1-377540 1 17-18 WC I n0270258 1 5/14/2017 11:09:46 PM (PDT) I Page 1.of 1 coG�'� _ , s I 3 _ � £ i .. ., /� ��:�t. '.., w. t_•ssAx:,tom. -�� }�, 3 ?y{ .tea:: s.�• -? €-�`s ,,� �'��} � '. .: Stz: . IMM €7371& t' Pm a � n log } �t If l P �r � < ata J=Z 4 ��n' I �V9E 1p� . Town of Barnstable . *Permit p Expires 6 mo i s from'sue e Regulatory Services Fee snaxseasM MAES1 Richard V. Scali,Director 3 iOtFp�A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 11 (95 h-K d ST z q �2 ['Residential Value of Work$ I Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address %� �� f C}�� t 0e_ ,V 15� Contractor's Named C 49- `_ Telephone Number Li�`]7E-5_3 0� Home Improvement Contractor License#(if applicable)X S�9 3 G Email: AJ n i4dSI&„d-)4 C%.I`" Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor lygR 1 ❑ I am the Homeowner /�h ti �Yhave Worker's Compensation Insurance 6?®,6 Insurance Company Name Workman's Comp.Policy# �` C 2) Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ,- 1 trite--roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to La",t,CY ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A/ py of the Home Improvement Contractors License&Construction Supervisors License is Auildingper.mit ed. - SIGNATURE:QAWPFILESTORMmsEXPRESS.doc Revised 040215 THE Comuromvealth of-Massachusetts Depcartrfli Ttv,fIndusbialAccidews Offwe ofimwsfigoeas 600 Washington Street Boston,.MA 02111 swV17T.illass�gvvl di a '"Torkers' campensafian Insurance Affidavit Bz itdex/CnntractnrsJElecErieianslF umhers Applicant Info matian Please Frinf Name(Bnsffiess,1DrgMi23fi n/In&vi Address: � d jbc) city/Statel _ �G- ` I v Y�^ Phone Are you an employer?Checkthe appropriate box: / Type of project{rpgnued}: I. am a employer Kith / 4 ❑I am a general contractor and I employees(RO andlor part-time)-* have lured the sub-contractors 6. ❑New conshuictsaa 2.❑ I am a sole proprietor orpartm!r- listed on the attached sheet, 7. ❑Remodeling siup and have no employees . These sub-contractors have 8. ❑Demolition warl� far me in any capacity- employees aiid have wozicers' $ 9..❑Building addition [No workers'Comp_Tn�tranre comp-I11SBra7Ii�'. required-] 5- ❑ We area corporation and its 10_❑Electrical repairs or additions officers have�e=dsed their 3.❑ I am.a homeowner doing all work officers Plumbngrepairs ar additions . myself[No workers'camp- right of exemption per MGL 13. Roofr inmznce required.]1 c.152 §l(4h andwe have no ❑ employees.[No worms' 13.❑Other camp-insurance required.) #Any appE mtffiat cfierksbox 91 tffi;x also fill cut the secdon,bdow sing their voikee compeasatiaupoyey iafor=saan. I S,ameawnerswho submit this d5daOt iadffratmg fbey sae doing all wax sal d=him autndet:oatrsctorsamst submit anew ai>Zdn*inAir=ML_sack fContrsctors ih=check this boor must attached sa additianat sheet sbouring the nzm of the sub-contrsctaa and state whether or nut those entities ham employees.Ifthesub-contractoishm employees,theymustpm4-ide their workers'comp.policy number I am art enipLa yerthatisprnidhW warkers congwisation insurance for nry*earplc}wee ,Below is the policy and job rite inforrnadom rr^^ Insurance Company Name: Ic-lu Policy 4 or Self-ins.Lic_:9: I„1 C�~� �S 3 77 �'�i/v -D J �`! EiTirationDate_ S� / Job Site Address: ��@C,�r1s�l� - City/State{�.sp: P�Z,7 ,'S /j 14> Bch a copy of the workers'compensationp.olicy declaration page(showing the policy number and respiration date). Failme 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$I,5O0.OD and.lar one-yearimprisoumeut,as Well as civil penalties.in the fa=of a STOP WORK ORDERand a f-Me 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' urance_coverage verification_ I do hereby certif}�a t paur artdpertaIl s afpelmy tl:atthe in,formadmi prm rigid a " true mid correct Sitraiure: Date: Phone Official use only. Do not awke in this area,to be crrrnpietesd by city artenm ofacdat City or Town.: PerautfLieeose# Imuting—utharity(cirde one): 1.Board of Health 2.Building Department 3.fi ity1 'own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#- laformation and lastructions Massachusetts General Laws chapter 152 reqaires all employers'to provide workers'compensation fir their employees.' ' pursuznt-•m this stag,aa.employee is defined as."-.every person m the service of another under any contract ofbire, express or imzplied,oral or written_" An employer is defined as"an individual,partnership,association;corporation or other legal entity,or any two or more in a�oint e,and including the legal representatives of a deceased employer,or the e J of the � . fDregomag receiver or t•astee 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 mauntenaa-ce,comshucti.on or repair work on such dwelling house or on the grounds or building appurhmautthemb shall not becanse of such employment be deemed to be an employer." MGL chapter 152,§25C(S)also states that"every state or local Iicensmg 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 applicantwho has not produced acceptable evidence of cdmpli=c:e with the inrnrance.coverage requiz-ed" AdditionaIly,MC L chapter 152, §25C(7)states"Neither the comm onw'eahh nor any of its political subdivisions shall enter into any contract for the performance 0fpublic work until ac ceptable evidence of compliance with the ins ce. re eats of this chapter have lbeen presented to the contracting anthozity_" Applicmtts Please fill oiuf the,workers'compensation affidavit completely,by checking,one boxes that apply to your sitnation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone nuanber(s) along with their certificates) of IDcr:rarce. Lffiited Liability Companies(LLC)or Limited LiabilityPartneiships(LLP)withno employees other than the members or partners,are not requ and to carry workers' compensation msuianoe- If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submittrd to the Department of Industrial Accidents for confirmation of fi srmauce coverage. Also be sure to sign and date the zEidavit. The affidavit should be retrmmed to the city or town that the application for the permit or license is being requmtA not the Department of r , A_ccidemts. Should you.have any questions regm,ding the law or if your are regnimd to obtain a workers' compensation policy,please call file Deparment at the number 1L�d below* Self-fi mnad companies shounId enter their self-ii surmce license number on the appmpnate ae. City or Town Officials t Please be sore that the affidavit is complete and paiated 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 pemnitllicense number which wi71 be used as a reference urmber. In addition,an applicant that must submit multiple pemm Vhcense applications in.any given year,need only submit one affidavit mdira±mg current policy information(if necessary)and under"Job Site AcldTess"the applicant shoT�ld write"all locations n (cry or town) "A copy of the-affidavit that has been officially stamped or marked by the city or town may b e provided to the applicant as proof that a valid affidavit is on file for funtcse permits or licenses A new affidavit must be filled oiit each year. a home owner or citizen is obtaining a license or permitnot relafn:d to any business or commercial venture (Le. a dog license or permit to b.M leaves etr.)said person is NOT requmed to complete this affidavit The Office of Investigations would lake to thank you in a.dvnce 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. Thu cammmwealtlr of Ma-ssachu&Ett I)epadmmt of Zzidustdak AocZents ice 4f fxLve&,dgati0= BoAO]3..,IA 02111 T 61 -727-49QO cxt 4-)6 or 1-. -IDS F Fag 617-727-7749 1Zevised 42447w.magpvfdia Uhe cParriirizo f Office of Consumer Affairs&Business ac/uiae/f utadon HOME IMPROVEIyMENT CONTRACTOR s Registration:• 1'65936----" Expiratio _ Type: R� �t�812018 Private Corp CAPE&ISLAND CO;k;, '' oratiiin !7r • C'tpN;.rY'O INC. JOSHUA-KOURI 55 ELM AVE. s` HYANNIS, MA 02601 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards ` ^onstrucdion Surervisor License: CS-074660 JOSHiTA X KOURf POBOX210 r CENTERVEULE f4A y `0 �.•L..•� .""''� Expiration Commissioner 02/12/2017 l License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation �. 10 Park Plaza-Suite 5170 Boston,MA 02116 Ifof iaxwithout signature Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of a enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS l 6 AM PST (GMT-8) FROM: 100005-TO: 15087756688 Page: .4 of 18 is DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5/8/, 015 .NIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. .IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NCONTACT AME: 44:BARNSTABLE ROAD PHONE FAx PO BOX 250 c n a/c No AIL HYANNIS, MA 02601 ADDRESS: 1 ADDRESS: INSURERS AFFORDING COVERAGE NAIC 41 INSURERA: LM Insurance Co oration 33600 INSURED INSURER 8 CAPE& ISLANDS CONSTRUCTION COMPANY INC PO BOX 210 INSURERC: CENTERVILLE MA 02632 INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 24610723 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP. LIMITS LTR INSD WVD POLICY NUMBER MM/DD /Y MM/DDYYY COMMERCIAL GENERAL UABILrrY - EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY a PRC- LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ � AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOHIRED S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS - Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC5-31S-377540-015 5/7/2015 5/7/2016 ./ STATUTE ET' AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE Y/N E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED?. NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks.Schedule,may be attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE f� LM Insurance Corporation �f ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD . :EAT NO.: 24610723 Anne Chandler 5/8/2015 1:54:54 PM (EDT) Page 1 of 1 5 Cape & Islands Cons#'action� o, r, MR Po:BOX 21 0 Ce iternlle',Ma 02682 = �PNN � t Bill Jatkevicius 56 Gosnald St. Hyannis,Ma. 203-223-0063 �- CERTAINTEED Certainteed Shingle Roof 9,680.00 Strip existing shingles from roof. Secure any loose sheathing. Install Hicks brand vented aluminum drip edge. Install Wip brand Ice&Water Shield to all eves, rakes,valleys and all protrusions. Install Rhino brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME Landmark architectural shingles. Storm nail all shingles. (State building code requires 4 nails,we use 6) Re-flash all vent pipes with new boots. Install Rigid Vent II ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never there) Provide all manufactures warranties and LIFETIME warranty on our labor, if it ever fails due to our workmanship we fix it,foreverl It's The Best In The Business. Please note our wind warranty is also the best And longest available ANYWHEREI Total � n - x i C - - a � - - - _ h`y •�.i'cta+' } � 1�,t�"J '�ri �n 11"f',:F" � y! W PERM TAP ��'���� �}�� ` r ��.�l��� ��u r'�v �d ��+tp"g,u'�., r ��o-{;�T t i F"'"7yi r,• '3 - ¢�,f.< Cape & Islands C:onstruct�on Co. ,.�.�� P.O BOX 210 #� M j r Dr it rx�9 Jtc ;pr r � r 2 r� }n' + r€�h 1 1 Centerville Ma Fri 02632 ! `^xti< 8 776J663 s g 1v, h� SFaip"t� ✓19 x r>F }''4 ns Twc.�,� .,£ _ u �a., 4 - .. � f�`NX',�•cf•'� ? r t�"$"�k,n,.�Y! '��' �,,,�L ° `"'.�' �,�y}'t-h'Y�Sr a d ��t� , � • - _'. .^ �`?'..*�.t.;g�',?�'+=::ra,�,�:t�.s�;�€R�.�n cs�` � ��`dum-� ,t5 tip, Bill Jatkevicius 56 Gosnald St. Hyannis, Ma. 203-223-0063 EPDM RUBBER EPDM Rubber Roof. • ROOF. 1,860.00 Properly flash all contact points of rubber roof and new shingle roof with aluminum. Tune up existing roof seams as needed and patch hole. MASONRY Masonry 2,400.00 Grind out step flashing,top pan and bottom pan from both chimneys. Install new lead step flashing and re-point. 2@$1200 each iignatu j $13940 Ol)Total 1 l _ l - c' + + l � . .� �:.�•' � �t � �� \ y -' - .. w.-.7'.�ke .i..._._�. �n�., .t r,��,_. � 1 a�.i. Town of Barnstable Regulatory Services Richard V. Scali,Interim Director S. ' Building Division 61.�oak Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 E)IS0 l od PERMIT 1 FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 6201ryvaid Pyann�5 , A Location of shed(address) Villa e U V►`'��awJ c)-OS 3-- 006, Property owner's name Telephone number Nu Size of Shed Map/Parc l# —a n -2 _ a 1-0 Signature Date Hyannis Main eet Wate Historic District? t" Old King's Highway Historic District Commission jurisdiction? JJ d If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 Toxin of Barnstable Geographic information System April 9,2015 324030 324M 031 31A033 a8 a28 32= 324021 S20 a 12 32t02.9 _ 324110 818 a0 y - a .......::...... aaaols . . . oil 32401s all - 'S ois :z'•_::fir. ti 32to26 *44 m - 324s1r n - a 7o - 3�018 ass - i;; - 1 G�NOtA ST C 524105 n 035 0 24 Feet 32MM 3UM a I MSCW>EM TM8 M -- Pft."P.M....wN Maw W1810 MW 324 Parcel:a25 AdJaceitt Marie ehoose Mmftr IM type) bornaary mre^+®um a y eaarp ft m. +rs b%uW a seine m Selected Parcel AbutOr 1'IW may rmr"maesrabnow map as xnw smnamds ins paeel&w m M map L.utType-Defetllt butler of pattlels adacent to the selected.parcel. "a*9ap1erepesemrundAssasmrataaprtiels.maymerotauepapaty Abutters a E botn0artesaM dtr not repose,aaX.MM.Owmaips to ph7akm mete nw Buffer sum a wM%b-fl. M;n. io'-J('cvrh pe-®P1214 it,te-s � c S //S7- f * d00036 r Town of Barnstable Permit Expires 6 wntb om e Regulatory ServicesEARNSTABIA Fee MASK Thomas F.Geiler,Director %659. .�� . " Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403.8 Fax: 508-790-6230 EXPRESS PERART APPLICATION - RESIDENTIAL ed ONLY— c� Not Valid without R X-Press Imprint Map/parcel Number 3q 9 O a's Property Address S(p GOt>no Icy L1 Van vi t S (Residential Value of Work `0 30— Minimum fee of$35.00 for work under$6000.00. Owner's Name&Address W i�1 iam 6116C [ Ioa 5bb�n� Rd rners c�T o(00`I 1 Contractor's Name Sprinkle Home Improvement Telephone Number 508 775-1778 Ext. 10 103757 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) CS 6643 XWorkman's Compensation Insurance Check one: JUN 15 2012 . ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance TOWN QF BARNT E P Insurance Com any Name Associated Industries of MA / A.I.M Mutual Insuran e Workman's Comp.Policy# AWC 7004943012012 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side 1 , #of doors sliders.U-Value (maximum.35)#of windows Replacement Window& 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner ust sign Property Owner Letter of Permission. e e Improvement Contractors License&Construction Supervisors License is req SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Te no Internet Files\Content.0udook\DDV87AAZTXPRESS.doc Revised 072110 s The Commonwealth of Massachusetts Print Form - -- Department of Industrial Accidents "4 � Office of Investigations �1 1 Congress Street, Suite 100 Boston, MA 02114-20.17 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): Sprinkle Home Improvement i Address: 199 Barnstable Road City/State/Zip: Hyannis, MA 02601 Phone #: 508 775-1778 Ext. 10 Are you an employer?Check the appropriate box: Type of project(required): 1.21 1 am a employer with 10-12 4. ❑ 1 am a general contractor and employees(full and/or pan-time). * have hired the sub-contractors 6. ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑:Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers" 9. ❑ Building addition [No workers' comp. insurance comp. insurance.- required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ l am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1 ❑-Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 1 AROther fZ comp. insurance required.] _ •Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for nny employee& Below is the policv and job site information. Insurance Company Name: Associated Industries of MA./A.I.M Mutual Insurance Co. Policy#or Self-ins. Lic. #: 7004943012012 Expiration Date: 01/01/2013 Job Site Address: 56 G®Sno Id' SV• City/State/Zip: an yq S, dv\A 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 in ur overage verification. I do hereby certify g10 nd penalties o era that the informatibn provided above is true and correct Si azure: - Date Phone#: 508 775-1778 Ex Official use only. Do not write in this area,to.be completed by city or town official City or'Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: �sr Town of Barnstable ti Regulatory Services vatix&Aa IE�; Thomas F.Geller,Director 16.5.dl. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstab I e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usin.a ABuilder I, (l Lct;,� ��l��a!;' as Owner of the subject property hereby authorize SPRINKLE HOME IMPROVEMENT, INC. to act on my behalf, in all matters relative to work authorized by this building permit application for. C 60s,-x01d s--r . U (tit g7is (Address of Job) S er DAe k-Al't (ti Print Name If PT, Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION 11'/ 1U/1U11 9 : 35 : 33 AM 8740 ® 02 /09 CERTIFICATE OF LIABILITY INSURANCE DATE,` ;2011 --1 THIN CU&TIFICATU IS ISSUED RB A ! W"M OF INFORMWIOI ONLY AID CONFURS No RIG&'1'S UPON Tm CURTIFICA,= SOLD:&. ?EIS CUR?IrIc"m DOUS Sol ArFIBIWIVULY OR NUGATIVULY AM=, NMMXD 02 ALTER TUN COVNRAM ArrORDUD BY TRU POLICIUS SOL" SRIS CiITIFICaTU Of ' IIBIIRA&CU DORB NOT COISTITVTU a CONTRACT BaraN TRW ISSUING I/SURUR(S), AO?IORIiUD RUP&UBTSTA?IVS OR FROMM, AND Tta ! ', CU&?IricaTU ROLDU&. IWORTAST: If the CSCUCICato !older is an ADDITIONAL INNVRRD, the polley(iss)- MU@t be sndorsed. If SUBROGATION Is RAIVUD, suh3oct1� to the tomes and Conditions of the policy, certain pollCies May require an ondozaaernt. A statement on this certificate does not Confer rights to the certificate holder 1n 11eu of such endorsomat(a). 7— CONTACT sees Bryden i Sullivan ins Agency 'o': ! PrBu Fs Inc 88 lal=Uth Road +�• Hyannis, HK 02601 �*� IM• IsouD asaesu) a►.a.ae eMsaaaa awe s Sprinkle Hama M oprforvemeat Inc aamom A.I.x. xutuaL Insurance Co 33758 �— 199 Barnstable Road omlQa.:aW� ei ' IHyannis, M 02601 Karen a: COVZRAGZS cwrrrICAI'i mummR: RZVISION VubMR: TIS a TO claim'me`VMM VOL== Or MMUWOR Wmw mm"NArN NEWSINIOm so ISO DRSPRip Rnm awn me 'aR POLMY FORM 2102ca"O. - XWMnTMP110 B My WI P2 r , soR OR a NDZVZ N Or ANy CCWMWV 9e *AM DOCN=w N axsrwr so on= aerie Corp=% ►=May as Xg as Nax ! Paasza, Aq�P9cece BY mt POQ.resfi DOcamenD SERUM! Is s9BJRCT a0 ALL SQ�, MCLUZDOM Am 000=2 0MV or SUCE FOL=zu. L=M mores Soon I M awls Ito Nmmm BY Pam CLLUE. - "� POLDCT Qt VOL WY m w a'a1 a Dliv&ASCR POLSCY sarRa LDtlS'P ; 00WL LIaBIIaITr ❑ L seal aeaeesesCOMa•CLLL"MAL L •ILITT � � waves Ta a", - OQa,LIM 1MD• paCoa .aRliaf(a...maa..w/ • j ❑ I as do (Alq—P.—) • i OMVNYL i NovO v IaQ Gp•1.LGUI"TI LIMIT►"LIaD sa: i - - MesasL SAMMOMa • Q/Q ICY- 1--lp*MCT aLOC .. .asvCT•- Coe/or No • Aoal01R0eIIi LZaBII.irfr ce =0 saau LIMIT - - ❑YS OWID LDTOa .. _ ( f asllT aJlsi (Mr�aa�l • 1:1—ILED LVTOT - { `• _ MILT mm"(se,.mart) L - 1 MIaaYTT a�aa ' � ')..r.mina • ! O i MMAUL1 LW OCC as - mm acctaa a • 1 1 ^_ ❑.DC.ff LIA• Q CL DO MLD• aaQaaan .. 4 �YTtRlW i !. 1 . Am 1: LzNgvzTr 7HE PROPRICl WPAR7WZ"/ - - - s.L. sea aeensaT s 500,000 A EXEcuTlw OrrICERE ARE ❑ 7004943012012 ••L. .I•aaa -"LICT LIMIT ® incl excl Ol/Ol/2012 � Ol/Ol/2013 • 500,000 * X.L. •Naas - sa IWLwm • 500,000 f eesm•rs Qta91TI•e or smTsa a LseaTsso, — - WCRlCM, COWUSATION COViRAW APPLICS TO xASSACMOBETTS OWLOYWS i CERTIFICATE HOLDER CANCELLATION DROOP OF INSOWINCE SaDMe ANY Or ra "OWN oRPCRmm VOL== Be CANrstm NNFOPS am MUMM 0B DAME '1WOR&Di, N07=C&W= BN DULIVR•= IS AOOOM"=fMN 152 � PoLL09 PROVISIONS. ! 5289 li,•.++,i •I li+n:,{t:r i.: ttllirrurCon�umcr.\tt!`airs Aliusinrss cgulauun ;;;,• HOME IMPROVEMENT CONTRACTOR Registration: 103757 Type: 6643 Expiration: 7/9l2012 - Private Corpurauc a' SPRINKI.i HUMS IMPROVEMENT INC BRAD K SPRINKLE .fit 190 LOTHROPS LANE _ + :iraq ;,pnnkle W BARNSTABLE, MA 02668 ' :. .,, �: � ,9�i Bamstat::e tic nder•.rcrrru, 10 2O t3 tiUGa I.i,cn,ctip re"'tslration salid for inclividul uu•:ful. Failure to pusscss a current edition of(tichct:u�c :hc rspiratiun date. If found return tn: Massachusetts State Building Codet Iiticc++I( onsumer Affairs and Business Regu aii-m is cause for relocation of this licenw. lu Park I'L•cca -.Suite 51711 IS:,.h:n, \1 1121I0 , Refer to: WWW.Mass.Gos/DPS \:•I ,31id Without Sip-n.tare 1 i i MAP PAR MASSACHUSETTS UNIFORM APPLICATION-FOR ERMIT TO DO PLUMBING (P rfnt or Type) 0 ' Permit#- �(p� ' �a rnstable , Mass. Date � Buildin Location o5N d� Owne s Name Jt �'�-J 0.6 A•' [ Type of Occupancy Ne 6q age renovation ❑ Replacement ❑ .Plans Submitted; Yes ❑ No ❑ FIXTURES Z . z � PW cry '0 z W W ! Otte] [!�i ' Wtn - = c�latc u- a Co W to = �-- � = t7 ❑cc - . = O u = = Q = � p0 = � o- O ~ cc `c � U = t .� : y 92< 8cc _jdtc ¢ cWc `rOdt— i � � tac� ca0 _, � = }— WLL0 = � =c3Bccm0 SUB-.BSMT, `a BASEMENT 1 ST FLOOR Q, 2N'D FLOG 3RD FLOG 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR I Check one: Certificate a Installing Company Name Spencer Hallett �Corpvracivn Plumbing & Heating • � ❑ Partnership Address. Box 64 Cotuif MA 02635 ❑ Firm/Co.' Business Telephone Name of Licensed Plumber Fflabill.ty RANCE COVERAGE': rrent liability policy or its substantial equivalent which meets the requirements of MGL Chr 14.2. Yed -No C3 ye youe checked yes,-please Indicate the type coverage by checking the appropriate box. nsurance policy Other type of indemnity ❑ Bond ❑ INSURANCEAIVER: I am aware that the licensee does not have'the insurance coverage y Chapter 142 of the Mass. General Laws, and that my signature on this permit appis requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have sub (or entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and installati s performed under the p mlit issued far this application will t provisions of the Massihseit tote Plumbing Code and hapter 142 of the General Laws. be in compliance with all pertinent pr . By Title ure of Licensed P(urnber City�own e of License: Master Journeyman '❑ APPROVED (OFFICE USE ONLY) License Number T� , � - ® k ,> TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_Qa' _ Application #z009D//D, Health-Division Date Issued L Conservation Division Application Fee `;5�,�5 a Planning Dept. Permit Fee . Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Addressed Village . tl14171716 Owner/ je,&Vml &a/ jj— ,ddress Mk(_ QrP1iST,/ 'Z 6 Telephonen� I n Permit Request _Re awyP lce i-f°-1 aA 4 res re- 4f2 vlaGil P 99 01"a Aeyld k-P.9 and. a bol/-6y2Le -9/,4/c"! ,�rrlc'? Square feet: 1 st floor: existing ZZproposed 2nd floor:,existing proposed Total new -- Zoning District Flood Plain Groundwater Overlay Project Valuation AOD Construction Type Lot Size /h/ Z2,9i/ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes � No On Old King's Highway: ❑Yes ,QNo Basement Type: ❑ Full Crawl ❑Walkout ❑ Other ; w -. Basement Finished Area (sq.ft.) Basement Unfinished Area(sqf ft) � •- Number of Baths: Full: existing new Half: existing --newICU Number of Bedrooms: existing _new Total Room Count (not including baths): existing 9 new First Floor oom Cunt Heat Type and Fuel: PA Gas ❑ Oil Electric ❑ Other v©t Central Air: ❑Yes No Fireplaces: Existing ---- New Existing wood/coal stove: ❑Yes XNo Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use :;Z Ad Aam P Proposed Use 2 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Na �512l� �aa me 1� &Ve_1_1dQe_ � Number Address ze (� .Yp9,15 Leta License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ltm4 SIGNATURE DATE 03 _/c�_ 0 9 f-0 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS r VILLAGE r: OWNER i DATE OF INSPECTION: ' FOUNDATION 'FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ; r } PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 •� �� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information ,/ Please Print Legibly Name(Business/Organization/Individual): / / .y V(2,JAL(K�J P, Address: jQ Yc�� _ City/State/Zip: S' Phone.#: 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 1 6. ❑New construction . employees(full and/or part-tim.e).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. '7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• � 9. ❑Building addition [No workers'comp.insurance comp. insurance. requir ed.]u 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ] h exercised officers have exercse ter I L❑Plumbing 3;,�I am a homeowner doing all work g repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 1.52, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. M 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature 0 Date: Phone#: O Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's 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-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-72.7-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia oFIHE> Town of Barnstable Regulatory Services BARNStABLE, Thomas F.Geiler,.Director 9 MASS. �p 1639• Building Division rEn MAtp Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 w'ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number �,� a n,J� sntreet �,q / J 35 illage "HOMEOWNER": /Ado i vo (642s J-0 `Vo 0-3,< name home phone# work phone# CURRENT MAILING ADDRESS: / s city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si ature of Homeo r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such,Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forrnr s:homeexempt °FINE r Town of Barnstable ~ Regulatory Services M k • A MASS. Thomas F.Geiler,Director �p i6gq. �0 rf16.19 A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION C t ( ,. �.� �" = .�.. �; d." mn� x ': !Aa -G`",>"a,y , � P II JW x`g .''r w Appeal or Permit No: , 1981-060 Appeal °Special Permit Status Pending VP. J:m sca, ,�wJ, i4Ewfa�a�`Msw .rs 7& yJ ''r Last Applicant: Jones IRobert H.&Regina C. Addr'' * Addr2 - 56 Gosnold Street Villa46. ',Hyannis MA 02601 a ,„ -Aff Received 01/17/2006 � " Map Par 324025 4 Zoning Decision' -,Book 3790 Page 292 q , `'a ` '... ,.. `% Notes 1/24/07 father&mother died this year. Lizanne Jones Croft fw p td � (daughter)in main house, husband inapt. T. Perry approved. '1/29/08 house empty,siblings may sell,contact: Melodie Beveridge,428 3235. 3/18/09 bldg per to restore,200901103 " � 7 Close needs BOH 49 Town of Barnstable do Regulatory Services • BAMSTABLE. " MASS. Thomas F. Geiler,Director i639• `0� i0rB01�rA Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM 0 TO: Linda FROM: Lois DATE: 1/29/08 RE: 56 Gosnold Street, Hyannis Melodie Beveridge, 428-3235, came in today. Her parents,who owned 56 Gosnold Street and had a family apartment, died last year. Melodie, her sister and brother now own the property. She and her sister want to put it on the market. The brother wants to keep it for a vacation home. I told her the apartment would have to be removed if he uses it as a vacation home. Also told her I would let you know and you would follow up at some point to see if it is on the market. 6 f.R� Appeal or Permit No 1981-060 i �i4ppeal Special Permit ,'Status , Pending # Last ,First' Applicant: Jones IRobert H.&Regina C. e Addr:- i >�. Addr2. r 56 Gosnold Street Village Hyannis I MA 02601 x $ Aff Received.` 01/17/2006 �` `Map Par. 324025 j Zoning: -, RB ' t Decision Book 3790 Page 292 Notes: 1/24/07 father&mother died this year. Lizanne Jones Crofts ", ""° (daughter)in main house,husband in apt. T. Perry approved. S �z.'1/29/08 house empty,siblings may sell,contact: Melodie F � ' Beveridge,428 3235 C k lose yj I ) 0_ Date of Application: I hereby certify that: Registration is not required for the following re ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occul ❑Owner pulling own permi Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR 1: CONTRACTORS FOR APPLICABLE HOME 1MI ACCESS TO THE ARBITRATION PROGRAM Ol SIGNED UNDER PENA I hereby apply for a permit as the agent of the owner: Date Contractor OF Date Owner's I Q:fomu:homeaffidav . \ --e j;p =� oFIHIEr� Town of Barnstable Regulatory Services • BARN3TABLE, „�. Thomas F. Geiler,Director -39 16 � ♦0 ,erEn 39 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Linda FROM: Lois DATE: 1/29/08 RE: 56 Gosnold Street, Hyannis Melodie Beveridge, 428-3235, came in today. Her parents, who owned 56 Gosnold Street and had a family apartment, died last year. Melodie, her sister and brother now own the property. She and her sister want to put it on the market. The brother wants to keep it for a vacation home. I told her the apartment would have to be removed if he uses it as a vacation home. Also told her I would let you know and you would follow up at some point to see if it is on the market. f oFt r Town of Barnstable Regulatory Services + BARNSTABLE, MAS& $ Thomas F. Geiler, Director , s�0 Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 yFax: 08-790-6230 January 9,2008 a-, Robert H. & Regina C. Jones 56 Gosnold Street Hyannis, MA 02601 Re: Family Apartment Dear Property Owner, Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by February 21, 2008. You are required under Section 240-47.1.B(2)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 Lois Barry, Division Assistant, at 508-862-4039. Sincerely, 1 co Tom Perry .ts Building Commissioner. `£ Enclosure c� .tr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _ A'pUCANT MUST OBTAIN A SEWER Permit# � CONNECTION PERMIT FROM THE i; alth Division s//o2 rb�c ENGMENNO DIVISION PRIOR TO Date Issued d, CONSTRUCTION. 00 Conservation Division I Application Fee Tax Collector 200 a 0 �" t � f �� Permit Fee Treasurer n &Q f Planning Dept. L T/ y sIoY nn, No L�lOo.rsloN Date Definitive Plan Approved t3yaPlann ng Board l"BON�► Historic-OKH rl Preservation/Hyannis �J i C , Project Street Address 4---3 L Village `nYN, Owner _ t� AO Address Telephone Permit Re uest i Sr c Square feet: 1 st floor: existing proposed ►y 2nd floor: existing proposed I Total new Zoning District Flood Plain Groundwater Overlay i Project Valuations Construction Type \,�Qo71 c= Lot Size 0� �Grandfathered: ❑Yes ❑ No If yes, attach supporting cumentdfion. c+ Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) c t co Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Hig way: lees ;;]No Basement Type: ❑Full XCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new 4 Total Room Count(not including baths): existing �4 new First Floor Room Count Heat Type and Fuel: )(Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes �Oo Fireplaces: Existing �O New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# ----Current Use Proposed Use r BUILDER INFORMATION 2 Name � Q, Q i C�elephone Number S6c, ' q n p'lip J240 Address <�) ,i i License# o Home Improvement Contractor# 1 1-JQ"1 3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �0� SIGNATURE DATE O�- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP`/PARCEL NO. `ADDRESS VILLAGE OWNER:. DATE OF•INSPECTION: FOUN, ION L FRAE N t� 1 INSULATL'gN FIREPLACE ,raga f - ELECTIMCAL: ROUGH FINAL — f PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING _ DATE CLOSED,•OUT • C / FJ f > ASSOCIATION PLAN NO. _ As of 03/21/01 TOWN OF BARNSTABLE Office Of Community and Economic Development HOUSING AMNESTY PROGRAM'S PHONE LOG—"NO's" The following is a telephone log describing why people decided NOT to participate in the Housing Amnesty Program. About half of the individuals contacted have said"no" for reasons listed below: Tim & Sharon Acton -- 232 White Oak Trail, Centerville (CN) -- Couple said they never did the unit because the father decided to move out west. Albert Basile-- 149 Pleasant Street, Hyannis (HY) -- Individual said he is renting unit now and plans to continue to rent it out. (referred back to Building Dept.) Richard Boucher-- 64 Bent Tree Dr., CN The father-in-law who was living in the unit diedin October. Mr. Boucher is now preparing his 72 year old mother to move in to be closer to him. Rick Cathie -- 102 Liam Lane, CN-- Mr. Cathie and his wife have decided to'adopt a child and therefore, are no longer interested inthe program. Christie Clark-- (address unknown) Ms. Clark recently got approval on a loan and has decided to buy a house instead. Lindsey & Jacquelyn Counsell-- 1183 Old Stage Road, CN Couple said they opened up the adjacent unit and enlarged the room in the house. Adam Doefler--P.O. Box 1725, HY Mr. Doefler said he's helping out a cousin with financial problems by allowing him to live in the unit. Dan & Debbie Dwyer--499 Skunknet Road, CN The couple thought the Town would allow them to buy a property somewhere and fix it up under this program. Douglas Gannon -- 339 Pitcher's Way, HY Spoke to the realtor,who said the property is currently undergoing an ownership change. Clifford & Jean Hilton -- 157 Salt Rock, Barnstable (BN) Couple said there is no unit there,nor was there ever any unit there. Robert Jones-- 56 Gosnold Street, HY Mr. Jones said a family member is in the unit and he is willing to sign an affidavit. (referred to Building Dept.) MIETAL POST. , ENGINEERING & STRUCTURAL LOADING INFO ATION COMPRESSION LOAD BEARING-ALLOWABLE LOADING CHART r(H Post sizes TORQUE PSInd Auger 500 700 900 1100 1300 5500 1700 1900 2100 2300 elix)sizes COMPRESSION LOAD LBS P1-6G 6" 1499 2943 4495 6129 7776 N/A N/A N/A N/A N/A 1P1-8G 8" 1499 2943 4495 6129 7776 N/A N/A N/A N/A N/A P1-10G 10" 1499 2943 . 4495 6129 7776 N/A N/A N/A N/A N/A PI-14G 14" 1499 • 2943 4495 6129 7776 N/A N/A N/A N/A N/A PI-16G 16" 1499 2943 4495 6129 7776 N/A N/A N/A N/A N/A P2-6G 6" 1499 2943 4495 6129 7776 9301 10858 N/A N/A N/A p2-8G 8" 1499 2943 4495 6129 7776 9301 10858 N/A N/A N/A P2-10G 10" 1499 2943 4495 6129 7776 9301 10858 N/A N/A N/A P2-12G 12" 1499 2943 4495 6129 7776 9301 10858 N/A N/A N/A P2-14G 14" 1499 2943 4495 6129 7776 9301 10858 N/A N/A N/A P2-16G 16" 1499 2943 4495 6129 7776 9301 10858 N/A N/A N/A P3-8G 8" 1499 2943 4495 6129 7776 9301 10858 12483 14139 15772 P3-10G 10" 1499 2943 4495 6129 7776 9301 10858 12483 14139 15772 P3-12G 12" 1499 2943 4495 6129 7776 9301 10858 12483 14139 15772 P3-16G 16 1499 2943 4495 6129 7776 9301 10858 17483 14139 15772 P3-18G 18" 1499 2943 4495 6129 7776 9301 10858 12483 14139 15772 P3-24G 24" 1499 2943 4495 6129 7776 9301 1 0858 12483 14139 15772 f P4-8G 8" 1499 2943 4495 6129 7776 1 9301 10858 12483 14139 15772 P4-10G 10" 1499 2943 449 7776 9301 10858 12483 14139 15772 P4-12G 12" 1499 2943 4495 6129 7776 9301 10858 12483 14139 15772 Notes : aF K i .,�•;. Q V a s �: Ji GJSt(„� Depth may vary but as long as the psi (torque)need to conform with the 4C �`� NUT '1! holding chart and also it need to.be below the frost line(accordingly to t P. SF,y building code of the area where the work will be done). m e R N/A : Charge would be superior to the structural capacity of the post ls�yG�Nt��Q► 100075038 a -o579� C F hIW : : te ► METAL POSTTM ENGINEERING & STRUCTURAL LOADING INFORMATION TENSION LOAD BEARING-ALLOWABLE LOADING CHART , Post sizes TORQUE PSI and Auger 500 700 900 1100 1 1300 1500 1700 1900 2100 2300 (Helix)sizes TENSION LOAD LBS P1-6G 6" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P1-8G 8" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P1-10G 10" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P1-14G 14" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886. PI-16G 16" 749 1471 2247 3084 3885 4650 5429 1 6241 7069 7886 P2-6G 6" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P2-8G 8" 749 1471 2247 3084 3885 .4650 5429 6241 7069 7886 P2-10G 10" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P2-12G 12" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P2-14G 14" 749 1471 2247 3084 1 3885 4650 5429 1 6241 7069 7886 P2-16G 16" 749 1471 2247 3084 3885 4650 5429 6241 1 7069 7886 P3-8G 8" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P3-10G 10" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P3-12G 12" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P3-16G 16" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P3-18G 18" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P3-24G 24" 749 1471 2247 3084 3885 4650 5429 6241 7069 1 7886 P4-8G 8" 749 1471 2247 3084 3885 4650 5429 6241 7069 7886 P4-10G 10" 749 1471 2247 3084 3885 1 4650 5429 6241 j 7069 j 7886 P4-12G 12" 749 1471 2247 3084 3885 4650 4 5 29 6241 7069 7 886 Notes : oti Q'-3E f SSIp;��� Depth may vary but as long as the psi(torque)need to conform with they �R• HUTS holding chart and also it need to be below the frost line(accordingly to th CEAU c building code of the area where the work will be done). L IM 28 4P ° e+urieM u a• # cr; ft;aA.� r P. MARC DIN �P 100075038� E /��7 oy lt'.FYJ6-o 6-a7oq as J' °. 05 OF �:. nfi tiEw ass cr/vs.--77 5 Zoo-5 The Commonwealth of Massachusetts Division of Professional Licensure 150 Fourth Avenue North, Suite 700 Nashville, TN 37219 Vy'WW.Dp hqxom- ip 877-887-9727 April 13, 2005 Mr. Michael R. Hutsenpiller 20 Bayberry Drive Queensbury, NY 1.2804 RE: TEMPORARY PEERMIT 2005-034-PE Dear Mr.. Hutsen.piller, In accordance voth Section 81R-e of Chapter 112, of the General Laws, you are hereby granted permission to practice PROFESSIONAL ENGINEERING in the Commonwealth of Massachusetts fo.t a period of thirty days from: APRIL l~3, I o until such time as the Board needs for final action on your application for registration in the Commonwealth of.Massachusetts_The procedure for using your: NEW YORK SEAL on a plan or document in Massachusem under this permit is to write under the seal the followin& TEMPORARY PERMIT MASSACHUSE'ITS 2005-034-PE Sincerely, Tara D. Elkins • �* �� Massachusetts Coordinator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3A4 gasww� Map Parce Permit# . } M77-6 Health Division �_ Date Issued Lo Conservation Division S ®� Application Fee 60 Tax Collector Permit Fee ( , Treasurer OY-) Planning Dept. CONNFVW R Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 4-6 Gos�o JA .Si-: Village �r',�lnv►r s Owner pobe,+ TX zone* C-ca Address -66Ga hold. -so", 'JYva'I"w;F Telephone _-YDf3-77.5 X790 Permit Request LZ x/¢ ~S oo, .sue-+rnon 0�n n�✓ c � a�' r�� ® i°s�i.�,� Ii a ie Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A,91.775 Construction Type J'Vn n,®,-1 m•,y�®�( ' ,,, vQ��E Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes XNo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: Cl Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ i Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ,v�/a� Q . �1c in FALlcn.,wM.s,3'nc. Tel ep h on e N u m be r -1q&te Address 5DO �S J&tefi; I, 61-v( License# CS 0 Paz 2 2 J - o 7 MA 02-780 Home Improvement Contractor# )17515- Worker's Compensation# A044 .30o/&j ) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AAC 0if s /^rA/ J I •/ 4 SIGNATURE e DATE T��y FOR OFFICIAL USE ONLY PERMIT NO. 3 DATE ISSUED ? u r MAP/PARCEL NO. f.i •.' , g6] f ADDRESS C c 1 VILLAGE —r / OWNER S' ry C DATE'OF INSPECTION: �+ :"y f FOUNDATIONr FRAME r s . INSULATION i. FIREPLACE ELECTRICAL: ROUGH FINAL,` PLUMBING: ROUGH FINAL t , C r � GAS: ROUGH '..� ! FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. r FTHE l Town of Barnstable ti O � Regulatory Services BARNSPABLE, Thomas F.Geiler,Director vq'ArF 039. °i � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.•142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ' l 2 � ��1 �" Type of Work: 3 s�®� ,����o©off �OtCllll�Q,^1 Estimated Cost 7 7 Address of Work: . C©sno lk S I— Owner's Name: P0be"—+ �- 6�At1,e P Crop— Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner:` Date Contractor Name Registration No. 651 OR Date Owner's Name Q:forms:homeaffidav The Commonwealth of Massachusetts Department of Industrial Accidents _ 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name �� '�/ <161� I-0 location 5?0— clOS/1® 3f"', - � an /1 Lshone# ��'7 .3�,Z79 ❑ I ani a homeowner performing all work myself. ❑ I am a sole pic ietor and have no one workdmn inanca aci iiiiIiii"Mil MOW rovidin workers' compensation for my employees working on this job. I am an e to r :::> ..,, . t me ,an n 'COmp Y *{� < ;�: i`: ;t sGriC ; i5 "::? ?2CE s�? <: Y '2 > : ti ::y ctdcess:k ' J� .: a .. _. T. . ... .... hone#s ...:...... .... .. ^i:v'4i:C3:}:::' :•i:•:ii:`i:4:v:%.J:ir:iii:' !•i:.i:i:.:i H.:i::;' :::.;':.:::.:i:: }i : :ii:i}ii:i:i:: :::ii>•:i::i::ii\:i:::::..:...::.:.i ::•:i:i !: .. ::': :. :.i' 'v,is is :::ti:i::i:Ji::i:?:i::v::L:i::i:i:4::i:�l: 10/0130701/11,❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have m the n f;o:nllaomwem: workers' compensation olices: . . : .. .: : . . : :: : :: . :: : : :: : :: XX m .>: :.:................... ................................... ................ .........................................::n:�::::::::..........::.v:::::i::4ii:......•w:iiv.::.:::n.......:�.�:.................:::jj:i:?ii:... v.:�::................:..:::::::::ii: ?i:C�i:•`.'i:fii:Cti•}.�C:•r4iii};:?;::.;�::::.ynw::.;::::C v::.:,�:...::v:::'::•:{: �,::#.<i�i:::�:�:;:;:;:i::�::C�::',::'}:;:;:;':�:::::::[:(:::i::C+.,,v'�{:::+•;:•,::i::::::::::•iljC:�?::�:��'�v:�i:'ii:v:�(:ii:C•:::ii•:�:::Y: addrtiss, ; en ::::. ............. .....:...::.........:::................. ......................:::.:.::::..::::::.;:::..... ................ ti ........::.:::::. gaflure to secure coverage as requited raider Section 25A of MGL 152 can lead to the imposition of crLninal penalties of a fine nap to S1,500.00 and/or out years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby tern the pains and penalties of perjury that the information provided above is true and correct Sigzia Date S"¢ ®.1— t name a Phone# 121111 official use only do not write in this area to be completed by city or town official permit/license# ❑Bufiding Department city or town: ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other. Oeviwd 9195 PJfa Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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 produced roduced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the nor any of its P olitical subdivisions shall enter into any contract for the performance of public work until commonwealth . acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. a ; Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rearmed io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Department of Industrial Accidents Otilce of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 A I ' .�tn ff'oaataatn.arcnncthlt ���:_%",cna:!crr•f'rcJe�ZJ . BOARD OF BUILDING REGULATIONS } "- License: CONSTRUCTION SUPERVISOR Number: CS 070222 Birthdate: 03/25/1955 ` Expires: 03/25/2007 Tr.no: 9485.0 Restricted: 00 DOUGLAS R SMITH 324 FOREST GROVE AVE WRENTHAM, MA 02093 Commissioner 3' == Itonrd of S;,vildinp lT.eg�tlatitrns qmd$taniinrd4 I �"r I1OME IMPROVEMENT C01`1IRAC1011 ' 1' Registration: 117565 j Expiration: 10/19/2006 Type: Supplement Card PATIO ENCLOSURES INC DOUG SMITH 500 MYLES STANDISH BLVD. G fj fires; TAUNTON,MA 02780 :1dti�inis!�a!!rr� nrr� I ' i I 4 1 `1 •_ 1 1v1ETHBO UEN -, : (978)682-7400 TAtlNTON (508)822-1966 WORCESTER7 t}, (508);756=2141; .ENCLOSURES,INC. FAX (508)821-9339 (978)682 0061 t i„ ® TOLL•FREE (888)3334966 An Employee Owned Company" . 1-5 -AN DRIVE-UNIY5 500 MYLES'STANDISH BLVD.. 'METHt-EN;MASSACHUSETTS i 01844 r, TAUNTON,MASSACHUSETTS 0278C a i "'HOME IMPROVEMENT CONTRACT s a m y " , r«l'• f`' MASSACHUSETTS REGISTRATION#117565 . 4,1 1 � 20 , (F Date: .: i Pa e 1� Sellexagreesto furnish labor,and materials at Buyer's request, and for the contract amount, to complete the work described iNabo%subJect to the:terms and conditions which appear on both,Page 1 &Page 2 and on the REVERSE sides of this contract 21 WIVIk"66A.apor6ximately i I weeks from the date of this contract and to be completed approximately 1�14.weeks ' r iafter coinmencement if not., elayed by'building permit, delivery of materials, weather,.stakes; '.fires;or other..condttions § beyond gSe]lile}r'sicontroI xThe completion date is not of the essence. ` +'; 3 r,9 ��T �Fk�7•� " _ir�"1y"£ ty M1+J'hK:','.}i E .i �9s 1 ', .. : - t . ' Buye6re resents and w. n. -that legal title to the property,which is to be improved, is in the.following owner(s): � 1�'�,'���i ���"��w�r}�l_'i s"�� �'� ' �r� .. - 2. �..•� "Y t,a��.: is.,. t" � , .,.,.. �k.,'� _ �,$ � � �,;��. �) Ni�"�}. ,��t,,k td.�� �; � `� ., •: r'NOTICES ; '� •: ' . .: ,� ; 1 Sellerand/or all subcontractors, if any,who perform on this contract,and who are not paid,.may have a claim agamst you h Whichtmay be�enforced°agamst the property being improved in accordance with the applicable lien;;laws '..f # Y ., �����tF.�t�''b�.�i `�}�#'"�r�t+ s' '�%r r 'sE•'• ,db. ?7..i .- . F}?•, t '�.�'t � '4:,« , ',. 2,? t r(i>4 v2 ,O*Wft; THE�BUYEK�,,IMAY�CANCEL•'THIS,TRANSACTION AT ANY-TIME PRIOR.TO MIDNIGHT•.OF,THE 4Y" TI3IItD BUSINESS DAY `AFTER TH0,jRANSACTION DATE (THEf:DATE,tON WHICH.;YOU.' SIGN THIS QOITRACT) SEE"THE`ATTACHED;NOTICE'OF CANCELLATION FORM:FOR,AN.EXPLANATION OF;THIS y Y 1 RIGHT THIS RIGHT,IS IN•ADDITION;TO,ANY RIGHT YOU OTHERWISE!MAY.HAVE TO REVOKE YOUR �f{w x, _Th�yIy��otr]nactor and the homeowner hereby mutually agree in advance,that in the event the contractor has.,a dispute K concernmgwth6 contract,the.contractor may submit such'dispute to a private arbitration service which has beenPv 7 apprQ...ed by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer halllie required to submit to such arbitratiorras provided in MGLC. 142A a "CQlltlaCtoC" Owner ' OT1[Cl '�The signatures ofthe parties above.apply ONLY to the agreement of the parties to alternative dispute' ,Ar � y se ttlemenhmrtiated,by the,contractor. The owner may initiate alternative dispute resolution el q where this section is not se paratelysigned,by the_parties. YN U f +r tt ar+ ;WHERE`REQUIPED HOMEOWNER TO GET`PERMIT.. Source of Sale: r; i'Gontract Price 'r�' $ �''t THE DOWN PAYMENT SHALL BE {'iT'li.jE,a�1a',y AMiYi(2}. - t d ( - _ 4't : D irt�Payment � i 7 y �,� NONREFUNDABLE DEPOSIT,. ONCE THE THREE , , ` }� ate! �+• `' $ �"� ". - DAY CANCELLATION PERIOD HAS EXPIRED 71 THIS CONTRACT CONSTITUTES THE ENTIRE { yip g �, lell valance Due UNDERSTANDING OF THE:PARTIES. . pon`In 4allation $ 2 t- N Customer acknowledges receipt of a copy of this contract,product warranty and uuplicate notices of cancellation. {. 11u"' f DO NOT SIGN.THIS CONTRACT IF THERE ►RE ANY BLANK SPACES tiDate Down Payment Received: + (Customer.Signat ,e) enut �r gr S� ��l "f� x t (Signature of PEl Representative) r (Customer Signature)r b,ect to the terms and conditions which ap ear on both Page 1 &Page 2 and REVERSE sides of this contract. >` `fit, t v a 2609 780 CNIR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASS,ACHUSETTS STATE BUILDING CODE uVCONSUMER INFORMATION FORM-"SUNROOMS" Massachusetts State Building Code(780 CNiR,Appendix J,Section J1.1.23.1) The Massachusetts State Building Code (780 CHR) includes provisions to ensure that houses and house additions meet energy efficiency standards.This his supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner,constructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for"sunroom"additions to an existing house(780 CMR,Appendix J,Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a"sunrooni"of any size,configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year-round comfort considerations involved in selecting and utilizing a"sunroonn"addition. The connection of"sunroom"structures to residential buildings pm create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house.In the selection and construction/installation of"sunroonns",included below is a non-required,open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a"sunroom".It is recornmended that consumers carefirlly review these options with their designer,builder,or contractor,in order to minimize potential energy consumption and/or house discomfort issues. In addition,the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROONIS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gaskeling materials/seal durnhility and/or weather lightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Syslens • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Ilonneowner Acknowledgment The Massachusetts State Building Code, Section J 1.1.2.3.1, requires that the`actual_L)ro rty owner(not the owners agent or representative)acknowledge receipt of IhiS CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accord/a ce with this requirement,the undersigned hereby acknowledges that she/he has read the information in lhi5rd6unnent concerning sunroom comfort and energy conservation. S g all a of Actual Building Ow cr Date l r Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number 682 780 CMR -Sixth Edition 1 1/27/98 _ w Y < ak` a e }/ i9 i i L i k. s � n^ e ' �)� 'i 2r. x � .�.+_`., °"•y. .� �''a�/a'^"*{ ��,:�� r " +q`,ta^yyY..e"'a�* �4� ,• �� ,�* �3: d t �! #+ Have your beendreammng;af � T .� F'• � r» Fe�`.�� '� sa`��irA'Y.3 Rom; �' ar F•" _ '%�•�. �i Rn u ��� .n remodeling your4home ex�daniigit� ' :'�; ' .� �z��y� �'� t'#•� �"Pn Y "#r xt r r ut• w w �J k.` Ng - :'{. "' � � �.\ ��..: �`. 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Y a .. .,_F'� 3��j�±1 e •'� �{ �;�yf$g� ¢ �- , Giza°n�is•�; � 's ,�•' '' .� ./ �• Suo ��({43Sa�.�`6fS. �.t�i � 5� �sA� $��..-.. 5-'•M:+s.�fl`c�cwrsm,�c ��.anT'' -� �: i h �' °'1. y � Yµ. k '} �-3a�4�`�;�"��Si��� t�t� @ga .{C�. . '�'�"'i:'Y)+"# *M".•F�� � -� yY �.7 c �E_ -`�� � � rt t��}�,� �4$ ;i���. `Y"`�.. �a""T ifi�.�• YF � 6 �1 y k w+i'�4S°*�Yii �`+,RS'�'S.q�°�:ESTC�NG�"f+"3R`.� �� �,N:Y�, •� ^�SF�d .on,X{y%. '.h CFO �0 , . d R . 3 • �' ' • TECHNO METAL POST specializes in permanent structure support. It is reliable and recognized technology for the installation of metal post foundations drilled into the ground. These metal posts give the advantage of an installation without costly excavation. In addition, there is no damage to the posts due to frost. f . 41, I TECHNO METAL POST is highly recognized for its expertise and technical support. ,. ,µ The.unique concept evaluates the structural capacity of the post and the baring capacity of the.ground. Load'testing standards are based on ASTM-D1143 and ASTM-D3689 for deep foundation. Our experts can provide solutions to any project that requires technical WWassistance'on bearing capacity (compression and tension) for the installation of posts We can also assist in the load evaluation according 9 to building codes. q Nf t, ••, .r, 3 an.r nrmFax I WV '►M/ w :' 'YyI V, 0 '{/VY{IA yA µ . ± 4 No digging necessary 3, ' • No delay,construction begins as soon as posts .* • Guaranteed against frost are installed Competitive'pncing • Can be installed under existing structures,,. �tTechnical support available • Ideal for rough and restricted areas No damage to the landscape • Installation equipment adapted br any structure • The posts can be relocated �� • Can be installed below the water table 34z s" a y Bea rig capacity of posts p mved by Most importantly,we have the.olutionsto your, 3 rofessional engineers diff!cult and hazardous work , �pi "�'rFz"a p, -e:• ,.s . '*y 5 i',1's ,etitw h 1 TECHNOMETAL POSTS are"installed according to p detinife-mand rigorous standards certified by refessionals specialized mr soil,engineering.`Authonzed'mstallers have technical 3 ,M �d practical tram rig m tli"h allation of the TECHNO METAL�POST.7he metalAft sr�; . .postsfare drilled,into the ground at a depth of at:least,1.83m,(6) and can reach more� l ., r @R,-,,,'.'f5 24m (50')',"Our:Techno exclusive plastic sheath made of polyethylene;is:'�� y� METAL] POST.;'Our°installations`,are' rise ted sirnulfaneousl on our TECHNO� iC �afi g} wwc+t°*Kxi .n?'a :11,-t A uar�anteed;against,any movement#caaused by frost or settling of theiground o , n1most cases, no excavation is re: uir d avoiding Y damages tot xa k i � ro'ect is a aluated to de ermineghe installat on caper aung� the�mstallation Each p f and -:ate, c• ^ra; .i v 7 -r M z r r+' i ;, t, y+.r 3.�"ca°' equipment requirements p , a� x .. ' Wq/lf'r �E'lif'vi'Vt7 /'`E/►A�i '� X ,: Q�v n 'k tA'l ' t• _: "� £. ��`' " �� �� tea. : '.` a A f '�s +* a 2 t^�'� g S ' >, t ;d c . TECHN.O'METAL POST has developed compact and easyito handle machinery for a k� easy access to all kinds of landscape without damage to the property. For more complex projects, new and larger equipment is available. �4dloz 4-0� and k � ,.f } Foi difficult,access or when obstacles such as stairs, fences or hedges are present, then : ! compact model R21D post is used. The R21D � r" z posts machine can access a building or can be operated from a boat. in h. chores are four-wheel driven and equipped c The large,and the compact ma q PPed with a w f , With T,ECHNO METAL POST Y ''." t5 r - .4... ' I 00 Standard'Installation y� .r , r places with easy access,ythe ,R2D posts can be", AI operated on a trailer. For more complex projects,the new and farger.equipment is ideaL` '_,. t #� ti NO tRv Tsupportlight or heavy: loads, ,the TECHNO METAL` PO$T possibilities are4� e ctensive'tThe capacity,of the TECHNO METAL POSTS.can achieve a load capacity ; �of up to 178 KN/post;(40',KIPS/post).or higher. *'' Ex mples of applications . o , x 1 � Deck,(concrete or Wwood), atio, lamp f *' p post,=clothes line po a _. ;4 cartport;yeranda,` _ azebo °sledY;fence -� solarium;addition, cottage, mobile hom. t r Y Ni 00 • r r` ;r^r, - r l ��x a %rt� y F •,.. «'� ,M_: 6 q .� x,: e {P `• .a- -g�• '•� ar a w y A wide range of commercial projects could �4F- be done with Techno Metal Post R -� , ' (�,' ,�.,$�'.,.::n � 7:� �' •, to q,,, •y " `Additio'ns stabilization, underpinning, pillar support, telecommunications tower, corporate lodge, signs all kinds, tank-and building bollards, etc. >r Addition,stabilization, pillar and floor support; underpinning,' - precision equipment, conveyor, anchor for pipes, etc. K. ,✓�' r 4 r "-L ' Y i` 1!,Ya' `, Cycle path;-pedestnantrail,observation belvedere,walkways,cottage;etc k, Techno Metal Post offers a product perfectly harmornzed with nature Our high"quality equipment'can easily reach sit hat aree difficult to access without damaging the landscape.,fax tr �, 3 f.•.i. i x d S, r> 4 i a.r t ry This unique technology is based on the concept of oversized screw drilled into the ground by } 3 specialized hydraulic equipment. fin,;• 1 Technical chart of the TECHNO METAL POST �� a ..r £ The TECHNO METAL POST is a circularLmetallic hollow tubing with a variable diameter ranging from 48.3 mm to 140 mm (1.9 inches to 5.5 inches) and a variable of thickness ,1 r from 3.68 mm to 5.74 mm (.145 inches to .226 inches). A factory-wielded helix (one or 4 l f more) consisting of a diameter from 150 mm to 600 mm (6 inches to 24 inches) is z attached to the base. These helices serve directly as a foundation. The sizes of the ifl helices are determined by the ground bearing capacity (compactness) of the load. The.TECHNO METAL POST reference standards n ' 'The TECHNO METAL POSTS are made of metal according to the ASTM A500 grade gyCarid a CAN/CSA - G40.21-97 construction metal standards. They are`,heat. p Ygalvanized with a galvanization rating of at least 610 g/sq:m (0.12'pounds per square A. x Moot) according to the CSA-G164M-92 standards. `- ., ' <. . i #f W,�th metal,-poststhese = , 1 dj Co V Adjustable head ` fr Withour r 3 " exclusive$ polyethylene sheath, the 111 , ost,will;not affect the,post ,�i,� .1� s , Exclusive to TECHNO METAL xPOST,this {� Masti�sheathis amatleof apolyethylene. tube' °� , z S pe�ciallydesigned toa;coverthemetallc hollow' fi ; . ; x ,r � 10% it'g�Under frost .conditions, the plastic ,.: its. covermg slides along the tubingGpost m order to � � : �:- "'i rs-A 5 f {,: x s#abihze itsRiN ? , a ` ram �Nolds}back ilk 3 a .' ;' a � k n # a EXc,IU' Load 3# . }' � ;,.t,r'1�i4 tla' 'P K '��3m s > capacity n v. r� t a s 4 x �techno 7'� riy - '{ `a+ a'`,,,; .h ��p '' a ; •: {cam i x > d+ 7a.ro- # Y_ ' H A -. Ss !i . :`R•. �.(5 y„ _� w.... 13 x`Yy��t 4 � � r�.:, � C V y i r I Massachusetts J s� *. 9C Medway Rd,PMB#101 Milford,MA 01757 Patios •Car-ports •Solariums Phone,(508)478-0530 • Fax(508)478-0531 Additions •Walkways•Belvederes `r tt ' www ` technometai ost.com k P Stabtltzations •Houses-Cottages V:S44ocationS TECHNO PIEUX DU NORD Jean Yves and Nicole Gravel Tel (4 8)695 7013•Fax:(418)695-7013 TECHNO METAL POST MAINE t .; *'pars" t ,�1 aTECHNO PIEUX DE LA MAURICIE INC. Michael and.Gu Brochu y Yves Marcoux 5 Phone (207)445 5756 or�207 ) � Tyl (819)375 0666 Fax:(819)375-0110 ,f 1 623 3244•Fax (207)445�44722 TECHND PIEUX OUTAOUAIS ) Fran ois Gamache and Yves,Langevin �+ 4 tTe1.: 819:71 ,2 2067, \1 Fax (819)457-1674 COWNECTICU,T k� �iPg (s�3)Leo a3zor m TECHNO PIEUX DES BOIS FRANCS a Enc Lessa}d ' '1 p MAS$ACHUSETTS Tel (61s>752�t^9 �, �`� �`*s�°a� 'fir¢ ��y���'G�1'f�"'�.�4�E`t. ,��}�'�py�`t - V ♦ � TECHNO•PIEUX a DE LA BEAUCE NEW �$ta hane Pa et r + HAMPSHIRE y�g P q :. x - •el pr ;(418)685 2210 Fax (418)685 2212 s �TECHNO EUX1HUFORD M WC� # ^` ��RHODE S ND �, , E S Ao �y �Cl�ment Bmet and Darnel Thiv�er e �Iy .{� � ." s r � Tel: (418)i332 2139Fax (41�)332 4339 4x UERMONT x k IFCHNp PIEUX RIMOUSK �� rGagtan Demers and'St5phane Paquett T t Nb=METAL F?�QST COMMERCIAL i !tan-D me ers�nd Stdphane Paquet t�arce(Lerou �nd _ ' to�tardTuurpin,PEng. MBA w hone It-eX!(fi13)527 5051�• TEGHNO PtEUX�UUEBEC)_AST3INC T}t I ¢� 8)835-PQ$f� A41A4' Te) (418)6 D2tdorth'SFtor j �( t ." hone {$13) b 1_, { 3 TEC O(�fEU DE LiE TRIE ,RCN 1041 t[A A Tel ' W, F $ 6 s� ry v MA x s . i �� �• : . p RRk' 6w` �.Guy,Ptante� ti5 _ • ° 1' � ° •� ttel"';(819)4 4's4$ ;�� 1 � x � w•{„ �y S rEGHN 8UR-mblifig EG E IjtVH SUq,- ' gwRetr6 Brchu8 Jonathan Brochu " # TIA w PW tutMERCIAUll rT€6 F�(+t5 484 6428t� '" � : E.�..., 1R �1 t'i elF.n . �� ko.Q4�4` ,'` QO Ft• 8<SUNIM0I; 1$ fPfULAVAIARI�NO D ` \ 03Giroux r r 1 CN } I i RUSSIA e " � 1 TECNNO PIEUX(ttJSSiA � �d � } j) r Dmrt V Posnl o o Z PIP � t8•fax t879)75s 15" ryr 1 �' www,technornetai"s ost.c (no,,(095)448-07.90 , 11; • wwna)n� i UX UD S N •Gelt ( )� 2 ,,'-i kr� k.,,v + Tam{8 9f faax t(8819 23-9 '�; 9�.�94a7802 a �— s� t .,� _ ^"�• ,, � E� � may t ,� ��' w t+-a �� MANUFACTURERS OF PATIO&PORCH ENCLOSURES' SOLARIUMS • GREENHOUSES.; ENCLOSURES, INC. CUSTOM BLINDS&SHADES`"= FINE CASUAL FURNITURE 'Y> "An Employee Owned Company" 720.EAST HIGHLAND ROAD' MACEDONIA,OHIO 44056 PHONE:(330)468-0700 1. T FAX:(330)4674297 1' .-¢ `�'= Certification of PEI Roof System The following 18 pages, revised December 23, 2003, contain allowable span data for the Patio Enclosures "Super Foam" sunroom roof system. The charts are specific to Patio Enclosures products, and cannot be used to determine the allowable span of any other roof system. Parameters: j Y�Ti • The charts address the 3", 4-5/8" and 6"thick PEI "Super Foam"roof system for shed and gable roof sunrooms. • Two cases are presented for each roof thickness: A. "Super Foam"roof systems without glass roof panels. B. "Super Foam"roof systems with one glass roof panel in every other panel. • A licensed Professional Engineer(P.E.) registered in the jurisdiction where the project will be installed has certified the information contained within these charts. ; • Applied loads are determined for three snow load cases, per ASCE 7-02: I. Ground snow only II. Ground snow+ drifting snow III. Ground snow+sliding snow • Wind loads calculated per ASCE 7-02, Exposure "B". • Total roof deflection limited to L/120 per IBC & IRC 2003. • Use of the charts is restricted by the limitations listed in the general notes on each sheet. I hereby certify the following: 1. I am in responsible charge concerning the information contained herein. 2. The information contained herein is true and correct, to the best of my knowledge and ability. 3. I am qualified to prepare the information contained herein, based on my education and experience. 4. I am an actively registered professional engineer in the state(s) having jurisdiction over the application of the information contained herein, to which I affix my seal. Name: Karl A. Rinas Date: December 23, 2003 os. �SWOF XiZ KARLAL RINAB4r ' C L ^WoAL Y✓. t } - 4-5/8" Shed Roof . LIU fifi ENCLOSURES, INC. Span Charts F 4 720 East Highland Road =' Macedonia,Ohio 44056 },, www.patioenclosuresine.com Case I — Ground Snow Load or Wind Load General Notes i.......t5.w • This chart is in accordance with installation.procedures established by Patio Enclosures, Inc. and is for general reference. See individual job submittal for specific job conditions. • 50 year mean recurrence Interval used for both roof and snow loads based on ASCE 7 and IRC. • Importance Factor of 1.0 assumed. \ \ ' 1 f, L/120 roof deflection limit used per IBC/IRC 2003 Tables 1604.3(h)and 13301.7(c). • PEI Super Foam aluminum clad roof system with single (- beams. "{ • Where Glass Roof Panels (GRPs) are specified, use of this chart is limited to one GRP In every other panel. The maximum spacing of the GRP from the header or hanger , Is 2 feet. • 12-inch maximum roof overhangon bearing wall. 6-inch P � 9 w, ovewwric maximum roof overhang on non-bearing wall. I :r • %:12*minimum roof slope. R `- r•x Select lesser of allowable spans for both snow and wind as shown below .'-a- Snow Load Roof Span Chart Wind Load Roof Span Chart Ground Allowable Panel Span Wind Speed Snow (mph) Allowable Panel Span Load(psf) No GRP With GRP No GRP With GRP 20 19'-6" 18'-3" 85 20'-0' 20'-0" 25 19'—6" 18'—3" 90 20'—0" 20'—0" 30 19,—0" 17'—9" 95 20'—0" 20'—0' 6 .35 17'-9"_ 17'-0" 100 20'-0" 19'-3" ,.F1I 40 16'-9" 16'-3" 105 19'-6' 18'-6" 45 15'-9" 15'-3" 110 18'-6" 18,-0" 50 15'-0" 14'-3" 115 17'-9" 17'-3" 55 14'—3" 13'—6" 120 16'—9" 16'—9" 't 60 13'-9" 12'-9" 125 16'-0" 16'-0" 65 13'-3" 12'-3" 130 15 —3 1 15'-3" 70 12'—9" 11'—9" 135 14'—9" 14' 75 12'-3" 11'-3" 140 14'-0" 13'-6" $ 80 12'—0" 11'—0" Wind Assumptions 85 11'—6" 10'—6" Exposure"B",3-second Gust used per ASCE 7& w , Snow Assumptions IRC 2003. • Case I applicable to basic snow load only. • Mean roof height less than 30 feet. T For other conditions,see Case II or III. • Maximum permissible roof slope for use of this shed wind chart is 2:12. For slopes higher than 2:12,refer to gable roof wind chart. k Rev. 11/10/2003 ©2003 Patio Enclosures, Inc. All rights reserved. �, tr CA ' o N ® F P Po P E R_w LANES M ft `, N ®T BE ^CCEJ STANDARD LEGEND NOTE:not all symbols will appear on a ma � 1 Mn PP P i GOLF COURSE FAIRWAY Y t EDGE OF DECIDUOUS TREES I , EDGE OF BRUSH ORCHARD OR NURSERY 1 EDGE OF CONIFEROUS TREES 1 , ; MARSH AREA 1 l� EDGE OF WATER � �� OM®^ :/tt 1 =__= DIRT ROAD �0 / 1 'MAP 3 24� Sv DRIVEWAY X i < <---PARKING LOT e OULk02 6 PAVED ROAD DRAINAGE DITCH 4 ————— PATH/TRAIL l AP 3 1 PARCEL LINE** MAP326 MAP# ! 021 PARCEL NUMBER lr `• #367 HOUSE NUMBER i 24 � ,A 1,1, 2 FOOT CONTOUR LINE 3 h5 �— 10 FOOT CONTOUR LINE ', Elevation based on NGVD29 4.9 SPOT ELEVATION Al STONE WALL V X---...._.X..- FENCE 0 RETAINING WALL RAIL ROAD TRAC K i 1 STONE JETTY 1 i _WL_' SWIMMING POOL 1 PORCH/DECK 0 BUILDING/STRUCTURE DOCK/PIER C) r HYDRANT v A VALVE n MANHOLE 0 POST 0" FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H I C 1 N F O R M A T 1 O N S Y S T E M S U N I T D SIGN ® STORM DRAIN x PRINTED SCALEa1 FEET *NOTE:This map is an enlargement of o **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James w ' e 1°=100'scale map and may NOT meet of property boundaries.They are not true locations,and•• W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD o UTILITY POLE ,'m TOWER 0 is 30 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation.Planimetriq topography,and vegetation were mapped to meet National Map Accuracy Standards 1 INCH=30 FEET* enlarged scale. on the map. ;;;c' .at a scale of 1°=100'. Parcel lines were digitized from FY2OD4 Town of Barnstable Assessors tax maps ¢ `LIGHT POLE OJ ELECTRIC BOX i 1 it I i Mew �ec,L p e� . c I � I Y x + h 11p - dkovbt over box j f T G pI y woo 0� A100^ ' � : l.Z� CD n Cam-��r R��� � /►�� 1 �'�°` r li , if � � to Ii I it t i (f I - - E o E4( losV'-es �� _ ^ _ Ro�P�`` E � A 1n cro - I I RESIDENTIAL BUILDING PERNIIT FEES .' APPLICATION FEE New Buildings,Additions $50 f00 � Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE SAS x.0031= _square feet x$96/sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF=TING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f ` � , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building Pit square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost M CMR Appendix d Table JS.11b(condaued) - r� .. prperiptrve packages for One and Two-Family Resideadal Baildlags Rated with Fossil Fueb MAXIMUM MINIMUM Glazing Glaring Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U.value= R-value' R-value' R-valuer Wall Perimeter Equipment Efficiency, Package R value° R value' 5701 to 6500 Heading Degree Days Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V is% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 SS AFUE X 19% 032 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 1 13 19 1 10 6 90 AFUE AA 19% 0.50 30 19 19 jo 6 90 AFUE 1. ADDRESS OF PROPERTY: 0 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ?1000 3. SQUARE FOOTAGE OF ALL GLAZING: ?_00 4. %GLAZING AREA(#3 DIVIDED BY#2): 10 1" 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J r Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 RZ of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 .cavity insulation plus_R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d::scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts Department of Industrial Accidents =��� Olflce of/nvestigat/ons . t, 600 Washington Street Boston,Mass. 02111 —��- Workers Com ensation Insuranc e Affidavit name: r , location �\i2 L2��00 ci 07,G0 1 phone# ❑ I am a hoiieowner performing all work myself. ❑ I am a sole pr rietor and have no one workit in an ca achy �O%%%%%%/%//% /%/%%/%/��%%%%////%/%/%/%//G////�/%/%%%/%/%//%/%//%%%/%%% ng on tthis jo/%b%%%�%�O%/�//G%%%�%%%%%/�%////G%% I am an em to er ravidin w rkers' compensation for my employees working on this job.:: ....::........::.:::::.. ........................ ....... ...... :runt an::name �;..::. ::• ::.;>:.;:...:.;.. .: . :.. ..<:.;•. .:.� , . .:;:. ....... x. ...::..... . addr .: ........ ....:. hone# ........... . .: ...:........ ... .d.. ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have e following workers' compensation polices: com an :.. xj: .::.:::::: ;•a•:.;:•.; :;aria# >>z[. k ...............n ............ ::::::....................................................:..................................:::...... y tb$nrance c hCT cas n ...........:::........:.>;:. :::.:.;::;::>:..::.;:.:::;..::;;:>:;.::::.;•::::.;:<.:;:;•;>;:::.::.;:;•:::•::.::::;:•::::<.;:.::::::::::::::..:.;»:::»>::>?::>::::::..::::::::::•. :address:•:::::::;::;>:>:;:>:;:::::::;:<:::::;:::::>:>::>:::>:>-'•`•: hn iiuurarice �j Failure to secure coverage as required ender Section 25A of MGL 152 can lead to the imposition of criminal penalties of a See up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ee under the -penalties of perjury that the information provided above is true and correct Date ` Q Signature —r Print name iS _ r Phone# Fortown: do not write in this area to be completed by city or town official permittlicense# ❑Building Department QLicensing Board ediate response is required ❑5elechnen's OtHce ❑Health Department contact person: phone#; ❑Other (revised 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 also states that every state or local licensing agency shall withhold the issuance orrenewal 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,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. 1 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and company names address and hone numbers along with a certificate of insurance as all affidavits may be supplyingP P Y 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t`n the Department by'mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any,duestions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Inllesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 F ZME l Town of Barnstable Regulatory Services r BAMSMBLE, " Thomas F.Geiler,Director y nsass. g �ATEO Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: �/� ��1y� Estimated Costs-1 Address of Work: CS( 5 Owner's Na, ©� Date of Application: 'C) I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby appl for a permit as the gent of the o er: IL Go%o Date Contractor am Registration No. OR Date Owner's Name Q:forms:homeaffidav . y Board of]WIding Regulations and Standards HOME fARVEMENT CONTRACTOR tu al i JESSE D.CAM JESS'E CAPRIO j 333SERVIGE RD SANDWICH,MA 02663 Administrator i 92. Puef f30ARD�OF BUILDING+REGULATIQNS License }CONSTRUCTION SUPE-RUASO:R is Numbei:.CS 076950 1 'r IEi{pe�s, /2A~0 , t.no: 76850 Res ted To;`00 ;i zz JESSE P M tPRICS ` 2 BIACiCiYIVCI MASHPEE, 'MA 02,649 m nistratior / 1 r 32 18 - # 9 r' r a - t. 4 6 C� 4 2 O # 5 - r 24027 3 G ..�a= - # 44` # 70 I� [i11F ( J =n EXISTING BEDROOM I I II II EXISTING HOUSE Q � II II � II II II - II 4 q II p PROPOSED NEW I I a r Q ADDITION II O II II skoks _I EXISTING !!�1�+�//�IIITFCPORS r BREEZEWAY � BANNS � �� � •� 13'-3' I I U�p�NG pEpT I EXISTING EXISTING LAUNDRY TV ROOM OLDE CAPE BUILDERS, INC. 333 SERVICE ROAD • SANDWICH • MA rr 6/8/02 JESSE P. CAPRIO CROFT RESIDENCE 56 GOSNOLO STREET • HYANNIS • MA EXISTING FLOOR PLAN A-I Cr 4'-0" 'L 4'-4"....-1 4'- P. 6" ALLS FOR BULKHEAD ----------------------------------------------------------------------------------------------------------------------------------------------- ----------- raii-on- v,///77/ ------------------------------------------------- ---------------------------------------------------------------------------------- -- ----------------t---------------- CCESS DOOR POUR m all CONCRETE EXISTING WALLS :>N POURED coNcRtift FOOTINGSBASEMENT PROPOSED NEW CRAWL SPACE -------------------------------------------------------------- --------------------------------------------------- is. --------------- ------------------------------ --------------------------------------------------- 13, --------------- :----------------------------------- OLDE CAPE BUILDERS, INC. .333 SERVICE ROAD # SANDWICH a MA SCAtf/—Sllal. 11 APPROVED .0 1 rp/s/w IESSE P. CAPRIO CROFT RESIDENCE 96 60SNOLD STREET * HYANNIS a MA FOUNDATION PLAN 7" I Ce �M 48-0" 13'-3 NEW ADDITION 2'-Dab°X 4'314° EXISTING BEDROOM N NEW BEDROOM a MXQ 4 N - mq2-1 q CLOSET CLOSET 2-2'-6" MO EXISTING 0 X BREEZEUAY 0 Q N NEW BEDROOM N 2,$n EXISTING TV ROOM EXISTING BATH/LAUNDRY OLDS CAPE BUILDERS, INC. 333 SERVICE ROAD • SANDWICH • MA APPROVED /SnIi-0n 6/8/02 JESS£ P. CAPRIO CROFT R£SID£NCE 56 GOSNOLD STREET • HYANNIS • MA NEW FLOOR PLAN A-3 ,E v O,G ®�e 8 GEILING JOISTS IX3 STRAPPING 1/2" SHEETROCK R-30 INSULATION 2X4 WALLS R-13 INSULATION 1/2" SHEATHING WHITE CEDAR SHINGLES OVER 14" STUDS TYvEK HOMEWRAP 3/4" T4G BUSFLOOR GLUED AND NAILED 2X10 FLOOR JOISTS 16" O.G. WITH R 19 INSULATION 12'1" SPAN o0 o � - o 4 FT - OLDE CAPE BUILDERS, INC. all POURED CONCRETE WALLS ON - 333 SERVICE ROAD • SANDWICH • MA POURED CONCRETE KEYED FOOTINGS �- 0 &/8/02 1 JESSE P. CAPRIO CROFT RESIDENCE o 56 GOSNOLO STREET • HYANNIS • MA SECTION A A-•� ;.� EXISTING BEDROOM NEW BEDROOM ` x LIVING ROOM a = GARAGE � x Q - h _• tv CLOSET CLOSET O 2W Is'-O" EXISTING X V-0. BREEZEWAY a Q -v 18�, NEW BEDROOM fV 2W EXISTING TV ROOM EXISTING BATH/LAUNDRY 2'4' h MASTER BEDROOM BATH ® '2W 1' KITCHEN LIVING ROOM OLDE CAPE BUILDERS, IN, r 333 SERVICE ROAD • SANDWICH ENCLOSED PORCH 6/8/02 . SSE P. CAPRIO CROFT RESIDENCE `�-Sb CsOSNOi:D:STREET�+°HY,4NNIS••�-�;.._ R324 025 . P P R A I S A L D A T KEY 235775 JONES, ROBERT H LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 43 , 500 86, 300 1 A-COST 129, 800 B-MKT 118, 200 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 1496 JUST-VAL 129, 800 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 70AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 70AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 435001 LAND-MEAN +0% 1298001 130961 IMPROVED-MEAN -3406 2006 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R324 025 . • P E R M I T [PMT] ACT I*[R] CARD [000] KEY 235775 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT r t [PAR] [R324 . 025 . ] LOC] 0006 WALLEY COUP CTY] 07 TDS] 400 KEY] 235766 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 ATSIKNOUDAS, DIONISIA TRS & MAP] AREA] 61AC JV] 312922 MTG] 9212 STITT, SMARAGTHE B A SP1] SP21 SP31 ATSIKNOUDAS WALLEY COURT TR UT11 UT21 . 29 SQ FT] 1830 295 CHANNING RD AYB] 1950 EYB] 1975 OBS] CONST] BELMONT MA 02178 LAND 45800 IMP 123500 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 169300 REA CLASSIFIED #LAND 1 45, 800 ASD LND 45800 ASD IMP 123500 ASD OTH #BLDG(S) -CARD-1 1 123 , 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 6 WALLEY COURT HY TAX EXEMPT #DL LOT 9&7 RESIDENT'L 169300 169300 169300 #RR 1774 0108 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 12/88 PRICE] 1 ORB] 6571/209 AFD] I A LAST ACTIVITY] 06/22/92 PCR] Y RESIDENTIAL PROPERTY MAP NO. LOT NO. 0W8I FIRE DISTRICT SUMMARY STREET -5 -�p.�,TlOd""�ti. Hyannis �2� �5 H 13 LAND (:>t:) �'. BLDGS. c r OWNER TOTAL r.a 1�10. _..._ .._. - LAND RECORD OF TRANSFER i DATE BK PG I.R.S. REMARKS: Lot 4 � BLDGS. Area Chg. ,1983 F - TOTAL - II. �1T -�82�� See #3Z4-26 33a LAND BLDGS. TOTAL I)ss.Anna G. , Jones,Robert H. & Re,. ' — — LAND osNa ST rJ/.I�/ a Ol BLDGS. TOTAL LAND O1 BLDGS. ` TOTAL LAND BLDGS. 01 • TOTAL LAND BLDGS. OJ TOTAL LAND INTERIOR INSPECTED: / //��^- � � BLDGS. -- 1 �// TOTAL DATE: o?O 7/ c-4 ?'V HLADL ACREAGE COMPUTATIONS 01D TYPE # OF ACRES PRICE TOTAL DEPR. VALUE HOUSE 5�°,7.0 cl O C) HLANDCLEARED FRONTREAR WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAND _r• BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PTDEPTHEFL TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER 0 BLDGS. — HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. 01 . [Done.Walla Fin.Bsmt.Area Bath Room / Bas LAND COST Q �2•d BLDG. COST Cone.Blk.Walls Bsmt.Rec. Room St.Shower Bath Bsmt. ti• anc.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. DATE PURCH. PRICE. Brick Walla Attie FI.&Stairs Toilet Room Roof RENT •� • tone Walls Fin.Attic Two Fixt.Bath Floors 9.00 iers INTERIOR FINISH Lavatory Extra smt.' F 1' 2 3 Sink A rh r/� V I., Plaster Water Clo.Extra Attic EXTERIOR WALLS Knotty Pine Water Only oubls Siding Plywood No Plumbing Bsmt.Fin. 3 ,y Ingle Siding Plasterboard Int. Fin. 11 Shingles TILING onc.Blk. G F P Bath FI. Heat .i.- 2 ace Brk.On. Int.Layout Bath FI.&Wains. Auto Ht.Unit U� Veneer Int.Cond. Bath Fl. &Walls �` l Fireplace om.Brk.On HEATING Toilet Rm.FI. Plumbing /ea olid Com.Brk. Hot Air Toilet Rm.FI.&Wains. Steam Toilet Rm.FI.&Walls Tiling O �y lanket Ins. IALHot Water St. Shower oof Ins. Air Cond. Tub Area Total Floor Furn. C x O ROOFING COMPUTATIONS ' ksph.Shingle /' Pipeless Furn. D S.F. aS0 Q O Nood Shingle No Heat S.F. %sbs.Shingle Oil Burner s.F. a 50 .lr1�l Nate Coal Stoker S. F. file Gas S F OUTBUILDINGS ROOF TYPE Electric (� Sable Flat S.F. 1 2 3 14 5 1 6 7 8 9 1 101 1 2 1 3 1 4 5 6 7 81 9 110 MEASURED lip Mansard FIREPLACES S.F. Pier Found. Floor r Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing lonc. LIGHTING Dble.$dg. Shingle Roof ;7--", PineDATE Earth No Elect. Shingle Walls Plumbing Hardwood ROOMS Cement Blk. Electric AsDh.The Bsmt. ]st TOTAL Jt�' Brick Int. Finish ED Single 2nd 3rd FACTOR REPLACEMENT 1,1F71-1 7— OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Vunct.Dep.j ACTUAL VAL. DWLG. l _ ) S `j Fie?✓ S ti�- S "—U 2 — 3 4 g' 6 7 9 10 - I TOTAL CsO 'ROPERTV ADDRESS I ZONING I.DISTRICT CODE SP-DISTS.I DATE PRINTED CSTATE LASS I PCS I NBHD KEY No. 0056 GOSNOLD STREET 07 RB 400 07HY:; 07 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADJ'D.UNIT Land By/Dale Size D�mens�on LOC./VR.SPEC.CLASS ADJ. CON.. PE PRICE PRICE ACRES/UNITS VALUE Description J ONES P R OB:E RT H M A P— CD. FFDe tnlAcres #LAN D 1 43..5 0 0 CARDS IN ACCOUNT — L 10 1BLDG.SIT.1 X .31 =10 203 64999.9 131949.9 .33. 43500 #BLDG(S)—CARD-1' 1 86.300 01 OF 01 4 I #PL 56 GOSNOLD ST HYANNIS COST 129800 BATHS 2.1 U X C= 100 9500.0 9500.00 1.00 9500 3 #OL LOT 4 MARKET 118200 BSMT S X C= 100 7.2 7.2 708 5100-8 #RR 0617 0107 1774 0137 INCOME A #SR WALLEY: 000RT USE D APPRAISED VALUE J A 129.800 4 U PARCEL SUMMARY F S LAND 43500 T BLOGS 86300 �0—IMPS E 40TAL 129800 E CNST N DEED REFERENCE Type L DATE Recp.Owo R I O R YEAR VALUE T - Boot, Page lust. MO. \,,.�DI sales Pricy LAND 43500 S I 3790/292: '07/83 IBLDGS 86300 a TOTAL 129800 BUILDING PERMIT Number Dale Type Amount LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD—AOJS UNITS 43500 4400 Class Consl. Total Base Rate Atl Rate Year Built A Norm. Obsv, Units Units I A 19 Be Depr Con tl. CND Loc 4p R G Repl Coal New Atll Repl \'slue $tortes Haigbl Rooms Rms Balns a Fix. Pertywatl Fac. 0 000 110:110 60.05. 66.06 20 70 24 74 100 74 116687 86300 1 .0 6 2 2.1 9.0 r ip,i Rate Square Feet -IT. I Cost MKT.INDEX: 1.00 IMP.BY/DATE. / - SCALE. 1/00.40 ELEMENTS CODE CONSTRUCTION DETAIL i 100 66.06 708 46770 IGROSS AREA 1496 TWO FAMILY DWELLING CNST GP:00 FEP• 65 42.94 72 3092 *--18--* N STYLE 05COLONIAL OLD 0.0 ? FSF 90 59.82 788 46847 ! FFG *-----30---* DE ADJMT 62DESI-- ADJUST 10.0 FfG 30 19.82 432 8562 24 24 FSF --- -_ - -- ------------------ 1 1 E_XTER.W_A_LLS _ _01 OOD FRAME 0.0 813 1 5 9.91 708 7016 ! 18 1 EAT/AC TYPE _62G_A_S_-- _-----_-_-_ --- ! ! 30 INTE0 FINISH UD Or.O *--18--*--18—* ! NTER.LAYOUT 02 - --------- - -------- --- ----------------------- _ 0_D 1 12 = NTE9 QUALTY 02 AME AS EX TER. 0.0� - - ------ --- -- - --- ' t ! *--! f_LOOR STR0CT 00 0.0 D - W *-13- 12* E LOOK COVE_R 0.0 __-- -UO ___ ----------------- E Tplal Aram Ava _ 1 212 Base. 1 496 8 8 ROOF . TYPE DU ---- BUILDING DIMENSIONS i *—1 3—* L E C T R I C A l _00 0.0 T BAS Y14 N06 FEP W12 S06 E12 N06 28 BASE ! --------------- A FOUNDATION t�0 99.9I BAS W12 N28 E13 FSF S08 E13 ! ' ! ------------- --------------- -- - - --- ---------------------- NU8.W12 N30 W30 S18 FfG N24 W18 --- L 26 NEIGHBORHOOD �DAC HYANNIS S24 E18 .. FSF E18 S12 E11 .. ! LAND TOTAL MARKET BAS S08 El S26 .. B13 N26 W13 *-12—* 813! PARCEL 43500 128730 873 N08 W13 S28 El S06 E14 813 .. *-12—*-14—X AREA 0 FEP VARIANCE +0 +1387 STANDARD 20 J J [R324 025 .` ] TAX ACCOUNTING [ ] 7822- [ 2357751 RECEIPT NO. PAYMENT Sa YEAR/B.G. AMOUNT ODATE ' TYPE PID 0 [ ] A ] 2ND DUE A9701] A 1, 011 . 79] A0225971 [2] ] [ ] A ] FULL DUE A9701] 1, 011 . 79] A0225971 [F] ] ------CERTIFIED OWNER------ TAX DUE 2, 334 . 69 ] OUTSTANDING 1, 011 . 79 JONES, ROBERT H ] TAX CODE 400 ] CITY 071 DISTRICTS HY ------JANUARY 1 OWNER------ ACTION ] MORTGAGE CODE A0000] JONES, ROBERT H ] ----CERTIFIED VALUES---- -------CURRENTOWNER------- TAX EXEMPT . 00 ] JONES, ROBERT H ] TAXABLE . 00 ] REGINA C JONES ] RESIDENT'L 129, 800 . 00 ] 56 GOSNOLD ST ] TAXABLE 129, 800 . 00 ] HYANNIS MA 026011 OPEN SPACE . 00 ] 00001 TAXABLE . 00 ] -----LEGAL DESCRIPTION----- COMMERCIAL . 00 ] #LAND 1 43, 5001 TAXABLE . 00 ] #BLDG (S) -CARD-1 1 86, 3001 INDUSTRIAL . 00 ] #PL 56 GOSNOLD ST HYANNIS ] TAXABLE . 00 ] #DL LOT 4 ] ] #RR 0617 0107 1774 0137 ] ] LEGAL DESC CONT'D f OF1HE Tom, Town of Barnstable Regulatory Services MASS. Thomas F. Geiler, Director 'AIFo;orA�� Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Linda FROM: Lois DATE: 1/29/08 RE: 56 Gosnold Street, Hyannis Melodie Beveridge, 428-3235, came in today. Her parents, who owned 56 Gosnold Street and had a family apartment, died last year. Melodie,her sister and brother now own the property. She and her sister want to put it on the market. The brother wants to keep it for a vacation home. I told her the apartment would have to be removed if he uses it as a vacation home. Also told her I would let you know and you would follow up at some point to see if it is on the market. Town of Barnstable Regulatory Services pt 114E TOk� Thomas F.Geiler,Director Building Division R,qS T i y BMMSTAaLE, Tom Perry, Building Commissioner 9 MASS. 1639. �0 200 Main Street,Hyannis,MA 02601 ArFD MA'l A www.town.barnstable.ma.uS �� � �� # @ � !: �C 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-za,n n e_. `l on e-5- r0 I am the owner/resident of the property located at: .5-& 6ocnold 5�-- /WC" N ' `J7oUJ_C; The following members of my family will be the sole occupants of the Family Apartment,at the aforementioned address: Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for 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 1 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 k Sworn to under the pains and penalties of perjury this 7 day of 2007. 5_4) 776 --�-79d Si e Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable do Regulatory Services • snxxsznsLE, 9 Mnss. Thomas F. Geiler, Director �A .s6gq ♦0 rF1639 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 January 25, 2007 Lizanne Jones Croft 56 Gosnold Street Hyannis, MA 02601 Dear Ms. Croft: Enclosed is the Family Apartment Affidavit for you to complete. Please list the residents of the main house and the residents of the family apartment, and return the form to me. Sincerely, Lois Barry Division Assistant Enclosure Town of Barnstable 0�C Regulatory Services °F1HE TOE, Thomas F.Geiler,Director Building Division f UWtj OF 0l?R S A61-1 snxxsznsM » Tom Perry, Building Commissioner 9q, MASS. Hy MA 02601 20 6 JAN I I PM I� 59 1639• �0 200 Main Street,Hyannis, i°rFo '�s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is eg a 6¢.t-�- 14, zo n e-S I am the owner/resident of the property located at: Map and Parcel Number R-3 2 O Z S Lo+ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: L�Zah�� �oov�es C'�a�f da��I�+ter Name & relationship to owner: 'k7o62r"1" 0-r-DEL '50h *141 La o 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 '[3't-h day of a11UQ!:Y 2006. 5 07-72S- 4g9 d Signature T Phone Number r Print Name e J�0 (2-f-4— 0 h e S Q/bldg/forms/famaffid Rey:1/03 r op Town of Barnstable Regulatory Services g Y �peTHE rpk� Thomas F.Geiler,Director Building Division sARNSTABLE, Tom Perry, Building Commissi°°� . 9qj MASS. 9. � 200 Main Street,Hyannis,MA 02bD MAR _ QM 2� 55 ATFD MA'1 A www.town.barnstable.ma.us 151VIJIQa 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 Sb b e r-t I am the owner/resident of the property located at: _6 Cl 6 C;W eS L Z) *INA/i Map and Parcel Number3� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ,� �✓�LC� Name &relationship to owner: 1%BE47— /J, CADE7 ' 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 1 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 an enalties of perjury this l day of 005. Signature Phone Number Print Name Q/bldg/forms/famaffd Rev:1/03 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Ri S(A ELis Building Division r.' F a G , BARNSPABLE. % Tom Perry, Building Com n nmt sst ionerj ,�, MASS 039. 200 Main Street,Hyannis,MA 02601 QED MA'S A 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 b 6 -P—I^Z Q'o&,�C S I am the owner/resident of the property located at: '*—f6 01-0,wo I- ,d s�, - /VVA Map and Parcel Number 3 V D,2s: �- a # The ZBA granted me a Special Permit/Variance on / S/ 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: � Z Q h Name &relationship to owner: Rz ,b-e,- r fir- e F X (' 4 a> ) The Family Apartment will be the primary year-round residence for the above identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this ,aa j day'of -7—k / 2004. 9 —'7 Signature Phone Number Print Name Rpbef,114.-J--DW-eS I*- Ree iaa c :;&Ar-e C Q/bldg/forms/famaffid Rev:l/03 U � � Town of Barnstable / Regulatory Services °F TWE�°y� Thomas F.Geiler,Director 1 30 0 � Building Division • sAxxsr.4m Tom Perry, Building Commissioner y MASS. �A 1639. 200 Main Street,Hyannis,MA 02601 rfo tom'+" 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 Ro46 e w 17• aAIS' I am the owner/resident of the property located at: ocT ✓D L.D S77 /S Map and Parcel Number eta!V 73 auk The ZBA granted me a Special Permit/Variance on Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book,3 0 Page, Q .The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ._l o N S Name &relationship to owner: 6 T Name &relationship to owner: D b e FJ: o:f T [ `SDV /1�� I-A 40 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.,)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 day of 2003: o be . T ooe s ' e i . �o e S Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable /< Regulatory Services pUtNE�oh� Thomas F.Geiler,Director Building Division * sAxrvsTAatE, " Tom Perry, Building Commissioner y MASS. 039. 200 Main Street,Hyannis,MA 02601 ArED NIA'1 A 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 Rob e w �o��s I am the owner/resident of the property located at: S4 G o(SA10 4-D 677 Y gAIN/,$ Map and Parcel Number R, 34g The ZBA granted me a Special Permit/Variance onL? Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book Page The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: .JoN�S Name &relationship to owner: 41zI A06 T Name &relationship to owner: /,.A42) 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 day of ------- 2003. %Robes . Tones e i . �o eS Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services Thomas F.Geiler,Director _ TDW NI °J µ B A REST ALE 0 Building Division snaxsrwsu. = Tom Perry, Building Commissioner 2aIL2 JU KAM a�� 200 Main Street,Hyannis,MA.02601 Office: 508-862-4038 "`'u,VISIOItax: 50 90.6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is gOberi EC Fe-qI A C��O 0 e—S I am the owner/resident of the property located at: 5(v G os h o l a st, 0y ct n n'i s Map and Parcel Number R 3 2-4 0 ZS :t�- The ZBA granted me a Special Permit/Variance on 1412191 19,91 o Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address:. n r Name &relationship to owner: i 2-a n In e- ToVl e5 C(o L+ G au!- k1 e_f Name&relationship to owner: Ro 6e-r+ , M . Cro:C+. Son — t n-1 A W 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 1 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 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 3 t day of M 6_V 2002. 9 Phone Number Kobe � J on e 5 Vp_ i- �a C'_, �oneS -��s-�{g�8 Print Name �_ ___ _ _ _ _ _ _ . . �1 ����� i � ,, �' , f � �J � r � �,. �� o� � i � - � � . Q } • A AWY BARNSTABLE 0 ®rae..S ,being on oath, depose and state as follows: 1.)t reside at we_ are, 2.)jzmi.the owneiSof the pro erty located at 3 &oSP)Ojct 5 �n shown on Barnstable Assessors' maps as MAP R 3;z o25' PARCEL aT==: We' have a Family Apartment at this location. 3.4 Do O a I .the Zoning Board of Appeals, on Appeal No.l n 4.) Apartment at the above address. granted me a Special Permit/Vatiance to maintain a Family ou r b we_ 5.)-f understand that the Family Apartment may only be occupied by members of family who are persons related to meby blood or by marriage. JAS au.r I occupants of the Family Apartment at the 6.The following members of Wfamily will be the sole above address: '-T' On es NAME Relationship to owner. d ae- b) NAME l d 6 Cr-�- M . Cro 44- Relationship to owner. -in - ��- . The Family Apartment will be the primary Year round residence for the above-identified famil 7) y members. we 8.) In the event that the above-listed relatives) vacate said apartment,&will immediately notify the Building Commissioner in writing. A i ermined. 9.) 1 understand that no subletting or subleasing of said Family Apartment s P p we file an Affidavit with the Building Commissioner 10.) understand that I am required to annually said Family Apartment. listing the names and relationship of my family members occupying WC w e:&re 11.)kunderstand that fa=required to comply with all conditions imposed by the Board of Appeals in Appeal No. We 12.) fagree to immediately notify the building Commissioner in the event of the sale of the above- listed property. foot Sworn to under the pains and penalties of perjury this _LaLday of o-r(,( Signatur Print Name Robe.r� won e 5 �e i��- c Tone- S COMMONVWEAUD-I OF MASSACHUSE'1 r5 / BARNSTABLE AFFIDAVIT \1 A N Psng on oath, depose and state as follows: 1.)-&rreside at11r1J1 ==--------------- we 2.)Xaa the owner of the property located at -� �_C�oSN1J 4- D—" -- ---------------- -- shown on Barnstable Assessors' maps as M P31�2s PARCEL _ ! --------------- 3.)- o ___HU-nOt._______________have a Fainily Apartment at this location. 4.) On_ __, �1-___, the Zoning Board of Appeals, on Appeal No.L 251 6e) granted ia Special Permit/Variance to maintain a Fainily Apartment at the above address. vur- 5.4understand that.the Family Apartment may only be occupied by members of-iny family who are persons related totes by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at.the above address: a) NAME__ a i- ' /y-Al-e— S Relationship to owner:__-� ��r�.� -------------------------------- b) NAME---____-- ------------------------------------------------------------ Relationship to owner:_______________________ 7.) The Family Apartment«rill be the primary year round residence for the above-identified family members. 1//S % //VT vo % TI.VJ-e-'5` 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. �.,e u.'Y e v cz.9T-e j v--- 0k derstand that.no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit.NVith the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 1 1.)1 understand that r'equrred to comply math all conditions imposed by the Board of Appeals in Appeal No. L � _�Z�--------------- ----------------------------- W-.-- 12.R agree to rrllrlleCllately 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------------ 199____— Signature -------------------- ------------------------------------------ Print l\Tallle i �. COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT -41 depose arrd stale as follows: E D I.}reside a FEB 2 3 1999 t --`S-�- D /12�--0 _—� _J1 �4 J1r11---------- - ----------- we- TOWN OF Bq,RN 2.)Xa� w the oneisof the roperty locate I BUILDING Div. .4BLE at QoS'NTJ_L 1 r--!i GV�1 �- - -- -- ----------------------- shomi on Barnstable Assessors' maps as MXP'k3,2-"2�S- PARCLI., ____---__-_hay e a family Apartment at this location. 4.) On � �� , --____, -9-or___, the Zoning Board of Appeals, on Appeal No.-/�??/6U granted a Special Permit/Variance to maintain a Family Apartment at the above address. r our-- 5.4understand that the Family Apartment may only be occupied by members of-kny family who are persons related to wf 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 --) D d '— . �L 2—9`-�' O CC A Yes Relationship to owmer: ---------------------- b),NAME ---------------------------------------------------------------- -- Relationship to owner:____________________________ 7.) The Family Apartment will be the primary year round residence for the above-identified family members. vI 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in 11TA111g. 4. derstand that no subletting or subleasing of said Family Apartment is permitted. w e_ I0 j t understand that.I am required to annually file an Affidavit mith the Building Commissioner listing the narnes and relationship of my family members occupying said Fan-illy Apartment. 11.)1 understand that- required to comply with all conditions imposed by the Board of Appeals in Appeal No. �R - a----------------------------------------- 12.E 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 _ � y of Signature; Print Name - ----------=--v-----S------ �Nr�_C-_— ----e�--- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE rQIA AFFIDAVIT W 2 Y �FE'rlY�l_Ca_�� , be g irvp t�Nsr depose and state as follows: (7s' J,q� "04'pr BCE )L 11998 1.)4:reside ate J�"Lb_!�S4_HyA_11 � T------------- - - - - - vv - 2.)+am the owneL_Vf the property located �S --- shown on Barnstable Assessors' maps as MAP,' 3,2_�D�-,,C_PARCEL--_ V1e 3.)�FDo___NA lr __have a Family Apartment at this location. 4.) On-_ 1 1RI ; the Zoning Board of Appeals, on Appeal No.J9��'4 0 grantedvW d Special Permit/Variance to maintain a Family Apartment at the above address. v� u' oWr 5.)-t understand that the Family Apartment may only be occupied by members off family who are persons related to M by blood or by marriage. CYLLVI 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: _ ,p _ �rku15 a) NAME_ ?� ?_ r`" -- - '--� 1 �!� � - ' C :�_7�d/SZ LJ 6 � �11�� /9'd A v Relationship to owner:_J--&�_gam_;T-AA4 4�----- ---------------------- b) NAME_ 'L_ Relatiofp to owner:-- �#�J _ -�1� _ U ,S ---------- � �`, 7.) The Family Apartment will be for the above-identified family members. Vjs j—( N? lsv� 8.) In the event that the above-listed relative(s) vacate said apartment,*vill immediately notify the Building Commissioner in writing. •-- b�n i V t %,kt we_ 9.)'40itnderstand that no subletting or subleasing of said Family Apartment is permitted. W LL tag f tOtunderstand thaV required to annuauy file an Affidavit with the Building Commissioner listing the names and relationship of! amily members ' said Family Apartment. We- � ,ors V`5 rA L�t 11.) understand thatt-aorequired to comply with all conditions imposed by the Board of Appeals in Appeal No. _�1r- -�'_ ' -------------------------------------------- 12.)T-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 199 ___ Signature Print Name / fr I i ' i � ofWE The Town of Barnstable Department of Health Safety and Environmental Services B,,STMM $ Building Division '059. 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 5, 1998 The Jones Residence 56 Gosnold Street Hyannis MA 02601 Re: Family Apartment located at the above address Dear Mr./Ms.Jones, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, n Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/05/98 PARCEL ID 324 025 GEO ID 23577 LOT/BLOCK 4 DBA PROPERTY ADDRESS OWNER JONES 56 GOSNOLD STREET ROBERT H REGINA C JONES HYANNIS 56 GOSNOLD ST HYANNIS MA 02601 PHONE DISTRICT HY DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RB SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 14374 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 104 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT I i rry SITE PlM REVIEW J U N 1 7 .1994 COMMONWEALTH OF MASSACHUSETTS E E BARNSTABLE, ss: LL � AFFIDAVIT b`Ci� }�, �T�JV,_s being on oath,and state as follows: depose reside at (5-6 s Alb e- J 2• ) Z a the owner of �e p operty loca ed at e /j/DJ- shown 9.9 Barnstable Asses ors ' Ma Map Lot on _ /7 /7-Q ,i9 , the Zoning Board of Appeals, on Appeal ,_rqE2yl n special permit to maintain a family ``partment�atrtheeaboved -meaaddress. 9 • ) I understand that the family apartment may only be occupied by .members of my family who are persons related to me by blood or by marriage. 5. ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name• Relationship to Owner: (2) Name• Relationship to Owner: 6. ) The family apartment will be the Primary 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 u^:Jerstand . that I am required to.-comply with all conditions imposed by the Board of 6 a Appeals/ in Appeal No. C/F/ -- 10. ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed Property. Sworn to u er the day of pains and penalties of perjury this 19 (Signatur (Please Print Name) ; COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT and state as follows : -- '� , being on oath, depose 1 . ) I reside at 5 _(°�os\n� _ `Fc�inv�t S 2 . ) I am the owner of the ° 5>6 G0o property located at shown on Barnstable Assessors '� Map Maps as : 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. 9 . ) I understand that the family may only be occuPied by 1ieti�;eis ,-,r are " m farnily who �,�y ,�a�,t me by blood or by marriage . persons related to 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address; (1) Name: saSg2.�o�S Relationship to Owner: (2) Name : ° Relationship to Owner: a 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 apart.me,"It., 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 ti-lat 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. i0 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains 4(Please d --=�_ day of �u,� Penalties o erjury this TOWN OF BARNSTABLErintgm ) : BUILDING DEPTJUN a 1993 ; RL2 V%.0, o��g �•t COMMONWEALTH OF MASSACHUSETTS MaY, �� 8 199ai r imtaG ARNSTA'B E, s s: AFFIDAVIT Tagj Q!'9.hvJSTAM I ,n b i A, being on oath, depose e and state as follows : 1 . ) I reside at_d5 lv &okylyh (_10 2 . ) I am the owner of the property lo,at•ed at TZ shown n Barnstable Assessors Maps as : Map LZd- Lot Sf 3 . ) On l— M-- , 19 the Zoning Board of Appeals, on Appeal No. 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 occupant, of the family apartment at the above address: (1) Name:_ AAr Relationship to Owner: . (2) Name: Relationship to Owner: 6 . ) The family apartment will be the primary year- round residence for the above-identified family members. 7 . ) In the event that the above-listed relative(s) vacate said apartment. , I will immediately notify the Building Commissioner in writing . 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to•.comply with all coed tons imposed by the Board of Appeals in Appeal No. — y 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. / S rn to under -the pains and penalties of perjury this f aY of (Sign ure) (Please Print Name) : COMMONWEALTH Of MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT 7�- being on oath, depose and state as follows : 1 . ) I reside at �9-d 4rA/O 2 . ) I am the owner of the property located at shown on Barnstable Assessors ' Maps as : Map _ i39 Z , Lot o 2.5- 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 a artment at the above address: (1) Name: A : R 0 < � 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 t.hcat 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. / i- ( o 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the ,above-listed property. Sw rn to under the pains penalt s of perjury this -.Q2Y., "ay of 19 . p R� �0 (S 1 natur •, (Please Print Name) : AWAY 2 S po _ I7 E� IfD 6 -e t- rvry: COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss:, AFFIDAVIT e U D V1t__ I a being on oath, depose and state as follows ; 1 . ) I reside at 2 . ) I am the owner of the property located at shown on Barnstable Asses r 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 occupant of the f roily apartment. at the above address: (1) Name Relationship to Owner: (2) Name: VA Lih '►n_ l Relationship to Owner: • 6 . ) The family apartment will be the primary year-• round . residenee 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 r- d;tions im osed by the Board of Appeals i Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this day of 19 � � (Si atu e) (Ple Print Nar[te RIO 1- A- /V � l _ 3Joseph D. DaLuz Telephone: 775-1120 Building Commissioner Ext. 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS , MASS. 02601 May 16 , 1990 Mr. Robert H. and Ms. Regina C. Jones 56 Gosnold Street Hyannis, MA . 02601 Re: Family apartment located at 56 Gosnold Street Dear Mr. and Ms Jones: A year ago You filed an affidavit with this office re the above referenced 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 'j(-)ur convenience. Please complete this form and return it to this office as soon as possible. 6r ph D. ftau z Building Commissioner JDDIkm enclosure R 3.234 025, EOCJO056 GOSNOLD STREET CTYJ07 TVSj 400 HY KEYJ 235775 ----MAILING ADDRESS------- PCAJ1041 PCSjoo YRj00 PARENT] 0 JONiS, ROBERT H MAPJ AREA]70AC JVJ MTG10000 REGINA C JONES SFIJ SP2] SP3J 56 GOSNOLD ST UTIJ UT2J .33 SQ FT] 1496 HYANNIS MA 02601 AYB71820 EYBJ1970 OBS] - CONSTJ 0000 LAND 80400 IMF 99500 OTHER ----LEGAL DESCRIPTION---- TRUE MET 179900 REA CLASSIFIED #LAND 1 80,400 ASO LNO 90400 ASD IMP 199500 ASO OTH #BLOG(S)-CARD-1 1 99,500 DESCRIPTION TAX YR CURRENT, EXEMPT , TAXABLE #PL 56 GOSNOLD ST HYANNIS TAX EXEMPT #DL LOT 4 RESIDENT'L 179900 179900 179900 #RR 0617 0107 1774 0137 OPEN SPACE #SR VALLEY COURT COMMERCIAL INDUSTRIAL EXEMPTIONS SALEJ07183 FRICEJ ORBJ37901292 AFDJ LAST ACTIVITYJ00100100 . PCRJY ---------- -------- ------------- R324 025 o A R E A. C A L C U L A T I 0 N [CAL] KEY 235775 CARD f I J ACT ION f U J PLOT—NGf 000000G J N .ELSE f '708 Jf FEP JJ 72Jf ----IS-------------30------- ] FSF JJ I04Jf FSF r J FSF JJ 684jf = IS ! FFG JJ 432Jf 24 ! r f JJ If J 30 J f JJ Jf r J f J J Jf ----I S---- 12 f J f .7J Jfri F El - f JJ if 6 *---I3-- --I3-- J f JJ if FSF J I JJ Jf --I3-- J f JJ if 40 28 f JJ Jf 34 LASE.' 7 f JJ if 26 26 J r JJ Jf f _ t JJ Jt ` ' ` •' J f JJ Jf FFG*---I2--*�� J 29*-FED°--X*--I4--* J S 000I 52831 XNT f?J •5 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , / D ��' Ea 1Jt�j� �'-, QrD��e'ing on oath, depose and state as follows : 1 . ) I reside at s_�6 OJ-,o S A'� L D S'y" r 1V,4,4L��5, 2 . ) I am the owner of the property located at shown on Barnstable Assessors ' Maps as : Map A 04 , Lot Ca 3 . ) On 19__, the Zoning Board of Appeals, on, Appeal No. '(P o g p ranted nee 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: l A/AlA a � pSte, Relationship to Owner: ^97'fi'� (2) Name: Relationship to Owner: 6 . ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that 'no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that. I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains penalties of perjury this .�.�day of 19�. I (Signatur ) (Please Print Name) : f'-0 66 �,. Joseph D. DaLUZ Telephone: 775-1120 Building Commissioner Ext. 1.07,., TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 April 'i 9, l 989 Mr. Robert H. Jones 56 Gosnold Street Hyannis, MA 02601 Re: Appeals No. 1981-60 Dear Mr. Jones : On December 3, 1981 , 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 re presentative 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 tt,)e First District Court of Barnstable. 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, , J s ph D. D L rz Building Commissioner JDD/km cc Board of Appeals Town Counsel Tn c BARNSTABLE ` �� BLE:P1ASS. Board of Appeals '81 DEC 17 AH10 57 _...l;ohert....H.......ilQ.n.c.5......................................................................_.. Deed duly recorded in the ...................................._.............._ Property Owner County Registry of Deeds in Book .................._..... ftabe.r.t....t!..,.....Jar1e ......................................................................_.._ Page , _....................._.. _ ..........................Registry Petitioner District of the Land Court Certificate No. ........................I ........................ Book _.__..._.:...... . Page _...._....... _ AppealNo. .................1.9.8.1..-.6.0............................_ D. G. mb . .....1.4..................................._.._ 1981 FACTS and DECISION Petitioner .._............RQ.hp.rt....H......,JS211u.............._................_................ filed petition on ..KSzv.P-mb-ar.......1.3......_ 19 81 , requesting a variance-permit for premises at .._.......56....G.osno .d........................................_ Street, in the village see a of ......klyann..i.s..............................................................._., adjoining premises of ...................... ttached li_._........_...............__........_..........s.._...t ......... for the purpose of .....Special .Permit to al low Family Apartment under Sec. V. of ...........the z2ni.n.0...b.Y..-.1aws........................... Locus is presently zoned in.........Res i_dence B ....n...........B......o......p.....p........ _..................... ................._..._........................................_.... _. Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town 7. 30 X December 3 81 Office Building, Hyannis, Mass., at :............._._ P.M. _.............................................._.r ._.........._._._.__._ 19 , upon said petition under zoning by-laws. Present at- the hearing were the following members: Richard L. Boy..................._ Frank P. Cong.don........................._ ......GaJ 1 Night!.n.9a.i.e..............._._ .............................................._. .... ................................. Chairman At the conclusion of the hearing, the Board took said petition under advisement. A view of the 1'oebs was had by the Board. Appeal No._.__.._...1.9. .1.�.1?Q....-.........-..--....-- Page .......2.............. of .......2.........._. On ------- _._. _._..:.... .__.. _._......-.M. ._ 19 .8.1........_, The Board of Appeals found Attorney Robert M. Laird represented the petitioner and and explained their request for a special permit to allow the installation of a family apartment at 56 Gosnold St. , Hyannis in a residence B zoning district. On September 14, 1981 , a permit was taken out for an addition to the house owned by Robert Jones and this existing addition consists of a bedroom, bathroom, and living room with a breezeway attachment to the main house. This is an old house and the main part would be occupied by .Robert and Regina Jones with the addition occupied by Mr. Jones ' mother, Mrs. Ross. The petitioner plans to install a kitchenette unit which will consist of a refrigerator, stove and sink and the unit to be installed will be as shown in the brochure presented to the Board. Mrs. Ross will do her own cooking only during those times when her son and daughter-in-law are not at home. The family apartment would contain 540 sq. ft. of area and the main dwelling to be occupied by Mr. and Mrs. Jones would contain 980 sq. ft. of area. The addition has been used for single-family occupancy and has had residential use only. No one spoke in favor of or in objection to the petition and the Board took the matter under advisement. The Board voted unanimously to allow a family apartment in the existing residence at 56 Gosnold St. , Hyannis and found that the petitioner can comply with the 50% requirement as outlined in Sec. V. 1 . (d) of the zoning by-laws since the main part of the structure contains 980 sq. ft. and the addition contains 540 sq. .ft. for a total of. 1520 sq. ft. The family apartment would contain 540 sq. ft. which is less than 50% of 1520 sq. ft. required under Sec. V. 1 . (d) of the zoning by-laws which reads: "The family apartment shall contain not more than 50% of the square footage of the existing building. . . .". The Board further found that allowing the family apartment would not be detrimental to the neighborhood nor in derogation of the spirit and intent of the zoning by-laws since the apartment will be used by Mr. Jones' mother only and all of the conditions as outlined in Sec. V. - Family Apartments, will be fully met. I, .........._..__.._...__.._..___..__...-._...._....... ..._...._....__...._.......................... Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty-one (21) 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. Signedand Sealed this ...................... day of ._..............................................................._ 19 ..................... under the pains and penalties of perjury. Distribution:— Property Owner ........................................................................................................................................_ Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector Public Information �/ • `� Board of Appeals Chaim n lqo - 60 R324 025. A P P R A I S A L D A T A KEY 235775 JONES, ROBERT H LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 80, 400 99,50o I A-4.OST 179, 900 B-MKT 118, 200 BY oo/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 1496 JUST-VAL 179, 900 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 70AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 70AC: HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 804001 LAND-MEAN +0% 1799001 1309611 IMPROVED-MEAN 20% I FRONT-FT 3 100 DEPTH/ACRES TABLE 02 l00%l LOCATION-ADJ APPLY-VAL-STAT I LNRIL.AND LFT/IMPIADJS/SB/FEAT STRISTRUCTURE ARRIAREA-MEASUREMENTS NOR 3NOTES COMIMARE-"ET INCIINCOME PMRI PERM ITLC ORRI GRAPH IC FUNCTION-E I STRUCTURE-CARD NO-EO003 DATA-[ I XMTE?l E IER324 025. 1 LOC30056 GOSNOLD STREET CTY107 TDS3 400 HY K'EY3 235775 ----MAILING ADDRESS------- PCA31041 PCS300 YR300 PARENT] 0 JONES, ROBERT H MAP] AREA 17SAC JV3 MT630000 RED NA C JONES spil 4P21 SP31 56 GOSNOLD ST LIT11 UT23 .33 SO FT] 1496 HYANNIS MA 02601 AYB11820 EYB31970 OBSI CONSTI 0000 LAND 80400 IMP 99500- OTHER ----LEGAL DESCRIPTION---- TRUE MKT 179900 REA CLASSIFIED #LAND 1 80, 400 ASD LND 80400 ASD IMP 99500 ASD OTH #BLDO(S)-CARD-1 1 99, 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 56 GOSNOLD ST HYANNIS TAX EXEMPT #DL LOT 4 RESI DENT'L iie.:Z.00 179900 179900 #RR 0617 0107 1774 01:37 OPEN SPACE #SR WALLEY COURT COMMERCIAL INDUSTRIAL EXEMPTIONS SALE 307/83 PRICE] ORB 13790/292 AFD3 LAST ACTIVITY300/00/00 PCRIY -- - - ------ i �I 106 ���� • UPC 6=1 ; Na.�9_ � HASTINGS.ION A00-aft 2% 106 o. FII 21 SA No � HASTINGS.MN . sa>�"i4tff..�rr�_ --a_= -..- - '�,�.aau1HJ•^a�n�m:s "'_ v:i.�+a:.� ..�_� _..... i ,t 106 UPC 68621 No.SF11SA �, I HASTINGS. MN . .,.. �.. �e.� ate,, �.•. ,•. .. ... ,-...,_. _i.nt, ..., �yt arc ... ..,raacr -'e�.:,;,.a. a.+ � r �• .St--.al.i..� _+�=*.a... , fml�iV" dc �aC.,�aE• -- --�➢s��.srti- •-�" +. ."ViF:1��'"".�,a-`�.•-�r��W$Yk —1�"nor-_ .�=�a`+rir:�`'�` ,. .,=�a�: �_— ::..,.� ,c C J C J. I� 7 7 7- __ j is F J u� fA _ IT s. IiII - - i e Town of Barnstable CV 0 9. Department of Health Safety and Environmental Services ArEDMp'�e. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 25,.1997 Robert Jones 56 Gosnold Street Hyannis,MA 02601 Re: 56 Gosnold Street,Hyannis,MA 02601 Map/parcel 324-025 Dear Property Owner: A review of our records,including the permitting history of 56 Gosnold Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. ` Very truly yours, Gloria M.Urenas Zoning Enforcement Officer GMU/lb CERTIFIED MAIL P 229 805 327 R.R.R. Q960712B w� COMMONWEALTH OF MASSACHUSETTS J1 BARNSTABLE, ss: ` AFFIDAVIT I ' — C �� �j' being on oath, depose and state- as follow : 1'. ) I reside at �QS/(/b�/� CSC 1�Y A�9' 476,D / 2 . ) I am the owner of the _pr • �,�-- 5,�� �QPerty located at 67- � �� n Barnstable Asse„ J f���a'�N/ show nor.,s ' Maps as : Map ,�^Lot ' ) 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 occupant th family S ment at the above address: (1) Name : Relationship to Owner: ' (2) Name : • Relationship to Owner: ' 6 . ) The family apartment will be the primary year round residence for the above-identified family members. 7 . ) In the event that the above-listed relative(s) vacate said apartment , I will immediately notify the Building Commissioner in writing. 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that. I am required to annually file an Affidavit with, the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to•.comply with all con t� ,s. posed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property . worn to the p ins enalties of e day of 19 �P rjury this (Signatu (Ple -e Print Name) : _ OOMMONWEALTH OF MASSACHUSEIRS BARNSTABLE, ss: AFFIDAVIT I' ����� J �T��� S being on oath, depose and stat e as follows : ' J 1 . ) I reside at CMG 4 d L 2'• ) I aril, the owner of �e P operty •loca ed at shown Barnstable Assessors ' Map � � � Lot —Ma s as; Appeals, on Appeal No. the Zoning Board of permit to maintain a fay apartment�atr the eabove d me a special 4 • ) I understand that. the familya address. occupied by .members of m family who reppersons may .only obe y persons related to me by blood or by marriage. y 5. ) The following members of my family will be the sole occupants of the family apartment at the above address: • (1) Name: Relationship to Owner: - (2) Name: Relationship to Owner: 6. ) The family apartment will be the Primary round reside»ce 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 .said family apartment issubletting or subleasing of Permitted. 9• ) I understand that Iamrequired to annually an Affidavit with the Building Commissioner listing theile names and relationship of my family members occupying said family apartment . 10. ) 1 understand that I am required to' ' .comply with 9� all conditions imposed by the Board Appeals in Appeal No. / J - � a of agree to immediately notify the Building Commissioner in the event of the sal property. e of the above-listed Sworn to u er the day of pains and penalties of -perjury this 192Y• (Signatur (Please Print Name) : e-S *"GWVN OF BARNSTAB E Board of Appeals '81 DEC 17 AMID 57 Rab.elt....H.4.....J.Qn.e5............................................................................ Deed duly recorded in the ............................. _ Property Owner County Registry of Deeds in Book .. ....__._._._. _ ..........RQh!;.T..t..._H..,.....Jones......................................................................_.. Page _..................._I ........................... Registry Petitioner District of the Land Court Certificate No. ......................... ........................ Book ...._..............._ Page _...._._ ._ AppealNo. .................)3B.1.M.6.Q........................... _..................................._ 1981 FACTS and DECISION Petitioner ....................Rab..Q.r..t H........J..Af.u.................................................._ filed petition on .NQY..Cilha.T.......1.3..__ 19 81 , requesting a variance-permit for premises at ............56....G.asnn.Ld__..............................._._ Street, in the village see of ......H.y.ann.i.s................................................................... adjoining premises of ._..............._...�.__...._._attached l i.st.L..__ ......................................................................................................................................................................................................_..........................................................._................................................................_..._..._..........__ ...................................................................................................................................................................................................................._..........._...................__...___ ........................................................................................................................................................................................................_.._.............___ .................................................................................................................................__.._.......................................................................................____._._...._.__..._. _ ._..._ for the purpose of .....Special Permit to allow Family Apartment .under Sec. V. of ............the...ion.!.�.....by..-.Laws........................................... Locus is presently zoned in..........Res.i den ce B ......... _..__..._.._......._.._.._..._ _._r Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of Which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at ........� .30.................AY P.M. .........December. 3__._.._ ...................— 1981 , upon said petition under zoning by-laws. Present at the hearing were the following members: r Richard L. Bo Y _ Frank P. Congdon........................._ Gai 1 Ni�ht.i,nqale .... ........... .............. Chairman ............................................................................._._ .................................................................................._ .........................._.................._....................._ At the concrusior.. of the bearing, the Board took said }petition under advisement. A view of the locus was had by the Board. • • �APpeal No...............1.9. .1.'.?Q_._....................._._._ Pa-,e 2.............. of ........2............. On __ _l?.ecemb.er_.. ...._._............�.............__.............._... 19 .8.1........—, The Board of Appeals found Attorney Robert M. Laird represented the petitioner and and explained their request for a special permit to allow the installation of a family apartment at 56 Gosnold St. , Hyannis in a residence B zoning district. On September 14, 1981 , a permit was taken out for an addition to the house owned by Robert Jones and this existing addition consists of a bedroom, bathroom, and living room with a breezeway attachment to the main house. This is an old house and the main part would be occupied by Robert and Regina Jones with the addition occupied by Mr. Jones ' mother, Mrs. Ross. The petitioner plans to install a kitchenette unit which will consist of a refrigerator, stove and sink and the unit to be installed will be as shown in the brochure presented to the Board. Mrs. Ross will do her own cooking only during those times when her son and daughter-in-law are not at home. The family apartment would contain 540 sq. ft. of area and the main dwelling to be occupied by Mr. and Mrs. Jones would contain 980 sq. ft. of area. The addition has been used for single-family occupancy and has had residential use only. No one spoke in favor of or in objection to the petition and the Board took the matter under advisement. The Board voted unanimously to allow a family apartment in the existing residence at 56 Gosnold St. , Hyannis and found that the petitioner can comply with the 50% requirement as outlined in Sec. V. 1 . (d) of the zoning by-laws since the main part of the structure contains 980 sq. ft. and the addition contains 540 sq. ft. for a total of 1520 sq. ft. The family apartment would contain 540 sq. ft. which is less than 50% of 1520 sq. ft. required under Sec. V. I . (d) of the zoning by-laws which reads: "The family apartment shall contain not more than 50% of the square footage of the existing building. . . .". The Board further found that allowing the family apartment would not be detrimental to the neighborhood nor in derogation of the spirit and intent of the zoning by-laws since the apartment will be used by Mr. Jones' mother only and all of the conditions as outlined in Sec. V. - Family Apartments, will be fully met. I, ......__ .__...__-........_............ .._................................................................., Clerk of the Town of Barnstable, Barnstable County. Massachusetts, hereby certify that twenty-one (21) 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. Signedand Sealed this ........................ day of ............................................................_.......... 19 ........................ under the pains and penalties of perjury. Distribution PropertyOwner ................................._....................................................................................................... Town Clerk Board of Appeals r Applicant Town of Barnstable Persons interested / Building Inspector C�U'.....,.. � Public Infurmation By ............. .... .. . ................._........... .. Board of Appeals Cbairu 1 TwI *BOARD OF A.PPEOLS 7 �I K'Ry 679• � �0 M►Y� PARTIES IN INTEREST - APPEAL NO. 1g81-60 - ROBERT H. JONES Eleftherios & Atsiknoudas Hortio Bond George & June Briley Polly M. Burch George & Lulu Dixon John & Barbara Forte Frank & Claire Fryatt Helen Gould Osceoloa Harris Cynthia Hilyard Hyannis Harbor Tours Gerald Lafferty Hazel M. Lantz Bruce E. Maranda Margaret Miller John & Anni Milne Richard St. Onge Richard & Barbara St. Onge Ernest Peterson Edgar & Elizabeth Semprini Bertha Simms Stephen & Roberta Smith Rocco & Anne Trotto Theophilos Vallis Anthony Zombas Barnstable Planning Board Yarmouth Planning Board Sandwich Planning Board Mashpee Planning Board COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss : _ AFFIDAVIT being on oath, depose and state as follows : reside at e/ �71 / 2 . ) I am the owner of the r rp _perty Gated at show n Barnstable Asses (�—� 10 Map sse„ ors Maps as o Lot • ) On 19 the Zoning Board of Appeals, on Appeal-No . , specia permit to maintain a family apartment�atr the eaboved meaaddressl 4 . ) � I understand that the family apartment may only. be ` occupied by .members of my family who are Persons C s me by blood or by marriage . related to 5 . ) The following members of my family will be the sole occupant th family D r ment at the above address: (1) Name: Relation (2) Name• ship to Owner: ► Relationship to Owner: ► 6 . ) The Family ap'�irtmerit will be the residence for the above-identified family Jmembers, 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 the jt. 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 con t '0115 imposed by the Board of Appeals in Appeal No. agree to immediately notify thr•.' Building Commissioner in the event of the sale of the above-listed property . worn to the p ini9 enalties of perjury day of p y this (Signatu (Ple e Print Name) : The Town of Barnsta le • anarrsrns�, • 9ebAMAB& �0�' Department of Health Safety and Environmental Services rF1659. Building Division s 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 25, 1997 Robert Jones 56 Gosnold Street Hyannis,MA 02601 Re: 56 Gosnold Street,Hyannis,MA 02601 Map/parcel 324-025 Dear Property Owner: A review of our records,including the permitting history of 56 Gosnold Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas Zoning Enforcement Officer GMU/lb CERTIFIED MAIL P 229 805 32 7 R.R.R. Q960712B TOWN OF BARNSTABLE SDPOg4PPLZXENTAHY/CONTj; IIA N BBPOAT NAME (LAST, FIRST, MIDDLE DIVISION /DE ` NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENC , SERIAL /S ETC. 07 it 21- I s SUBMITTED BY PAGE