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0020 HARVARD STREET
0 { 1 1 {i y+ 7i Y �F F h f_ �\_ � _. 1 1 \� i O �'\ � 's fi'i i �\\\' 4; �, C 0 `� .: oFt r Town of Barnstable Office of Community and Economic Development anaMAS&tE 2.30 South Street,Hyannis,MA 02601 9`be 16 9. ��� Office: 862-4678 Fax: 862-4782 RFD MPS a September 20, 2005 Mr. Howard Bennett 207R rvard'Street� Hyannis;MA 02601_j Dear Mr. Bennett: I have tried to contact you several times by phone to determine the status of your accessory affordable apartment at 20 Harvard Street, Hyannis. In addition, I have not received any of the required monitoring information to show you are in compliance with the terms of your comprehensive permit (Appeal 2003-152) issued on April 6, 2004. As such, I must assume you are not in compliance, and will begin the process of revoking your accessory affordable apartment permit. If you do not contact me within 30 days of the date of this letter with documentation of compliance, your file will be turned over to the Zoning Board of Appeals for a revocation hearing. Thank you for your cooperation, and I look forward to hearing from you. / Sincerely, n/ v #Iizabeth Dillen Program Coordinator Cc: Tom Perry, Building Commissioner > M rr; o�1WE Town of Barnstable yP� ti� Office of Community and Economic Development BARNSTABSS.' maAss. ' 230 South Street,Hyannis,MA 02601 fo 3�e,`0� Office: 862-4678 Fax: 862-4782 September 20, 2005 Mr.. Howard Bennett 20 Harvard Street . Hyannis, MA 02601 Dear Mr. Bennett: I have tried to contact you several times by phone to determine the status of your accessory affordable apartment at 20 Harvard Street, Hyannis. In addition, I have not received any of the required monitoring information to show you are in compliance with the terms of your comprehensive permit (Appeal 2003-152) issued on April 6, 2004. As such, I must assume you are not in compliance, and will begin the process of revoking your accessory affordable apartment permit. If you do not contact me within 30 days of the date of this letter with documentation of compliance, your file will be turned over to the Zoning Board of Appeals for a revocation hearing. Thank you for your cooperation, and I look forward to hearing from you. Sincerely, glizabeth Dillen Program Coordinator E �n � aa: t� Cc: Tom Perry, Building Commissioner ' ' c_� Barry, LOTS From: Dillen, Elizabeth Sent: Thursday, September 29, 2005 9:43 AM To: Barry, Lois Subject: RE: 20 Harvard Street I have sent a letter to the new owner and haven't heard back yet- I will let you know what I find out. -----Original Message----- From: Barry, Lois Sent: Thursday,September 29,2005 9:40 AM To: Dillen,Elizabeth Subject: 20 Harvard Street Hi Beth, don't have a family apartment application from the new owner of this property. Howard Bennett never applied for a building permit and never received a Certificate of Compliance. It appears that the apartment was to be created above the free-standing garage. Do you know if work was done to change the storage area to an apartment? If it was, it was done without a permit. Let me know. Lois z 1 J °��►�T°�ti Town of Barnstable Office of Community and Economic Development BARN9ABM MASS. 230 South Street,Hyannis,MA 02601 Q)AT i639. e,`� Office: 862-4678 Fax: 862-4782 ED MA'S September 28, 2005 Ms. Barbara Howerton 20 Harvard Street Hyannis, MA 02601 Dear Ms. Howerton: It has recently come to my attention that you purchased the property at 20 Harvard Street in Hyannis. As you may be aware, the prior owner had received a comprehensive permit for an affordable accessory apartment at this address. The permit issued to Mr. Bennett will be revoked at the Zoning Board of Appeals hearing on November 30, 2005. Please contact me at your earliest convenience at (508) 862- 4683 regarding the status of the unit at 20 Harvard Street. n Thank you for your cooperation, and I look forward to hearing from you. fo (© ncerely, 4 Na labeth Dillengram Coordinator oTr a Cl) Mom# _ C Cc: Tom Perry, Building Commissioner r ua: Bk 20665 P :9 74 1:3 1-19-2006 a`1 09 - 57a BARNSTABLE TOWN CLERK • BAB nABLB. 61A88 v 674 Town of Barnstable .05 OEC 15 A10 09 Zoning Board of Appeals Decision—Rescinded Comprehensive Permit Bennett—Appeal 2003-152 Comprehensive Permit—MGL.Chapter 40B Summary Determination that Comprehensive Permit has Expired Applicant(s): Howard B. Bennett, Jr. Property Address: 2.0=Harvard=Str-eet,�Hyannis, MA Assessor's Map/Parcel: Map 307 Parcel 140 Zoning: Residential B and Aquifer Protection Overlay District Background: Howard B. Bennett, Jr. applied to the town of Barnstable for a comprehensive permit under the Accessory Affordable Housing Program pursuant to Article II of Chapter Nine of Part 1, General Ordinances of the Code of the town of Barnstable. The applicant was seeking to create a two-bedroom accessory.affordable apartment above the existing detached garage. \ Comprehensive Permit Number 2003-152 was issued to the applicant on April 6, 2004, and a Regulatory Agreement and Declaration of Restricted Covenants was.recorded at the Barnstable Registry of Deeds on Q June 11, 2004 in Book 18703, Page 190. aL Comprehensive Permit 2003-152, issued to Howard Bennett, Jr., was not executed within the twelve months after it was issued as required by the permit and therefore expired. yo . Procedural & Hearing Summary: A public hearing was duly advertised in accordance with MGL Chapter 40A and notice sent to the applicant that the hearing would be held to review and act upon the report of the Monitoring Agent that C32 the permit had not been exercised within the twelve-month time limitation imposed and, therefore has expired. The hearing was opened on November 30, 2005, at which time the Zoning Board of Appeals Hearing Officer made the following finding and decision: Findings of Fact: At the hearing on November 30, 2005, the Zoning Board of Appeals Hearing Officer made the following findings of fact: In Appeal 2003-152, the applicant, Howard B. Bennett, Jr., sought to create a two-bedroom accessory affordable apartment above the existing detached garage. The property is shown on Assessor's Map 307 Parcel 140, and is commonly addressed as 20 Harvard Street, Hyannis MA in Residential B and Aquifer Protection Overlay Districts. On April 6, 2004 a comprehensive permit was issued for the property, and a Regulatory Agreement and Declaration of Restrictive Covenants was recorded at the Barnstable Registry of Deeds. On September 13, 2005 the property was sold. i Decision: At the hearing on November 36, 2005, the Hearing Officer determined that the comprehensive permit issued to Howard B. Bennett, Jr. for the property located at 20 Harvard Street, Hyannis, MA has expired. Said property shall revert to the use currently permitted under zoning. Transmission: In accordance with Part II, Section 4.02 and Part III, Section 3.72 of the Town of Barnstable Administrative Code, the Hearing Officer transmitted the written decision to the Zoning Board of Appeals on November 30, 2005. As fourteen days have elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision, this decision becomes final. Ordered: Comprehensive Permit 2003-152 is null and void. rhin aring Of er Dat Sig ed, er, Clerk of the Town of Barnstable, Barnstable County, Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision had been filed in the office of the Town Clerk Signed and sealed this—=c day o q D under the pains,and penalties of perjury. c . Linda Hutchenrider, ow-ii Clerk 2 Barry, Lois From: Dillen, Elizabeth Sent: Tuesday, October 18, 2005 9:F AM To: Perry, Tom Cc: Edson, Linda; Barry, Lois Subject: Permits to be Revoked Good morning, Tom - Just wanted to update you on the status of an Accessory Apartment permits that will be revoked at the next Amnesty —Hearing-on-November-30,2005.: 1. 2003-152: Issued to construct a two-bedroom apartment over the existing detached garage at 20 Harvard Street, Hyannis. The permit was issued in April 2004 to Howard Bennett, who then sold the property in March of 2005. The new owner, Barbara Howerton, states that the unit was never constructed, and she has no plans to build an apartment at the property. 2. 2005-04: Issued to Norma Fuentes on February 10, 2005 to convert an existing attached garage into a one-bedroom apartment. Ms. Fuentes has since learned that the terms of her USDA loan only allow her to renovate the property to create living space for family members that will not pay rent. As such, she is opting out of the Program and plans to apply for a Family Apartment Permit to build the unit. 3. 2005-036: Issued on April 21, 2005 to Joseph Hamel to convert an existing studio in the lower level of the principle residence into an accessory apartment: On.October 3, 2005 Joe requested that his unit be taken out of the Program so that he may apply for a Family Apartment permit to accommodate a family member with health problems. Elizabeth Dillen Town of Barnstable Growth Management Department 367 Main Street, Hyannis.MA- 508.862.4683 1 , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ®-7 /40 Map Parcel Qft Application# a0 6:2 19 Health Division Conservation Division Permit# Tax Collector Date Issued LA 10 a Treasurer Application Fee Planning Dept. Permit Fee i� Y7 _ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address i_C- rV rri, & ree+ i Village f-\/aan n ( s Owner TA—ca wcf r n F Address FkAr—Vard Sir t_'+) N yC1or11� Telephone 5D$- -7CI0 -- 0(c;� � Permit Request a t-e&Q I oL Y J-d SU.n r-O®m Square feet: 1 st floor:existing AV 8 proposed&Q40 2nd floor:existing proposed 4 Total new oVx/o Zoning District Flood Plain Groundwater Overlay Project Valuation wo _ Construction Type !Q20o al Lot Size ®3 3 Grandfathered: ❑Yes Cif No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure a `S. Historic House: a es ❑ No On Old King's Highway: ❑Yes O1 0 Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) S9 . Number of Baths: Full:existing new Half:existing new 6 Number of Bedrooms: existing new 6 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas a it ❑Electric ❑Other Central Air: ❑Yes O"No Fireplaces: Existing New 4 Existing wood/coal stove: ❑Yes O1�lo Detached garage:2xisting ❑new size Pool:0 existing ❑new size Barn:❑existing 0 new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ =f' - - r Commercial ❑Yes 2'No If yes, site plan review# Current Use - - Proposed Use 5tan Q©yC rv��- BUILDER INFORMATION i - Name>QQ1Q'0 �--g 4&e ne &i Ider-5, nC Telephone Number 7-74 S36-64 2 LP Address65 Ebel Smite, RinA _. License# 9_0 (�e.njfryi I 0-2-GJ32— Home Improvement Contractor# Worker's Compensation#WC 4VV 39a`� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SQf)d(,JI C k SIGNATURE DATE 30 1,900 I i FOR OFFICIAL USE ONLY 4 \> s) 1 I PERMIT NO. ? DATE ISSUED ~ MAP/PARCEL NO. ADDRESS) VILLAGE t. OWNER g cj ' DATE OF INSPECTION: p FOUNDATION (Vr-- 190&T-( C 0 i FRAME 0 INSULATION ©tom ' ► �r' 7 Piz— FIREPLACE 1 y t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ( GAS: ROUGH FINAL FINAL BUILDING s DATE CLO1SED OUT ASSOCIATION PLAN NO. now ' �. f Town.of Barnstable Regulatory Services ,,AM Thomas F.Geller,Director wilding Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 O www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: 0 -7 Project Address 14PWvA P- ST, Builder: S c-t-+-( P-&V c ke The following items were noted on reviewing: S � y r t t S © GC w� L y L oars cS Wr®4iof Tel rN co bC c c IPLIk4!57 f Reviewed by: °� Date: ` ` ( �--d -7 Q:Forms:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents z Office of Investigations ' d 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/OrganizationUdividual): 7L R Q VC r C)=c - Address:�o� �L��l SdYli7 �OCLG� City/State/Zip:Ce fyi A 02b 2 Phone.#: -7-7L! Are an employer?Check the appropriate bog: Type of project(required):. 1. am a employer with 4. 0 I am a general contractor and I 6 New construction.. employees(full and/or part;time).* have hired the sub-contractors listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub-contractors have ' ship and have no employees 8. Demolition employees and have workers' working for mein any capacity. 9. ��ding addition [No workers' comp.insurance . comp.insurance. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] � ' 3.El I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers' comp. right 6f exemption per MGL 12.[]Roof repairs insurance required.]t P. 152, §1(4),and we have no 13.❑ Other employees. [No workers comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have 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: C i —1'r� rQq c _C1 / Policy#or Self-ins.Lic.A Vl/G y"w13Q as(0q Expiration Date: $ t /Q00 -7 lob Site Addressa0 4@ rVCA.ac� �'ee� City/State/Zip: Prjk �{r)1 Z G S�t�! � l Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL 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 thq 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 cert' un er t p i s. d penalties of perjury that the information provided above is true and correct. Date: Si ature: — Phone#: 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. In structions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiVP.T 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 (Q��Iuter into any contract for•the perfomnance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants i Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conttactor(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 A copy of the affidavit that has been officially stamped or marked by the city or town maybe 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 fo 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: h(. .Comn.mwWtb of Ma=o usetts Degartm mt of Industrial A.ec dents Office of Investigations 600'Washingtofi Street Boston,IOTA 0.2111 Tel. # 617-727-4900 ext 406 or 1-977 IMASSAFE Fax 617-727-7749 Revised 11-22-06 www.mass.gov/dla :r. .�re "C�nvnnrrn�aruerrl/� n�✓F'lrrJ.Jczcatcte�� 3 Board of Building Regulations and Standards 1r HOME IMPROVEMENT CONTRACTOR 1 Registration: 141225 Expiration: 1/22/2008 Type: Private Corporation ROYCROFT&KUEHNE BUILDERS,INC. Sean Roycroft 65 Eben Smith Rocs Centerville,MA 02632 Administrator r :�Y ./IQ VrOlrt))tU`1L(LP.CZfiI Of../�ZCL�C<C *, Board of Building Regulations and Standards Construction Supervisor License License: CS 83280 ' - Birthdate: 11/29/1964 Expiration: 11/29/2010 Tr# 5313 Restriction: 00 SEAN J ROYCROFT 65 EBEN SMITH RD CENTERVILLE,MA 02632 Commissioner, ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: Site Address: ZO p11K11 Sl ZO� Applicant Address: City/Town: m 1 Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days(HDDbs)from Table J5.2.1a: (For items d. through i.,fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b-a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- J. Heating AFUE Component Performance: "Manual Trade-Off"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b.Glazing Area' sq.ft. c.Glazing%(100 x b_a) ❑ ADDITION with Glazing% (c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MIMMUM R-Values Fenestration' Ceiling' Wall Floor I Basement Wall TSIab Perimeter,Depth 0.39' R-37 R-13 I R-19 I R-10 R-10,4 ft l Glazing Area may be either Rough Opening or Unit dimensions. z Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM" addition(greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) kx. t it3)i?r '}II � • 13: 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE'MASSACHUSETTS STATE BUILDING CODE ! Manual Trade-Off Worksheet Permit (.- 3 K Builder Name Date - - � k Chocked By Builder Address ;. Site Address � U I. u� Zone t2 ❑1-3 ❑14 Date t :� Submitted By Phone - •. PROPOSED REQUlRED r• :<: Ceilinrs•SkvliAts and Floors Over Outside Air Required Insulation xNet Arca U-Vatuc on R Value U-Valuc UA (fable J6.22h) x Area UA ceit;ng ID (Table J611a) Floor Ova Outside Air a' (fable J6.2 Zal . L T Z• `f� �' W, x.. . . . Total Ana Wails Wirid&vs:and boots __.. Insulation x Net Rai pcscri�don R-Value U-Value Area Y• -UA U-Valve xx Area -UA wall: (rabkJfi=bcd) �� t wkwows — R �y (MC or Table J1.S3a) Doors. -- LN (NFRC or Table J133b) Sliding Glass Doors (NFRC or Table 1133a) R' ft . . Total Area K Floors and Foundations Insulation itmeluioa R- x Area or Required Description Depth Value UValue Perimeta -UA U-Value x Area a UA , floor ova Uneooditiottcd (rabk ><' J6=c) Basetomt wail (Table J6=f) fe Uabcued Slab able J622 ) in. � . fe ,r---7 TOW ftnwsed at=UK be lea Tots! ^1 . - Tate/ �+►� 1 d"eregwl to Total(erA JtagadnadVA proposed UtZ413 z J✓• ' OR Regairrd UA St,scmatt o(Cotnplimoc The ptvpasod bt desipt repeaatted in L---►Adjusted shm doev wew tr eoerWe at w0h tAe b pla"t VecOwd&m and cdcr calculations submitted with the ion- Requk id CA Gl tlin 8xildcr�/Drsigner CoorparyNamt Date 760.22 780 CMR-Sixth Edition. 2R0/98 (Effective 3/l/98) 08-08-06 10:04am ' From-SOUTHEASTERN INSURANCE AGENCY 508-7900557 T-996 P.01/01 F-834 ----rr �.. .a . .. ._. . . ` . a �.. no I Uri/Ub/LUUb PRODUCER (504)997-61)61 FAX (508)991-3283 THIS CERTIFICVR 18 ISSUED AS A MA ER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPOI 11 THE CERTIFICATE END OR 662 State Rd. ALTER HOLDER.THE COVIS E RAGEAFFORRDED RE DOES O HE PO�ICCIES BELOW. P.O. Boa. 79398 1 N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC 0 1NBYRED Roycro t & Kuehne Builders Inc MsuRERA, Arbella Protection Insurance 6S Eben Smith Road INsuRERG. MerChants Ins Group Cel,terville, MA 02632 INSuRERc: Granite State Ins INSURER 0: INSURER E: COVERA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I qPICATED.NOTWITHSTANDING • ANY REQUAEMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF CATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIO S AND CONDITIONS OF SUCH POLICIES..IGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' TYPE OF INSURANCE POLICY NUMBER E CTIVE POLICY EXPIRATION LIMITS G61ERAl,LIABILITY 8500022738 07/03/2006 07/03/2007 EACH OCCURR CE $ 2,000,000 X I COMMERCIAL GENERAL LIABILITY DAMAGE TORE TED S SO 000 CLAIMS MADE a OCCUR MEO EXP(Any or i Parson) 3 5 000 A PEROONAL 6 AD INJURY 3 11000.000 GENERAL AGGR GATE $ 2.000.000 GE,7L AGGREGATE LIMIT APPLIES PER PRODUCTS-cc)AProp AGG S 1,000,000 rPOLICY JEC LOC Au'.'OMOBILP LIABILITY COMBINED SING.E LIMIT E ANY AUTO (Ea eaidonl) 11000,000 X ALLOWNEOAUTOS 7AN027701409S 10/19/200S 10/18/2006 80DILYINJURY SCHEDULED AUTOS (Per Person) S B HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Peracdaom) i PROPERTY DAM GE 3 (Per accident) 7 nCl. GARAGE LIABILITY AUTO ONLY-EA ACCIDENT d ANY AUTO OTHER THAN EA ACC Y AUTO ONLY. AGG ■ FX(ESSIUMBRELLA UAMUTY EACH OCCURREICE S OCCUR CLAIMS MADE AGGREGATE 3 DEDUCTIBLE 6 RETENTION $ Is WORKERL COMPENSATION AND J( I WC STATU- TH- EMPLOYIAW LIABILITY C A.W PROI RIETORIPARTNER/FXECUTIVE E.L.EACH ACCIO NT $ 100100 OFFICERAAEMSER EXCLUDED? WC41039Z269 08/01/2006 09/01/2007 E.L.DISEASE-FJ FMPLOYE4$ 1001000 It yea,deer 6De under SPECIALIROV181ONSoalvw El DISEASE-P(LICY LIMIT Is 500,000. OTHER DESCRIPTION 0):OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS For any and all operations performed during the policy period. CEPjIngeal QMCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIF$B CANCELLED BEFORE THE Tow. of Barnstable `t�ftAi'iftthttl>Tft'tFfE9i>'if)'�tifE�fD�Wfi(ittI'Slflit�I tL�J31f�l�tfti fTJktJIII 1O DAYS WRITTEN NOTICE TO THE CERTIFICA HOLDER NAILED TO THE LEFT. Atta: Bldg Dept BUT FAILURE TO MAIL OUCH NOTICE SHALL IMP OSE oOBLIGATION ORLIABILITY Mai/l St OF ANY KIND UPON THE INSURER.ITS AGENTS OR R RESENTATNES. Hya-tni S, MA 02601 AUTHORIZED REPRESENTATIVE loan Martin ACORD 28(2001/08) @A CORD CORPORATION 1988 I r 'o,�z► roy, ; Town'of Barnstable Regulatory Services •+, sraBz , * Thomas F. Geller,Director . 16.59. ,��� Building Division RFD MA TomPerry, BniIdiug Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 509-796-6230 Property Owxier Must Complete and Sign This Section if,Using..A.Builder 'f r—fo r-) ,as Ownet of the subject property hereb .authoxize to act on my behalf, Y all matters relative to work authorized by this building permit application for: Stree+- Cl an f �5 W�9` 62 6 (Address of Job) Signature of Owner Date Print Name Q;FORMS;OWNERPERMLSSION �oFIME,j Town of Barnstable x Regulatory Services Ze MASSS. E$ Thomas F.Geiler,Director �A i639. �0 rEo�,,p�a 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: j )t7✓� Estimated Cost 0, 0 O?�• U 0 Address of Work: A f Owner's Name: At5a-rba-riGL Alyert4pl Date of Application: /in boo 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: I r7 1,900!1 Aoy t �U&6)& 4 Date Contractor Name Regis Won ion No. OR Date Owner's Name Q:fonns:homeaffidav TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 07 o Z,V Map Parcel '� Application# Health Division sr__w6re__ 3 13 Conservation Division Permit# Tax Collector Date Issued �D Treasurer Application Fee Planning Dept. Permit Fee Z4 r Date Definitive�Pla pprov I ning Board Historic-OKH P eservation/Hyannis Project Street Address O6L(u�� Village &AN 1r,VS Owner !tca 60,foL AtwCXAnN Address orb 40X VcAa-C[ 9 Telephone So�r rq O— Li 121 Permit Request Al—Cf aA "k," uw► c ded4-A0_q Li1 ,c fos UILe \ , e-Irai"SAO M �(_Wwla Ur kso Co�� Square feet: 1 st floor:existing proposed _ 2nd floor:existing 109 9 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 o Construction Type W604- Lot Size t 1 , y �� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation's Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) =; Age of Existing Structure Historic House: Zes ❑No On Old King's Highway: ❑_.Yes 0 No Basement Type: CA Full ❑Crawl ❑Walkout ❑Otheroe )� ,,Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) f n 1 + Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing 00 new_AK First Floor Room Count Heat Type and Fuel: ❑Gas a Oil ❑ Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ®'No Detached garage: existing ❑new size pOL Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Aut ,rization ❑ Appeal# Recorded❑ F Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION f Name AP�f F4 IAC-Telephone Number — Address 6Io� StnMA� , IL4 d License# ei$ 3��b I-"U LA E KA 0 (6 PL Home Improvement Contractor# Iq l a�� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��15-e 0-- SIGNATURE DATE d a FOR OFFICIAL USE ONLY 4 � PERMIT NO. DATE ISSUED , MAP/PARCEL NO. L ' ' ADDRESS VILLAGE OWNER 4 k DATE OF INSPECTION: FOUNDATION p FRAME T INSULATION 0f t"( — FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL — is _ w' GAS: ROUGH FINAL ' FINAL BUILDING 0 ( f f—D -7 1 7 DATE CLOSED OUT } ASSOCIATION PLAN NO. _ k --- - -._............ . ... 1 ne L ommonweacrn of inazzavnuxmix Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.go-v dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers Applicant Information Please Print Legibiy Name (Business/Organization/Individual): An CEO [LL-en 0_0_ l 14.co -tin C. Address: �J &&n Svt� City/State/Zip: C-aAz�txy c c, . (�� 63aPhone#: Are you an employer? Check the-appropriate box: Type of project(required): 1.['I am a employer with 1 4. ❑ I am a general contractor and I 6. ❑ m construction employees(ful and/or part-time).* have hired the sub-contractors 2.El am a sale proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors.have S. ❑ Demolition workbagfor me in anyca aci workers' comp.insurance. 9.capacity. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy infonrnation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i-Gi{S`c Vt5 Policy#or Self-ins.Lie. #: W 9ck 19-1')-b Expiration Date: Job Site Address: �� G��014 'Z City/State/Zip:__ 1/li vvtMC,M4 p 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 insurance coverage verification. I do hereby cart' uMe �indpenalties of perjury that the information praa�ided above is true and comes signafore: Date. 2 �DD� Phone#• 77�P�g 3�' 64 V-( Official use only. Do not write in this area,to be completed by city or town of ficial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. (Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal.entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates) 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 I.LC 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/licens a 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 maybe 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. T 617-727-4900 ext 406 or 1-o77-MASSAFE Fax# 617-727-7749 Revised 5-26-05 WW4V.III2SS.aOY/Clta °"ME�° Town of Barnstable Regulatory Services saxivsTASIX ` Thomas F.Geiler,Director 9 Mass. ATE 639. ,e 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 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: � �`�— ���t� Estimated Cost l f bQ 0 Address of Work: c) (.A..sgat-4 S• R-/a� nn%wi Owner's Name: U_J`eX 'o V\ Date of Application: ��c)(. I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agAofthe2bD b Date tractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 ofTHe, ' Town of Barnstable Regulatory Services 11AMn LA Thomas F.Geller,Director ' �A i429' Building Division. TED►M'i r . Tom Perry, Bun ng Commissioner 200 Main Street, Hyannis,MA b2601 ww mtown.b arnstabl a;maxs Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Mus t Complete and Sign This Section. If Using A Builder b e c 0 �OA ,as:Owner of the subject property hereby authorize .See °JU P R to act on my behalf, in all matters relative to work authorized bythis binding permit application for. PD be.1-(tq r4 A (Address of Job) ® of Owner "0 Signature ate • `f'/�J1��•��Ll� l�L194/I�� � Print Name Q:FOgMS:OWNERPERMI55ION 08-08-06 10:04am From-SOUTHEASTERN INSURANCE AGENCY 509-7900557 T-996 P.01/01 F-834 �—yM Ewa s a ■e a�� e • s ve tee• •er•`■ c 8 eetd!/e BR7�®Vl. u5/U6/[UUb PRODUCER (SO8)997-6061 FAX (508)991-3283 THIS CERTIFICATE IS ISSUED AS A MA rTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPOI A THE CERTIFICATE 662 State Rd. HOLDER.THIS CERTIFICATE DOES NO AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BI THE POLICIES BELOW. P.O. Boa. 79399 1 N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIL 8 wouRED Roycro t & Kuehne Bui der$ Inc msuRERA. Arbellal Protection insurance 6S Eben Smith Road INSURERS. Merchants Ins Group Ce►,tervi l l e r MA 02632 INSURER C: Granite State Ins INSURER D: INSURER E: COVERAGIZ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 1 401CATED.NOTWITHSTANDING ANY RE01.1.REMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF CATE MAY BE ISSUED OR MAY PERTAN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIOP S AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPI TI N LIMITS GP(ERAL UABfurY 8500022738 07/03/Z006 07/03/2007 EACH OCCURR CE $ 2,000 000 X COMMERCIAL GENERAL LIABILfTY DAMAGE TO RE TED $ so'ono CLAIMS MADE ®OCCUR MEO EXP(Any of panon) 3 5 OQQ A PERSONAL&AD INJURY S 1,000.000 GENERAL AGGR GATE E 2.000.000 GE/rL AGGREGATE LIMIT APPLIES PER PRODUCTS-CO P/OP AGG $ 1 000 000 POLICY 7% LOC AU'.OMOBILE VA01UTY COMBINED SfNG.E LIMIT $ ANY AUTO (Ea accidem) 1 1 000 a 00 X ALL OWNED AUTOS 7AIM027701409S 10/19/200S 10/18/2006 SOUILY INJURY B 3CHEDULEDAUTOS (parpefaar) $ HIRED AUTOS BODILY INJURY NON•OWNEDAUTOS (Potawdwt) $ PROPERTY DAmGE $ (Per ewdenl) incl. OPMAGE LIABILITY - AUTO ONLY-EA kCCIDENT $ ANY AUTO EA ACC S OTHER THAN AUTO ONLY. AOGi I FX(ESSNMBRELLA L AMUTY EACH OCCURRE ICE $ OCCUR CLAIMS MADE AGGREGATE E i DEDUCTIBLE $ RETENTION. S = WORKERL COMPENSATION AND X W STATu TH- EMPLOYEAW LIABILITY C ANY PR01 RIETORIPARTNERIEXECUTWE E.L.EACH ACCIO NT $ 100,000 OFFICERhAEMSER EXCLUDED? WC4W392269 08/01/2006 09/01/2007 E.L.DISEASE- EMPLOYEE $ 100,000 If yes•dike.ribs uedar SPECIAL I ROVOONS wow El DISEASE-P LICYLIMIT $ 500100 OTHER DESCRIPTION Os:OPERATIONS I LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS For any wid all operations performed during the policy period. CANCELLATIONGERTIFICAI:g HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B CANCFLL£D BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER LL ENDEAVOR TO MAIL ® Tow.T of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIMATI HOLDER NAMED TO THE LEFT, AttA: Bldg Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE D OBLIGATION OR LIABILITY Wei St OF ANY KIND UPON THE INSURER.ITS AGENTS OR RE PREGENTATIVES. HyaAni s. MA 02601 AUTHORIZED REPRESENTAYNE Joan Martin ACORD 2512001108) QA CORD CORPORATION 1988 a' I BOARD F BUILDING REGULATIONS L { r k License: CONSTRUCTION SUPERVISOR Number: CS 083280 Birthdate: 11/29/1964 { Expires: 11/29/2006 Tr.no: 83280 i Restricted: 00 SEAN J ROYCROFT J 65 EBEN SMITH RD CENTERVILLE, MA 02632 Administrator r ✓fie {oo�vr�ao7ecueal� a�✓f�a:�a�uve� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 141225 Expiration: 1/22/2008 Type: Private Corporation ROYCROFT&KUEHNE BUILDERS, INC. Sean Roycroft 65 Eben Smith Rorr, _ Centerville, MA 02632 Administrator I10f° Town of Barnstable *Permit# �0 I v Expires 6 moat s fr issue date 1� Regulatory Services Fee - 3d ItMI comas F.Geiler,Director . APR X 0 2006 Building Division Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLLLP Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid witliout Red X-Press Imprint MaP/P arcel Number Property Address OT Yaryo—ral '5Y• my t-r1 n 15� #,- 0d26 0� [✓Residential Value of Work ©� a00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 3&rb ,ra i dwe—L:�—orl Ax Contractor's Name � k -eAn, 'Faj � �/1c. Telephone Number. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �s ('�O•�r� �� �` jIl a(l �� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑jAcm the Homeowner I have Worker's Compensation Insurance Insurance Company Name at-a tier- �> a �5- .Z12,M1-aw2Ce Workman's Comp.Policy# WC '91-70—76= J� Copy of Insurance Compliance Certificate must be on file. Permit Request heck box) t. Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going o f) over existing layers of roo E?'/Re-side R K e CC9 4 Cle4 a t1r51-e 2/Replacement Windows. U-Value ,39 maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. H E r e t Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 6 / t 921 Board of Building Regulations and Standards HOME IMPROVEMENT C befense or registration valid for indiv' Re istr'ationc. CONTRACTOR 9_ 1g1225 ore the expiration date. If found retu I use only ExpIpon �'122�20p8 Board of Buildin rn to: 3 g Regulations and Standards Type Private Cor One Ashburton place Rm 1301 poration Boston,Ma.0210s ROYCROFT& KI�Et NE Roycroft Sean ` BU1E7YRS, INC. ��� �� � �:� 65 Eben Smith Roy r\ •z I Centerville,MA 02632 Administrator — Not slid r+i o s at re _ . 1 The Commonwealth of Massachusetts Department of Industrial Accidents 12 Office of Investigations 600 Washington Street Boston, KI 02111 www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contra--tors/Electricians/Plumbers _Applicant Information ' Please Print Legibly Name (Business/organizationaaviduan: d`O — cAn e &t a0 °6 =7/1e- Address: 4 5- f-6" SPL41Y Rd. City/State/Zip: - 0-ejA�eirvit(oel . IN� DV Got Phone#: Are you an employer? Check the-appropriate box: Type of project(required): 1.TI am a employer with_� 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time). have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ [� Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Building addition [No workers'pomp.insurance S. '❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical reports or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I-D Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.0Roof repairs insurance required.] t . employees. [No workers' }3.[ Other j(" w �' comp.insurance required.] •ew *Any applicant that checks box#I must also fill out the section below showing their worker.'compensation policy infbr=tioa: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such xContractors that check this box must attached an additional sheet showing the acme ofthe sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: df m ,h� f�, -T e Policy#or Self-ins.Lic.#: G�IL' `7 `l'� f 6 Expiration Date: 66 Job Site Address: 0 t&r ya !A 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$1,50Q.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 ce ' and4 r the pains an pe ltaes of perjury that the information provided above is true and correct: Si tore: Date: lb 6b b Phone k — 6611 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 Departmena. 3.Cityl—I own Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: vaF1HE� � Town of Barnstable Regulatory Services v ` Thomas F.Geller,Director 'OPeoe r '�"� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 • www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, isax ba`o— g 1v'e'r+0V1 ,as Owner of the subject property hereby authorize due r0 3 �hu, At—h u LA I c(�2�5 :LnC to act on my behalf, r in all matters relative to work authorized by this building permit application for. 020 Rod-vo icd 40V awa'anis, KA o o f (Address of Job a ©L _ Signature of Owner nate Print Name Q TORM&OWNERPERMISSION _ L Braman, RE. .. 189 Harbor Point R& _ :. . ��•® ��+ Cuinntaquid, AfA 02637-0361 . �'�Qc��..''e'c.���•. �^ V J�•t,..-v�"'�'i.®tom ®r� . (jK Apj�) Qc.%4:nkv: o 'a-- °2 x L2® S FIF " , ( 0 2 - Z ,, A • -,-� �,, 2_moo- � _ -__ f s 3 � Dl1 A� o ST C f L pp S IS/ONE �69- _ - Daniel E Sraman;P.-, _.189 Harbor Cumfitaqui MAR�Q V. v®. _ �a i ,aFl � Town of Barnstable r r BAM CAB , Regulatory Services 9`b059. �•� , Thomas F. Geiler, Director CFO MA'S s Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 16, 2004 Howard Bennett, Jr. 20 Harvard Street Hyannis, MA 02601 Re: Proposed Accessory Affordable Apartment 20 Harvard Street, Hyannis Dear Mr. Bennett: Paulette McAuliffe has forwarded copies of the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment to be created at 20 Harvard Street. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant t J040616a i ur REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this day of ,2004,by and between Howard B. Bennett, SR. &Joan S. Bennett, and Howard B.Bennett,JR. of 20 Harvard Street, Hyannis,MA 02601,and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the "Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations bythe Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit";and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: A- The terms of this Agreement and Covenant regulate the property located at 20 Harvard Street, Hyannis,MA,as further described in Exhibit"A" hereto annexed. B. The Project located at 20 Harvard Street,Hyannis,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of the comprehensive permit, Appeal No.2003-152 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations (A copy of the comprehensive permit is annexed hereto as Exhibit"B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,GOVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive pen-nit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons of low income (herein defined as 80% or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area INISA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of Area Median Income or less of the Area Median Income (AMI) of Barnstable-Yannouth Metropolitan Statistical Area(MSA) and that rent(including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authorityshall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be retained as permanent,year round rental dwelling units with at least one-year leases. i r a 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation, or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture, agreement,mortgage, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. I Cl LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and that rent (including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established by the Barnstable Housing Authority shall be deducted from HUD's rent level. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. IV. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuityto a household with a maxunum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and that rent (including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area.In the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authority shall be deducted from HUD's rent level. V. RECORDING OF AGREEMENT: 2 f Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court (collectively hereinafter the"Registry of Deeds"), and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediatelytransmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. VI GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VIII. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. IX HOLD HARNII..ESS: The Owner hereby agrees to indemnify and hold harmless Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attomeys fees necessitated by such actions. X. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be,and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in Exhibit"A" hereto annexed and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipalityshall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in Exhibit"A". XI. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall onlytake effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County 3 Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. XII. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, R are not merelypersonal covenants of the Owner,and (iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. )(III. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the tertns and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses, including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent mayperfect such alien on the Project byrecording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or anyportion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XIV. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this day of Ulna ,200 O BY Signs e P • ted: Howa B. ennett , 11 TO B R111 TABLE • BY: Sig Sigma 1ohn m,�C.Khm Town Manager 4 i IN WITNESS WHEREOF,we hereunto set our hands and seals thisa -lay of �9 r ,200 OWNER (� OWNER igna=e SignaUire Printed: Howard B.Bennett,SR Printed: Joan S.Bennett 1U-©F--F@NNEC1-T6UT CuM = 7 V/= County of 1,3Aj/"S 7MC G ,ss: Av`..S.L4-C/-1 U J G-7Tf ,2004 On thVD)Y day of M&4— 206/before me,the undersigned notary public,personally appeared W 0 t 5 � u,y ,the Owner(s) ,proved tq me through 44 satisfactory evidence of identification,which were C?- D.C, 1 � . t1�(a t=-I;�• QI -/id)l to be the person(s) whose name(s) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. 47 s j Notary Public ' W Cn Printed: �(Ci-I �C.r f•'c L�Crt:'" ew O ri My Commission Expires: MICHAEL A.FiAUSSIJAN yr NOTARYPUBLIC `�; OF fi-Y COMMISSION WIRES FEB.20,20M " t 5 i COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss:�'- 2004 �i On this�l' day of I'l'y"% 20ol/before me,the undersigned notary public,personally appeared -- �i > 5, .�e.�e-- ,the Owners) ,proved to me through satisfactory evidence of identification,which were !Uy 3-;ZFO X 5 ,to be the person(s) whose narne(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. .• ELLEN J.OVALLEY taryPubliic _f�e�, NOTARY PUBLIC Printed: J " jj COMMONWEALTH ofMASSACHUSEM My Commission Expires: c>3 �GtU 6b MY COMMISSION EXPIRES APRIL 2,2010 COMMONWEALTH OF MASSA=ETTS Countyof Ba s ble,ss: 2004. On this f y o 24ef ore me,the undersigned notary public,pers onally appeared �CI-/m • ,the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were Fqjj�Jo • wc4l knotim ,to be the person whose name is signed on the preceding or attached document and ackno ledged t be that he/she signed it voluntarily for the stated purposes. a • C a ` �� Notary Public;! Printed: f) U ! . ��L•t tl My Commission Expires: . '�. QIu e;�,••`' �D E Al , j�4k, •••.;moo ;� LINDA R WHEELDEN NOTARY PUBLIC J.- * J j C0WXWMTN0FWZA0tWM E.ma's 0 r A�pComm.ExptleeQ +200Td,' Z QJ 61 �►••�• r; .�!+i�gniauu� JV 6 COMMONWEALTH OF MASSAC HUSETTS County of Barnstable,ss: ,2004 On this '� day of VLu-nL 2Q before me,the undersigned notarypublic,personally appeared `4NJ A&d X. d3-I n4eX" ri R_a ,the Owner(s) ,proved to me through satisfactory evidence of identification,which were L(G !�- 07,35#07.Z19 m ,to be the person(s) whose name(s) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. _ Paulette Theresa-McAuliffe assachusetts Notate mission Expires 7/04/2008 r t► ' Printe r, : AIM* ? My Commission Expires: o (9i - :,, .:1W �r �h/!flIIfl1N� t i i 7 i Sk 18094 P z 278 *595 01-05-2004 a 02 a 03o Quitclaim Deed EXHIBIT We,HOWARD B.BENNETT SR.and JOAN S,BENNETT of 486 East Pond Meadow Road, Westbrook CT(the"Grantors"), for love and affection,grant HOWARD B.BENNETT SR.and JOAN S,BENNETT as joint tenants with one another,a 90%interest and HOWARD B.BENNETT JR.of 20 Harvard Street,Hyannis Massachuesetts,as tenant�n common with the aforesaid HOWARD B. BENNETT SR.and JOAN S,BENNETT,a 10%interest with QUITCLAIM COVENANTS,in and to a certain parcel of land with thY h= _�,=--••• thereon,situated in BARNSTABLE,(Hyannis)Barnstable County.,Massachuesetts and known as 20 Harvard Street, more particularly bounded and described as follows: SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF IN WITNESS WHEREOF,the Grantors have executed and set their hands to this document this 30th day of December,2003 tie HOWARD B.BENNETT SR UOAN S.BENNETT 4 t 77 Bk 18094 Pg 279 #595 State of Connecticut ) ss:Orange County of New Haven ) On this 30th day of December,2003,before me,the undersigned officer,personalty appeared HOWARD B.BENNETT SR..and 3OAN S.BENNETT known to me(or satisfactorily proven)to be the persons whose names are subscribed tothe within instrument and ack*+�tu1P.��F„� +�,+a+.�-:.,•... +..?. the same for the purposes therein contained and as their free act and deed in witness whereof i hereunto set my hand. A Peter Harvey Commissioner of the Superior Court i I i I i I i 1 I 's, ABM EXHIBIT <-A Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2003 — 152- Bennett Applicant Howard Benner;Jr. Property Address: 20 Harvard Street,Hyannis,MA Assessor's Map/Parcel:- Map 307 Parcel 140 Zoning: Residential B , Groundwater Overlay: AP Aquifer Protection Overlay District Applicant: The applicant is Howard Bennett,Jr.,who resides at 20 Harvard Street,Hyannis, MA. Relief Requested: The applicant has applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts, Chapter 40B-S 20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III,Article LXV,"Pre-existing and Unpermitted Dwelling Units and for New Dwelling Units in Existing Structures," more commonlytermed the."Accessory Affordable Housing Program" He wants to create an accessory affordable unit at a single-family owner-occupied residential dwelling in accordance with all the conditions of this permit. The issuance of this Comprehensive Permit would allow for an owner-occupied single-family residence with an accessory affordable apartment within the single-family dwelling. i Locus and Background: The property is a.33 acre lot that is developed with a 3-bedroom,2 t/2-bathroom,3,933 square feet single- family,Colonial style home. The applicant's family has owned the property for eleven years and since that time has added a two-door detached garage with a storage loft above it situated near the main house. The applicant heard about the program through an ad and has come forward to participate. The proposed unit will be created above the garage. It will be a 2-bedroom at approximately 864 square feet. The locus is in a Residential B,in the AP Aquifer Protection Overlay District. As a proposed new unit above a pre-exiting garage,it qualifies for the Accessory Affordable Housing Program. Procedural Summary: This application for a.Comprehensive Permit was filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was i duly advertised and notice was sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on January 7,2004 ,at which time the applicant requested a continuance in order to complete the required packet for a Comprehensive Permit. Hearing Officer,Gail Nightingale,continued the case to February 25,2004 at which time the Comprehensive Permit was granted. I I Prior to the hearing on January 7th,two of the applicant's neighbors: Robert Bastille and James Rush submitted letters to the Hearing Officer voicing their concern about additional road traffic. The main entrance to the proposed unit faces a dirt road which is in apparent need of upgrades including the drainage,pot holes,pavement,etc. The neighbors requested that tenants be required to use the front(or Harvard Street) side for parking. Prior to the hearing on February 25th,neighbor,Laura Doherty submitted a letter opposed to the application. The neighbor said she's concerned that the proposed unit will lower the value of her property. The Hearing Officer emphasized that the property owner shall provide all parking on-site for the tenants participating in the program (See Ruling& Cornlitions,Page 4, # 11).Also present at both hearings was Paulette Theresa-McAuliffe,Accessory Affordable Housing Program Coordinator. Findings as to Standing and The Comprehensive Permit- At the February 25,2004 hearing,the Hearing Officer made the following findings of fact: 1. The applicant is Howard Bennett,Jr. with an address of 20 Harvard Street, Hyannis,MA.. Mr:Bennett's family has owned the property since March 15,1993 (and has submitted a home-owner's Deed/Title certifying his ownership of the property) as documented and recorded at the Registry of Deeds in Book 18094 Page 278. He is requesting a Comprehensive Permit to create a unit as an affordable rental apartment accessory to the single-family owner-occupied residential dwelling. The applicant has submitted a copy of a certified deed recorded at the Barnstable Registry of Deeds documenting his ownership of the property. In addition,he has submitted a certified plot plan dated February 24,2004. 2. The applicant was issued a Project Eligibility(site approval) letter dated December 10,2003 from Kevin Shea,Director,Office of Community&Economic Development,qualifying the application for the Accessory Affordable Housing Program The source of the subsidy is the federal Community Development Block Grant(CDBG)program. 3. The proposed rental unit will be approximately 864 square feet and will have two bedrooms. It's proposed to be located above the free-standing garage which is near the main house. 4. According to the Assessor's record, there is a total-of three bedrooms on the property. The property is in the AP Aquifer Protection Overlay District.The Public Health Division has: verified that the proposed property meets both the conditions of the State's Title V Environmental Code and local Board of Health requirements,plus,approved the septic system at the site for a total of five bedrooms as per the"Housing Amnesty/Public Health"Form dated November 7,2003. 5. The town of Barnstable completed an inspection of the property on September 29,2003. It was noted that there is a free standing garage on the property with an empty loft above it,where the applicant proposes to build a two-bedroom unit.The apartment will be built according to the plans submitted by the property owner and initialed by the ZBA Hearing Officer. The applicant is aware that a final inspection by the Building Division will be required and that the Building Division also has to perform all necessary inspections to assure that the unit meets applicable minimum state and local code requirements before he is issued an Amnesty Certificate of Compliance. 6. On November 10,2003,the applicant signed an Accessory Affordable Housing(Amnesty) Program Affidavit agreeing to comply with the programs requirements,including owner occupancy of the principal dwelling unit and further agreeing to comply-with the provisions set forth in Article LXV(65) of the Town Ordinances that include their signing and recording of the Regulatory Agreement&Declaration of Restrictive Covenants. The subsidizing agency has determined that the signing and recording of the regulatory agreement qualifies the applicant as a "limited dividend organization" as that term is used under M.G.L.c.40B %20-23. 2 7. Under Chapter 3,Article LXV(65) of the Town Ordinances,the affordable unit must be rented at an affordable rent to a person or family whose income is 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA). 8. According to the Massachusetts Department of Housing and Community Development,as of September 4,2003,5.11% of the town's year-round housing stock qualified as affordable housing units. The town has not reached the statutory minimum under M.G.L. c.40B g§20-23 or its implementing regulations. under the Town of Barnstable's Local Comprehensive Plan, the use of existing housing to create affordable units and the dispersal of these units throughout the town is encouraged. 9. Based upon the findings,the project is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the Health and safety of the occupants provided all conditions of the Comprehensive Permit are strictlyfollowed. Ruling and Conditions: Based upon the findings,the applicant, Howard Bennett Jr.,is granted a Comprehensive Permit to permit an accessory apartment of 864 square feet within a single-family owner-occupied residential dwelling, subject to the following conditions: 1. The property owner shall occupy the principal dwelling as his year-round residence. 2. Occupancy of the affordable unit shall not exceed three adults or a family of four. 3. This unit shall not be occupied by a family member. 4. To meet the requirements of affordability,the applicant must rent the unit to a person or family whose income is 80%or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area{ZA),adjusted by household size. The monthly rent payable by a household inclusive of utilities shall not exceed 30% of the monthly household income of a household earning 80% of the median income,adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 5. All leases shall have a minimum term of one year. 6. The property owner must obtain a building permit for the accessory affordable unit whether the unit is new or pre-existing. Before the issuance of an occupancy permit and Certificate of Compliance for the unit, the Building Commissioner must determine that the unit conforms with the approved plans as submitted to the file (as initialed by the ZBA Hearing Officer and submitted with the building permit application) and meets state building and fire codes. The unit must also comply with applicable state on-site wastewater discharge requirements. 7. The applicant may select their own tenant(s) provided the tenant(s) meet_all requirements of the program and provided that person(s) income is reviewed and approved by the Office of Community &Economic Development of the town of Barnstable as a qualified individual. The applicant will be required to work with the town to provide information necessary to document that the tenant(s) qualify. To insure that the unit is rented in an open and fair basis to an income eligible individual or family, the unit must be listed with the town whenever a vacancy occurs. 3 Also,the applicant must notify the Office of Community, &Economic Development of a vacancy whenever it occurs. 8. Every twelve months the applicant shall review the income eligibility of those individuals occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit the applicant shall file with the Office of Community&Economic Development of the town of Barnstable an annual affidavit listing the rent charged and income level of the occupant(s) of the unit. The applicant shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked 9. The Accessory Affordable Unit shall be affordable in perpetuity(as affordable is defined herein) unless this Comprehensive Pennit is rendered void. 10. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred, the town of Barnstable shall be notified within 60 days the name and address of the new owner. 11. All parking for the dwelling and accessory unit shall be accommodated on site,and no lodging shall be permitted on site for the duration of this Comprehensive Permit. 12. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Transmission of the Decision of the Hearing Officer to the Barnstable Zoning Board of Appeals In accordance with Part U,Section 4.02 and Part III,Section 3.72 of the Town of Barnstable Administrative Code,the hearing officer transmitted her written decision to the Zoning Board of Appeals on February 25, 2004,and fourteen days having elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes the decision for this Comprehensive Permit application. Ordered: Comprehensive Permit 2003-152 has been granted with conditions. Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A,Section 17,within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk The applicant has the right to appeal this decision as outlined in MGL Chapter 40B,Section 22. f � 1 Date Signed jC4lightingale, aring C+ffis er I,LiL I-utchennder,Clerk of the Town of Barnstable,Barnstable County,Massac,� • •'% �'that ce 20) days have elapsed since the Zoning Board of Appeals filed t twenty( no appeal of the decision been filed in the office of the Town Clerk. Ulf `l o, .Signed and sealed this day of' under the pains and iLinda Hutchenrider,Town Clerk I 1 Q ARNSTABLE REGISTRY OF D 4 I yP °� Town of Barnstable snxxsrasM i6 9 p10� Office of Community and Economic Development 230 South Street,Hyannis,MA 02601 Kevin J.Shea Office: 862-4678 Fax: 862-4782 Director June 14,2004 Ms.Jane Wallis Gumble,Director Department of Housing and Community Development 100 Cambridge Street Suite 300 Boston,MA 02114 RE: Notice of Town of Barnstable's AccessorvAffordable Housing Program Comprehensive Permits Dear Ms. Gumble: I am notifying your office that the Town of Barnstable has approved thefollowing applicant(s) under the Chapter 40B Comprehensive Permit as part of the Accessory Affordable Housing Program Howard Bennett,Jr.,20 Harvard Street,Hyannis— a single-family accessory unit; Ann C.Brigida,26 Circuit Ave.,Hyannis- a single-family accessory unit; AnnB.Condon,7 Woodvale Lane,Centerville- a single-family accessory unit;and Lorraine Testa&Thomas Coyle,74 Chippingstone Road- a single-family unit. The permits) have been approved under the adopted General Ordinances of the Town of Barnstable,Article LXV-"Pre-existing&Unpermitted Dwelling Units." The source of the subsidy is the federal Community Development Block Grant (CDBG)program The units are subject to a regulatory agreement and Declaration of Restrictive Covenants,which require the units be affordable in perpetuity to persons whose income is 80% of the area's median income. Please feel free to contact me if you have any questions. Res ctfullysubmitted, Kevin Shea,Director Office of Community Development cc: Toni Hall,DHCD Gail Nightingale,Hearing Officer Paulette Theresa-McAuliffe,Special Projects Coordinator John C.KFumri,Town Manager Ruth Weil,First Assistant Town Attorney Thomas McKean,Public Health Department Thomas Perry,Building Department File:Q:COMDev/PT/FUCPNOT.doc v�1HE The Town of Barnstable • snxxsrABIX �9. ,0� Office of Community and Economic Development 230 South Street Hyannis,MA 02601 Kevin Shea Office: 508-862-4678 Director Fax: 508-862-4782 November 13, 2003 Mr.John C. Klimm,Town Manager Gary Blazis,President Barnstable Town Council Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Howard B.Bennett,Jr.,20 Harvard Street,Hyannis - a single-family accessory unit. Gentlemen: This letter is to inform you that the-Accessory Affordable Housing (Amnest� Program has received a request(s) for a project eligibility letter(s) under the Community Development Block Grant (CDBG) Fund and under the General Ordinances of the Town of Barnstable,Article LXV- Pre- existing&Unpermitted Dwellings and the Criteria for the Local Chapter 40B Program The Amnesty Program is reviewing the request(s). If the Town has any comments on the project(s), please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the site(s) and the consistency of this development within the guidelines of CDBG. Sincerely, Kevin Shea Director Community&Economic Development cc: Town Attorney's Office 1/Building Department Public Health-Department �. File:Q:CommDev/PT/AMS/REQLETTR.doc INE'O'�ti Town of B arnstable Office of Community and Economic Development 9snxtae&t.E 367 Main Street,Hyannis,Massachusetts 02601 i63q• `0�' (508)8624683 or(508)862-4695 Fax(508)8624725 �FDMp�s Kevin J.Shea Director October 1,2003 Howard Bennett q). 20 Harvard Street Hyannis,MA 02601 e Dear Howard: This letter is to follow-up on the initial inspection of your property in the anticipation of your participation in the Accessory Affordable Housing Program As you already know,the next two steps are necessary before legitimately adding an apartment above your garage: 1. You must provide this office with written proof from the Public Health Department that you have met Title V requirements;and 2. You must satisfy state housing and sanitary codes with the Building Department. Incidentally,I received a call from the Building Department today inquiring about your application status. Accordingly,Building Commissioner,Tom Perry will allow the following procedures pending approval of your Comprehensive Permit by the Zoning Board of Appeals. a. It's okay to put outlets in your garage. b. It's okay to put two (2) outlets and two (2) lights with"rough" wiring in the loft (future Amnesty Apartment) above the garage. Once you are awarded your Comprehensive Permit,you can no longer pull permits on your own, but you must have an electrician do it for you. If you have any questions or concerns on this,please contact Bill Amara,Inspector with the Building Department. He can be reached during the day at 862-4038. The Accessory Affordable Housing Program is a unique way for our local government to partner with property owners like you in providing safe and desirable housing in our town while allowing you to make rental income. I look forward to working with you in completing the necessary steps to acquire an accessory affordable unit at your home. Sincerely, Paulette Theresa-McAuliffe Amnesty Program Coordinator cc: I/Efom Perry,Building Commissioner Kevin Shea,Director, Community&Economic Development Q:CommDev/PT/Mon/LTRLRNS.DOC I Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/99] Geave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C 527 C 12.00 (PLEASE PRINT IN WK OR TYPE ALL INFORMATION) Date: 9 0 City or Town of: Barnstable To the Inspector of ires: ! O By this application the undersigned qq�* s noticV s or her intention perflar�n t o�l�eL.b�ic lr rk described below. Location(Street&N ber) pC® �� '�� ( , l►I Map 30 Parcel - Owner or Tenant o t Telephone No. - ao-� QS Owner's Address 2to 60 Is this permit in conjunction with builififfigy permit? Yes No ❑ (Check Appropriate Box) Purpose of Building f' kA6 A"P- Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps /' Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: 6- ad Completion of the following table mav be waived by the Inspector of Wires. o.of Total No.of Recessed Fixtures No.of Ceil.-Susp-(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above n- No.of Emergency Lighting No.of Lighting Fixtures Swimming Pool nd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones o.of Detection an No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers otalsP umberTons e o io - mini eDetection/Alertin Devices Mumcipallo.of Dishwashers feat ace/Area Heating KW Local ❑ Connection Other eating Appliances gay Security Systems: No.of Dryers No.of Devices or E uivalent o.of Water KW o.o o.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit.issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, tinder the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: '- Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.Tel.No.: OWNER'S INS NCE WAIVE I am aware that the Licensee does trot have the liability insurance coverage normally required bylaw my signat w,I her a this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agen g f PERMIT FEE:$400,QaSignature Telephone No. -- R R vt e���- �gin.... . o� G�- e -- 5 e cis ' . .. .__�a�.be � . �_A .� �._�___,. R- -r �Mc-� CA C, k r i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Lin Map Parcel � E Permit# c;e Health Division -7 3 1002 APR -4 PM, 22 Date Issued Conservation Division q / !! Fee Tax Collector (j (�(C tl� �. jS! �r � e L6"t�G Treasurer Iv l /Aj Planning Dept. 4"'`',J'_AN7 e,WW OPTAIy "ON'T"ITION ? R.'�i.i FRutu Date Definitive Plan Approved by Planning Board cp Historic-OKH Preservation/Hyannis Project StreWNY ddress �y �� `0�-D g Villa e Ad/JCS Owner �,1+A2D ►� �E� Address Telephone O 6 C;)n g Permit Request C, tiED 0 K POT C+(C t s-rbR+o,66_ Lo FT; Square feet: lit floor: existing proposed 2nd floor: existing proposed Total new Valuation e ��oa0 Zoning District Flood Plain Groundwater Overlay i Construction Type woo 1 2 Lot Size � F Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. _ Dwelling Type: Single Family C41 Two Family ❑ Multi-Family(#units) Age of Existing StructureG , &D Historic House: ❑Yes C9'No On Old King's Highway: ❑Yes ZN o Basement Type: M/Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) C, Number of Baths: Full: existing � new Half: existing new Number of Bedrooms: existing 13 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑ Electric 0 Other Central Air: ❑Yes 3 No 'Fireplaces: Existing New Existing wood/coal stove: ❑Yes Y 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 BUILDER INFORMATION q Name riPJ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WILL BE TAKEN TO " SIGNATURE14� 6 /DATE r a 2 1 FOR OFFICIAL USE ONLY PERMIT NO. # r ISSUED MAP/PARCEL NO. ADDRESS — VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r- ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL a FINAL BUILDING — DATE CLOSED OUT �— ASSOCIATION PLAN NO. } 1 RESIDENTIAL: SHEDS -POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft. (Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ / >1000 sf- 1500 sf 100.00 $ d b >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATIONIMOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 l , q � v The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division ' Peter F. DiMatteo, 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: Estimated Cost Address of Work: Owner's Name:, Date of Application: 1 I �� I hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law ❑Job Under$1,000 ❑B lding not owner-occupied Orweer pulling own permit Notice is hereby given.that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I he7tapply for a permit as the agent of the owner: l 02— Date Contractor Name Registration No. q:forms:Affidav :rev-122001 oF,tr+e r, BARN LA : ti The Town of Barnstable MASS. a 9�OA 1639• ;ate Regulatory Services 'F0 Mai a Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main-Street,Hyannis MA 02601 . ce: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION • r Please Print DATE: �� JOB LO _ n ber street "H0MEOWN$R": �1�ai L3 �Cde village name home phone# work phone# . CURRENT MAILING ADDRESS: v n/� �- 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 intend Persons)who owns a parcel of land on which he/she resides or intends to reside,an.which there is,or is ed 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 res onsible for all such work erformed under the buildin 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 ent minimum inspection ocedures d re uire ents and that he/she will comply with said .pro es and requiremen . S' of and 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. The Code stat HOMEOWNER'S EXEMPTION es.thaC "Any homeowner performing work for which a Building permit is required shall be exempt from the provisions of this section(Section log.1.I-Licensing of construction S person(s)for hire to do such upervisors);provided that if the homeowner engages a 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 2.1.5) 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 form currently used by several towns. You may care t amend and adopt such a form/cer&'f a tion i or use is your community. " Q:FORMSMENUnN O � .•.S•} :•jti.:i hr:: •••�..> •;:C::r_ �?~''.i,�py {:' : �?;'{. 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S :i.2;: .f iv:f:::•.,:. •�?{�ta, #:t!: :::� r •o r.:s :•is N tt •;S: Information and Instructions Vassachusetu General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thzir :mplovees. As quoted from the- 1aw", an employee is defined as every pion in the service of another under my cqn of hire. wcpress 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 cd in a joint enterprise.. and including the legal reprmseatatives of a deceased employer, or the rec.-ts'e:x the foregoing eagag J rP g to =. However the owner of a trustee of an individual,, partnership, association or Other legal entity, employing�P Y dwelling house having not more than three apartm and who resides tom, orthe occupant of the dwelling Meuse of another who employs persons to do maint , con3trT=am or repair wok onsuchi dwelling house or on the ggroundsare ^ cr building appurtenant thereto shall not because of such employment be deemed to be as employer. MGL cliaptet 152 section 25 also states that every state or iocal•liceasiag agmey shaII Withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the can for any app0cAnt who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, the coin u=We:aith nor any of its political subdivisions shall enter into any core =for the pc form==of public work umil acceptable evidence of compliance with the insurance rcqt of this chapter bane been presented to the authority. - MIN ME -Applicants Please fill is the workers' compensation affidavit completely,by Accidngthe.boxthat applies to.your and supplying campaay names,address and phone mmmbers aW*with a eestific=-of insurance as A affidavits maybe submitted to the Depar==of Industrial Accidents for c tiaa ofiasmaace 8°. o be sere to sign and date the affidavit 'Ilse affidavit should be,returned to tin city ortown that the application for thin permit or license is being mq ,not the Department of Industzial Accidents- Should you have=y questions regarding the"law"or if You arm below• required to obtain a worirers' campeaszdcEM policy,please can the Department aide number listed . //%�`• . WA ME PENN W111111111 City or Towns I Zhe D artmrt has provided a space at the battom of the Please be sure that the affidavit is complete mad pad Ieg�.y. P ii�. pL-ase affidavit for you to fill out in the evemtthe Office of has to contact you =prding the be sure to fill is the peaaitllicrose;member which will be used as a ref v i m�her. Min affidavits may be rciumea t^ the Department by mail or FAX unlmss other have been made. The Office of Investig=ions would like to thank you in advance for you coOPmratina and should you have nay questions- please do not hesitate to.give us a call. . I FA WIN MEMO. The Department's address,teiephonm and faxmmlber. e , The Commonwealth Of Massachusetts Department of Industrial Accidents offlce of lavesduadods 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 'exL 406, 409 or 375 Tablo IS=08041010010 Pracripttre Psdmga for Oaa aad Tmwan*Rmwm tw Bwubw Road wia Foaaa Falb `• MQYQ4IUM b A=um 91ab lieaaa8i{:oclin6 Baaemeat (lIariB n Glazing Criliag Well F7aor F3Hci=c� Are,''('/•) U-valor• R-values It vdual &valid �Wall _Brvalad Pacicaae MI to 6500 Heatfmg D DRW No:aml Q I21,11 0.40 1 38 13 19 10 6 R 12% 03Z 1 30 19 19 10 6 Nonaal 9 . 12!18 0.50 1 38 13 19 to- 6 95 AFUE T 15% 0.36. 38 13 2S WA Wt Normal I1 15%1 0.46 38 19 19 10 6 Normal V IS'/. 0.44 38 13 25 N/A WA 8?AF'IJE w 15% OS2 30 19 19 10 6 iRS AFUE X 18% 032 38 13 2? WA WA Norma! Y 19% 0.42 38 19 73 WA WA Normal 90 Z 12% 0.42 38 13 19 10 6 AFC AA 18% 030 30 19 19 10 6 90 AFUE 1'. ADDRESS OF PROPERTY: ► �` ��"" (S c Jyoa s ' 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �¢ 3. SQUARE FOOTAGE OF ALL GLAZING: G 901D si • e • 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMnMG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES: NO: q-farms-080303a Footnotes to Table J5.2.Ib:. liehts, and '. Glazing area is the ratio of the aiea of the glazing assemblies (including sliding-glass doors. sltiy gross wall basement windows if located in walls enclose conditioned space,but excluding opaque doors)to the area. expressed as a percentage. Up`to 1%ofthe'total glaring 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 fl of glazing area. Z 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 R-49 insulation. Ceiling R-values represent the stun 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. i f used Do not include 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing - used). ,Do 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. Nall 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 mc_t the same R-value requirement as above-grade walls. Windows and sliding glass.doors of conditioned 'th the other glazing:Basement doors must meet the door U-value requirement ents must- included wt g b�..�em Sl 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.la 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 035. 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 lass area of the door with your windows and use the opaque door U-value to determine compliance of the door. g i One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or craw 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 � �� U 1, ; t � /� j L.��7L. 1 , � �� 9 emu, .�,.� ��; � � � � �( � l ��LZ'o rl ��� �� �� n � � ��, � ��� �� �_ � �' � _____ --_ - ��- 3---� - w' I Robert W.J. Bastille 6 Yale Street Hyannis, MA 02601 (508) 771 -1309 August 2, .1995 Alfred E. Martin Building Department Town of Barnstable Town Office Building 367 Main Street Hyannis, MA 02601 I have a concern regarding my immediate neighborhood. It appears that garages at 20 Harvard and 139 Pine are being converted into apartments. I do not know if permits have been granted, but I assume that I would have been notified. These garages border on my property and if they are converted into apartments it will severely impair the peace of this neighborhood. A home which is up for sale next to my property also has a garage. It is rumored that this garage is being presented as a possible apartment conversion by the real estate representative. This neighborhood has already reached saturation and property values have declined. My wife and 1 are retired and hoped to live out our years in our home. However, the quality of life we once enjoyed is disappearing. We have k i d s and other people constantly walking through our property and I am considering a fence at the end of Yale Street. Please find enclosed a drawing of my location. In addition, I would greatly appreciate the opportunity to explain the above situation in person (so that I may further illustrate how our area is already impacted with dwellings). Please advise regarding my rights as a property owner in the Town of Barnstable. Respectfully Submitted _J Robert W.J. Bastille ^ � I �, � �I � � � �� a i � �� _ � ,� � -- -- -� `� r �`� �� l _ . �4 Ida 'i as i �E �1 ry �l I Y e �t4 � ji p : �.vl.G t Aa v,� ♦ t a+ (� ���r4,r. t�%i �V���=i��Y,ryr�£-f� t}61'��j ,1• Y '• I%: /r 6 LU dVVV I s r LOE 4. `,•` of - a � V GOB:'; F . . '. � ��•,, � 0z .F IN dVW 1r' 'f`J df• LOE dVWC VIt oc d i LOE dVW i c �! t j �. y f✓ - -- -- ----- - X DC 56, prxned t 3 0 a . our DP, 00 Q � D C-N-R&C �. 1 10 00 �6 o � 1 0 kU On v 'fin b SS - _ �-lo4.��s tye) s 01 W � Z S d' L fo s SF MA 6 o f, ; ;RY' 6- A-9AG-- C SLM & Sq�vy Lev pf � 1 ��CN LA�C,Y �bCzarnr� A�:ASY S.' GAuA6C DOOP-- AAAGE ACT IOIy ALL I)IMENSION M8 ER SNgI1 COLLAR TIE Kb SPF Na oA 6E1TER. � @ �� r 2 x RAFTE R@16 • ac, 2x CEILING 7bISt QC ��6 •, S�tEh.-�— C ,( 1 " . S HINSL E W 1 /Is La. PELT R.30 Ix PINE FAC RAFT rACEb Fo BARS R-30UNI•ACEd pG 8 MTs w/6-MIL POLY VAPOR IMRRI SdFf`IT VENt (1 et 1 2sm Pip EA 2 • PINE SOFFI t . "00, F � • � 1 2 x 1 6 s�n -- _ P_,.oR %T01ST sr FLOOR) i • SILL SILL SEAL, �r.• � • V O A"clada BOLT 6-0. O.C. • ,; ~CONCRpTE POU"ATION MLA MA _ .� O1 N a/ y k v Z ti � � y coar,voy z o 6�� f3 ST.9/e s - 0 o �, y �! N 0,9 Ll virn `rni p y , C, m Na � W rh � � � Oo a g n Gj rq s �' J I J r ` Z mF 0 D m A_ hil OI((�}\ ---------------- p 7-P 7•P � Q 1 m � � y TT� 0 4 1 I m O INEW2xial.21 o... U711 1 1 1 ? T� I I 0 /v DMULTI LVL BEAM z n m LG� r illln me �' 2o'-P ' (ADDITION) D 0 z 0 z A x D m 0 A m _ C z A �� NX n m am A m Z X� p 2•-a z'•P � 0 m N m = O N N z m p 9 7m p :4 O N m �"� 04 N P.T.2 x 1 Vs @ 16'o.c. N O!� N Q + Z O 9 �N I T w-a -�' �N D m A r O r , 3•P.T.2 x 17sNJ =OE z OX� Neu 1J x C A00 AOS II SAS ~TO O It O j~ 0 0 O P.• X „ OI "t m 6'-6' 6'-8' 61.6' a 0 0 N x 0 O m n n O mm 0 O Vm In 0 $ N ZH m 2.26' O Oor (AD o DITION) v m 47 y m 0 p < c� p < 6 z fn m N m 0 m m n x m -� C A -bl r p o w (3n m � s p GCi mi N g p II A K m22 NI cn weK � rz� n m x q * 2 m � e v � � x 4 � y O 77�� yy ND D 0 m 2 A�K1o1z1 yb y myx x N T a 1 r D y T�b m G1 A FAO CS f/� O VI V m_ o mFn�z r>O x 0eC 0x fi+ z �m m n m 'n0 AAf myy yy O A RI -gym N A O �m 0OA 6 f!F 2 Gl D ZMAi Z$ m F IV 6 � Dr' m m0 m N n 00Ic 11 ti {� 6 0 I O� G C _ N o pg� g ONmC O x Ca a J S a o �3omm 0 ZJ m tWi T?Zp04 £ m mZZ m A �% m ~ G) O >G< O\O = O o C m { O mTO�T z A 5 mmA� O0 O O N a NEW ADDITION FOR: COTUIT BAY DESIGN 43 BREWSTER ROAD 7 O m " BARBARA HOWERTON MASHPEE,MA. 02649 (w �- PH.(508)274-1166 FAX(508)539-9402 20 HARVARD STREET HYANNIS, MA r e 1 . ( (ADDITION) PILASTER 6-O' 64rLo EXIST. - EXIST. E N N ANDER Lm N PILASTEROo 'VET 8 CO m W up CXm ANDERSEN ''' 00 O . I I ZB' 6 r C4 w e x 11 F CH II DOOR O M�i'.�C1.¢. CENTER - NEW PILASTER II SUNROOM DN. EXIST. ANDERSEN ?. LIVING SHAFTM ET COMBO o I SKYLIGHT I � . AND.RV 2838 ¢ cz::� 1 A A Hl A2 CENTER PILASTER 1j 76 68' ANDERSEN I I FIRE CH CX 145 II D R 12'd' EXIST. I I H IIAj (ADDITION) . STUDY II II b ANDERSEN iV C245.2W/ PILASTER ET 8 COMBO EXIST. Qy EXIST. EXIST. Lo EXIST. EXIST. PILASTER 5 NEW 10'DIA b HALF COLUMN 17'DOORS 2 X 3 ON FLAT WALLS WI AZEK , b 1'-3' 4' '-3- SHEATHING L/1 N I � P RTICO �J POSTS 8 TOP RAIL FOR CAB STEM TO NEW 10'DIA j j SURROUND SKYLIGHT g COLUMN �j 76 X 6'8- (SEE MFRS.SPECIFICATIONS J 6I I 15 LITE SKYLIGHT TO HAVE TEMPERED 1, GLASS O 17 8' r-o 17-0` EXIST. 4'-0' N DN. EXIST. (EXISTING) (ADDITION) BEDROOM NEW o �, W ROOF R o FIRST FLOOR PLAN DECK O SEE DETAIL#4 LEGEND: 15 lTE6 AZ N Ca EXISTING WALLS x 1� CONSTRUCTION TO BE REMOVED -® NEW CONSTRUCTION Q' EXIST. ' BEDROOM EXIST. CLOS. EwsT. § N r7T, EXIST. EXIST. EXIST. N NOTES: ; PORTICO 6T 6 SCALE: ROOF 12•{r 1/4"= F 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS (ADDITION)&DIMENSIONS IN THE FIELD REVISED: I2/8/2006 DATE 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, g THE DESIGNER SHALL BE NOTIFIED IF ANY 1 1/10/2006 ERRODETAILS.&FINISHES IN THE FIELD WITH OWNER THESE D AWINGOMISSIONSPRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR 3.) VERIFY ALL INTERIOR DOORS HEIGHTS BEFORE WILL BE RESPONSIBLE FOR THE CONTENT DRAWING NO.: PLACING ORDERS FOR NEW DOORS 17e r-o THESE DRAWINGS IF CONSTRUCTION tzs COMMENCES WITHOUT NOTIFYING THE 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS r r DESIGNER OF ANY ERRORS OR OMISSIONS. 37-(1" THESE DRAWINGS ARE SOLELY FOR THE USE STATE BUILDING CODE ON THE PROPERTY NOTED.ANY OTHER USE OF ITTEN 5.) CONTRACTOR TO REMOVE EXISTING DOORS,WINDOWS. SECOND FLOOR PLAN THESE DRAWINGS REQUIRES THE E DRAWINGS WALLS,&ROOFING AS REQUIRED FOR NEW CONSTRUCTION. CONSENT EC THE UNDER THE THESE DRAWINGS ARE PROTECTED UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 19W. �i v � < ?- �c �rn m LQ { U o E- co In x �U co Fm LLL1 LLD Z N l4 TOP OF PLATE u Z N Fm FM—i 1 AZEK SHEET SIDING TOP OF SLAB EXIST. —- C!) ATTIC LEFT SIDE ELEVATION PANELS(VERIFY MATERIAL IN THE FIELD W!OWNER TYP. ROOF DECK Q 1.Y4•PLYWOOD 2 RUBBER MEMBRANE ROOFING 3.2 x 4 SLEEPERS®16'o.c. 4.1 x 4 MAHOGANY OR CEDAR DECKING VERIFY PANEL SIZE O O S.9-BATT.INSULATION(R-30) IN THE FIELD EXIST, SEE DETAIL#1 EXISTING ROOF LINE r 1 BEDROOM W :o n N N O 0 I..Ly H SEE DETAIL#2 I-4 2 x 72s 16^o.. SE DETAIL#S r�4 '�) NEW 2x 10's�16'o.c. TOP OF PLATE - CJ j 2 x 8's 16'o.c. 2-2 z 89 111 O VERIFY CEILING MAIL MULTI LVL BEAM - BEAD BOARD CEIUNG �'+ W/OWNER IN FIELD v� m NEW WALL CONST. 10-DIA.HB&G PERMACAST 1 -2 x 6 STUDS @ 16'o.c TAPERED COLUMN W!TUSCAN CAP&BASE FFFN� b' -1I2'PLYWOOD SHEATHING EXIST. NEW o EXIST. Ew N N -6'BATT INSULATION(R=19J ?s LIVING SUNROOM lrC GYP.00. a LIVING F RTICO -AZEK SHEET SIDING Ei -TYVEK' INSTALL FLASHING n 4'T&G AT HOUSE f PLYWOOD AILED R. SEE OF B / GLUED&NAILED GRANITE TOP Of SLAB �•L� x 10's 0 16'O.C. TOP OF PLATE ^ � N EXIST. ZRIGIDINSULATION(R=10) SCALE: 2 LAYERS HELD BY P.T. F7 BASEMENT 2 x 2 BALUSTER STOCK 28-DIA.•BIGFOOr FOOTING EXIST. JT. UNDER 12'DIA EX SONOTUBESAT PORCH 47 DEEP BASEMENT -,2 1/4" ♦ / \ DATE: EXIST.FOUND. ��' \♦ ,' \\ ' WALL \ , , , ' i 1/10/2006 \ / / DRAWING NO.: a BUILDING SECTION @ NEW SUNROOM B BUILDING SECTION @ NEW PORTICO ® ® TOP OF SLAB RIGHT SIDE -ELEVATION A2 REVISED: 12/8/2006 M 307/141 HYANNIS. A. 104 9EED0R� A.M. 3081208 O 5° z LOTS 9-11 ' LOCUS tQ I.M. 307/140' RD 51. 61 3 1 ROTARY �P P S14 T LOT 11 LOTS 8-11 a �- - — — PARCELS 136 & 140 9 TOTAL AREA=.53 ACRESf i . c e I LOT 8 I ` A.M. 3071136 _; i LOCUS MAP I - ' CO VERED _ _ CB/BROKEI I PATIO - ____< ) I I � -� PLAN REF.• 12/57 DEED REF.- 85041123. ID;1' :•IB+ ZONING. 'RB" J ..�� S-,,,y,, ; I I SETBACKS: 20 - ,0-10 ASSESSORS MAP 307 PAR140 I /„ - //r/:,/. •91'-,.,,Ht)jj !:/.. f I C.P0.D.: "AP" 'mil . ,;,. I Q ko DF'CK. PLOT PLAN OF LAND LOCATED AT LOT 10 1120 HA VARD. STREET � 'GARAG '' • I 4 t,, , d'o ��. 7HYANNIS, MA.. J AS + I •••/•/•//••• HALT F — - - PREPARED FOR JOAN�c HO WARD B BENIV.E'TT SCALE 4 1 20' X I I FEBRUARY 24, 2004. yI �s,►A.� REV 0 F AUcl;SS�Qa� REV 1S-Eq S LOT 9 PSTEP,icN` `N r REV --- P.U.POLE �'ND) HE I I " J. DOYLE -166 I ? ► I = '� Fes- Q YANKEE SURVEY CONSULTANTS A.M. 3071137 s ��' UNIT 1, 40 INDUSTRY ROAD A_M. 3071138 � cBjDlsc A �Si 307/139 (F)vD) P. O. BOX 265 I o-t,' -o MARSTONS MILLS; MASS. 02648 TEL 428-0055 FAX 420-5553 NOTE THE 'LOT LINE INFORMATION WAS COMPILED FROM AN UNCLEAR PLAN (12/57 DATED- 1,' 4) AND THE DEED DESCRIPTION. J# 53609 Gj A NEWER PLAN SUITABLE FOR RECORDING AT THE REGISTRY OF DEEDS IS RECOMMENDED b C,, t Ll Q Oo E� 3 W�DO rr TOP OF PLATE ❑ ❑ ® ® FM �a .J AZEK SHEET } , ® SIDING TOP OF SLAB 7h F y +. PANELS(VERIFY MATERIAL x LEFT SIDE ELEVATION y IN THE FIELD W!OWNER � � pQ rC ® ® TOP OF PLATE 70P OF PLATE . CROWN PEDIMENT . . SCALE: NEW W.C.SHINGLE SIDING rn ' 1/4" — 1-0n 11 . .® DATE:AZEK SHEET SIDING 1 1/2 1/2006 N t TOP OF SLAB TOP OF SLAB DRAWING NO.: ti- PANELS(VERIFY MATERIAL Sk x 10 PILASTER(SEE DETAILS) IN THE FIELD W/OWNER FRONT ELEVATION RIGHT SIDE ELEVATION A4