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HomeMy WebLinkAbout0403 LINCOLN ROAD EXTENSION =-�7�' �� ,, i U, v . � Printed On:7/9/2020 Complaint Call Report 403 LINCOLN ROAD EXTENSION, HYANNIS Case# C-20-174 Case#: C-20-174 Address: 403 LINCOLN ROAD Date: 5/27/2020 EXTENSION, HYANNIS Owner Info: Property Info: KRISTOFFERSON, KAREN & MBL: COY, TODD E 403 LINCOLN ROAD EXTENSION 271-022 HYANNIS MA 02601 Owner Notified?: t Com plaint Details. Type of Complaint Classification of Complaint Method of Complaint Building Code High Priority Phone Complaint Summary: Constructing an addition to close to property line. No permit Action History: Action Taken Date Description Fee Inspector Close Case 7/9/2020 permit has been pulled $0.00 bowerse Inspector Assigned to Complaint. bowerse Filed by: barrowsd Comments: Comment Date Commenter Comment t ' I Date: 7/9/2020 Town of Barnstable r � i i j c 6 ., � \. �A ^f 4 � �_r. .� THE Town of Barnstable Op 1pk do Building Department Services w Brian Florence, CBO EARNSTnstie. MASS. ,�� Building Commissioner ATFo 39.ti+r►+" 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us - 0ffice: 508-862-4038. Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit �- NI I,being on oath, depose and state as follows: TOw/�®P 4?Qjq M name is5 I am the owner/resident Y of the property located at: 0 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: dL[J� K*� A�Vu 44&"41L+, Name &relationship to owner: dHJj^"0-04 A;,LLJ ItA The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building,Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2019. Signature Phone Number Print Name ,S h e b a ;Y C d q:forms/famaffid.doc rev 11/08/13 Town of Barnstable 11vi4®i Building Department 4/q Brian Florence,CBO TO JK* Fps « snxxsrnaM • 1 �Ar 6�� A� Building Commissioner �NOP 8?Qz'� 1 200 Main Street, Hyannis, MA 02601 -4p FD MA'S www.town.barnstable.maxs 192" F Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is CZQ I am the owner/resident of the property located at: b Jam. o o The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name &relationship to owner: j The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this i"day of o 2018. sa 2- -7? Signature I Phone Number Print Name ►iJ L't_ T V q:forms/famaff.d.doc rev 11/22/2017 Town of Barnstable Regulatory Services of Richard V. Scali,Director' Building Division Q�� ��� �A:?'� * ass Sc M ` Paul Roma,Building Commissioner ���"' ,�'� Ao 9. .�`� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fa.:: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is Q- C I am the owner/resident of the properly located at: yb The following members of my family will be.the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ,a� �v ` Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notiIfy the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please;explain: The apartment has been dismantled. The apartment has been.transferred to the\Amnesty Program(Appeal No. ) Other . Sworn to under the pains and penalties of perjury this 1/ day of 2017. Signature Phone Number Print Name s�? e- q:forms/famafd.doc . rev 11/08/12 Town of Barnstable Regulatory Services oft"E rqw Richard V. Scali,Director Building Division RMW9 ss�' Thomas Perry, CBO,Building Commissioner �Ar 1639. a�� 200 Main Street Hyannis, MA 02601 FD Mp`l wwwaown.ba rnstable.ma.us Offic' : .508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: _ ' p tz. s My name is ��eX�Y�-A Q I am the owner/residentof the property located at: y � M /` .0 y The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to SP —ILLA:4- Name&relationship to owner:The Family Apartment will be the pri ary year=round residence�for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other --tk Sworn to under the pains and penalties of perjury this day of 2016. Signature tl Phone Number Print Name. ` j Q C e q:forms/famaffid.doc rev 11/08/12 Town of Barnstable } pF1HE lqk, Regulatory Services -- Richard V. Scali,Director i u BAMSTABM # Building DivisionWkn A.a� Thomas Perry, CBO,Building Commissioner e� c" 4 ens 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: A The following members of my family will be the sole occupants of the Family.Apartment at the aforementioned address: Name &relationship to owner: -OIZ4 Lwwo� �O Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2015. Ij" D 2A4 s-% 2 8�,S- Signature V VPhone Number Print Name S U q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of rqk, Richard V. Scali,Interim D' t r ~� Building Division 0_' 9 RNS T i331 E vRAIDWA11M Thomas Perry,CBO,Building Commis si�n�er Fsf 9: 37 i639. `� c;:E-t �rt.:v � � ,er�o3+a 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DIVK ON Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: I My name is I am the owner/resident of the property located at: (3 j The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: �C The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required tof le an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this , day of 2014. Signature Phone Number Print Name Q U v v q:forms/famaffid.doc rev 11/08/11 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Oda- Application# # Health Division 1117 6 Conservation Division Permit# Tax Collector Date Issued I l Treasurer I PP A lication Fee 0 Planning Dept. Permit Fee `? � o b Date Definitive Plan Approved by Planning Board EXISTING SEPTIC SYSTEM Historic-OKH Preservation/Hyannis LIMITED T0,_3#OF BEDROOMS Project Street Address 7 d 416614 Ret Ex� Village Owner .� �,� �^ �/ Address 15410"t e_ Telephone Permit Request ` r J v J� Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new 1oning District Flood Plain Groundwater Overlay --Project Valuation ®r�®� Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure krO yJ`�� Historic House: ❑Yes �o On Old King's Highway: ❑Yes Xplo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing 6 new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑Other Central Air. 'AYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XO Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑net size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: I Zoning Board of Appeals Authorization ❑- Appeal# Recorded❑ <' c� Commercial ❑Yes ❑No If yes, site plan review# Lf. Current Use Proposed Use 3 0 BUILDER INFORMATION /I Name 11 9 Telephone Number �� �� // a Address '7J License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE j—S FOR OFFICIAL USE ONLY PERMIT NO. r DATE ISSUED - MAP/PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION e Per FRAME ®1\ INSULATION o i FIREPLACE ELECTRICAL: ROUGH "? FINAL PLUMBING: ROUGH ? FINAL GAS: ROUGH C:j FINAL FINAL BUILDING, m tr 0 p DATE CLOSED OUT ASSOCIATION PLAN NO. , cv Department of Iridttsti iai Accidents Office.of Investigations' a 600 Washington Street s Boston,MA 02111' ••� www-mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plwaabers Applicant Information Please Print Laeeibly Nam. (B u=ess/ e Or tiona&vidual)' ganiza Address: City/State/Zip: �dl/� ®� ®� ' Phone#: C� ??cs Are you an employer? Check the-appropriate box:. Type of project(required):. 1.❑ I am a to er with 4.,❑ I am a general contractor and I ' �p Y � 6. [1 New construction employees(fun'and/or part time).* have hired the sub-contractors 2.El am a sole proprietor or partaer- listed on the attached sheet$ �� Remodehng ship and have no employees These sub-contractors have , 8. ❑ Demolition working for mein any•capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We'area corporation and its r 10.❑Electrical repairs or.additions required.] officers have exercised their 3.V I am a homeowner doing all work right of exemption per MGL 11.❑ Phunbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.]t employees.[No workers,• 13.❑ Other . comp.insurance required.] *Any applicant that checks box#1 must also fin 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 checkthis.box roust attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information.Insurance.Company Name: Policy#or Self-ins.Lic.#: Expiration Date:' Job Site Address: City/State/Zip.: Attach a copy of the workers' compensation policy declaration page(showing the policy number and.expiration date). Failure to,secure coverage as required under Section 25A of MGL c. 152 caii lead to the imposition of oriminal penalties of a fine up to$1,S09,00 and/or one-year imprisdmment, 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 statenimf may lie forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce rtify under the pains and penalties of perjury that the information provided above is true and correct: . Siena ?O '! � Date:• l Phone#: S� 7�� _ 0 9 96 Official use only. Do not write in this area,to be completed by city,or town official. City or Town: Permit/License# Issuing Authority(circle,one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide wor of another under compensation for their et €loyees . pursuant to this statute, an employee is defined as ...every person in the s express or implied,oral or written." ' , association,Farporation or other legal entity,or any two or more An employer is defined ap-%n indiv'4'9a1,..P�M�': 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,pa rtnership,nership,association or other legal entity,employing employees. Hov.Ver:the and who resides therein,or.the occupant of the owner of a dwelling house having not more than three apartments - dwelling house of another who employs persons io do maintenance,construction or repair woiY on such dwelling house appurtenant thereto shall not because of such employment b e deemed to be an employer." or on the grounds or building 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 e i inter ents of this chapter have been presented to the contracting authority. Applicants Please fill out .the workers' compensation affidavit completely,by checlang the boxes that apply to your situation and,if. necessary,supply sub-contractors)name(s),address(es)and phone nimlber(s)along with their certifieate(s)of es(LLC)or Limited Liability Partnerships(L•LP)with no employees other than the insurance. Limited Liability Compani workers' compensation insurance. If an LLC or LLP dots have members or partners; are not required to carry . employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial insurance coverage. Also be sure to sign and date the affidavit. The affidavit should Accidents for confirmation of be returned to the city or town that the application for the permit or license is being requested,not the Department of ons regarding the law or if you are required to obtain.a workers' Industrial Accidents. Should you have any questi 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 botm 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 necessary)and under"Job Site Address"the applicant should write"all.locations in (city or n if an5') 'c informatio policy r marked by the ci ' or town maybe provided to the ed otY town)+'A copy of the-affidavit that has been officially stamp applicant as proof that a valid affidavit is-on file for.future permits-or-licenses..Anew affidavit mast be filled outreach year.Where a home owner or citizen is obtaining a license or perm ar it not related to any business or commercial ventre (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The office of Investigations would hire to thank you in advance for your cogpeTation and should you have any questions, please do nothesitate to give us a call. ' The D ep aliment,s address,telephone and.fax numb err The Commonwealth of Massachusetts . Department of Industrial Accidents Office gf Xnvestigations r• 600-Washingfon Street- . Boston,MA 02111. ' Tel.#617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 vrvmmass.gov/dia Town of Barnstable Regulatory Services Thomas F.Geiler,Director 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. ..:t 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 constructign 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: S�10)66 Date of Application: I hereby certify that Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITRUNREGISTERED 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 PERNRY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date wner's e P ' QIormskomeaffidav I RESIDENTIAL BUILDING PERAM FEES APPLICATION FEE , New Buildings $100.0.0 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSBEET •NEW LIVING SPACE ® square feet x$96/sq.foot= x.0041= plus fiombelow(if applicable) ALTERATIONS/RENOVATIONS OF MMTING SPACE square feet x$64/sq.foot _x.0041 plus fiombelow(if applicable) . gARAGES'(attached&detached) square feet x$32/sq.f L= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf-1000 sf 75.00 >1000 sf- 1300 sf 100.00 >1500 sf-Same as new building permit: square feet $96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) ` Fireplade/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Wmming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Proicost' � . oF'THE r Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director 9 NAB' 1639. ,•� Building Division rEo �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:_ JOB LOCATION: / f�/ C-G h OC1 number T street q village "HOMEOWNER": �/ Q V �C�� SOS���� — `/7 name / home phone# work phone# CURRENT MAILING ADDRESS: y� / !.%/I U/j) /�C/, /7— y nn%S ,IuI c�, o ��._ 1Z7W 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 f Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeo Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt REMODLE AT 419 LINCOLN RD EXT THE HOUSE HAS NO INSULATION IN THE WALLS THE WINDOWS ARE FALLING APART THERE ARE SEVERAL ROT HOLES IN THE SIDES OF THE HOUSE. THE REMODEL WILL GO AS FOLLOWS STRIPPING THE OLD SHINGLES OFF THE HOUSE TAKING OFF ALL THE TRIM TAKING OFF AND REPLACING SHEATHING AS NEEDED AND FILLING THE BAYS WITH INSULATION WE WILL BE REPLACING ALL WINDOWS AND DOORS INCLUDING THE BULKHEAD NEW TRIM TO BE INSTALED PLU NEW SIDE WALL WCS v""-r&I THE NEW WINDOWS WILL BE ANDERSON 200 SERRES DOUBLE HUNG IN THE KITCHEN WE PLAN TO REMOVE ONE DOOR AND A SLIDER.WE WILL BE REPLACING THE TWO DOORS WITH ONE DOOR ANDERSON 400 SERIES FRENCHWOOD HINGED PATIO DOOR FWH6068APLR WITH A PERMA TRAC RETRACT SCREEN. WE PLAN ON USING THE SAME HEADER FROM THE SLIDER FOR THE PATIO DOOR WHICH IS A 2 BY 8 WITH HALF INCH PLYWOOD WE ALSO NEED TO REPAIR THE CHIMNEY THE TOP TWO FEET ONLY. THE ROOF SHINGLES WILL BE REPLACED AFTER THE FOUR SIDES ARE DONE THIS REMODEL WILL BE DONE ONE SIDE AT A TIME THE BATHROOM REMODEL IS COSMETIC ONLY NO PIPES ARE GETTING MOVED pile w 5 fuc,�s /6�oC a xS H<35;cDer� /Vew Coor �isJI mks �� x � $ kr�.Ft �•Eec.� Go v e fea( w 7d 6c- Mooedv e � r c�.w s C s "Tip o ve r 3 , a �---~ 6 ? Lo y �ti I Parcel Detail Page 1 of 3 a ' f � JA- Logged In As: Parcel Detail Friday, M< Parcel Lookup Parcellnfo _._._... _ _--- ,::.. .... _. __ __,,,, .. Developer .....__ ® ..._ Parcel ID.271-022 Lot 2 Location ;403 LINCOLN ROAD EXTENSION Pri Frontage 84 Sec Road Sec Frontage Village IHYANNIS Fire District HYANNIS Sewer Acct. Road Index z2238 Owner Info owner I COY, SHELBA J Co-owner' Streets 1419 LINCOLN RD EXT Street2 City HYANNIS State£MA Zip ;02601 Country US Land Info Acres'0.27 Use,Multl Hses MDL-01 Zoning ;RC1 Nghbd 0104 Topography'Level Road Paved _..... __.... .. _.... __..................- ........ utilities Public Water,Gas,Septic Location Rear Location Construction Info Building ®f Year 1963µ..__ ARoof Gable/Hip Ext Wood Shingle Built- Struct Wall' Effect 1133 Roof Asph/F GIs/Cmp AC None Area Cover Type __ ..._ .:.w.., Style=Ranch Int D wall Bed 3 Bedrooms Wall _. ry_.. ..... ... ..� Rooms � Nor K2 _. „..._ Bath Model Residential 1 Full Floor' Rooms _ ..__m.._, Total Grade.,Average Minus Type Hot Air Rooms 5 Rooms Stones :1 Story mm Heat'Gas Found- Poured Conc. Fuel =.. .. ation - Building of http://issql/intranet/propdata/ParcelDetail.aspx?ID=20351 5/12/2006 Parcel Detail Page 2 of 3 _...__..._...__.. _. _...�. __ _ Year 1998 I Roof;Gable/Hip Ext`Average Built� I Struct� Wall Effect Roof .....__.... r . AC 778 I JAsph/F GIs/Cmp None Area- Cover� Type Style;Garage/Quarter ] wall Drywall Bed t Ro 1 Bedroom N oms � n y......,....,.................................... ,,.,,, _„_..........,..,,,..,,..,,,........, ...........�........ lint ; Model Residential 1 Full Floor� Rooms N,, g Heat' _____. ...__._. Total µ Grade Average I =Hot Air 3 Rooms , Type= Rooms _... Heats _ _._. Found- ---- __... stones i2 Stories I Gas Poured Conc. Fuel w. ation Permit History _ ........... .._..__... _..... Issue Date Purpose Permit# Amount Insp Date Comm 8/3/1999 Apt over Gar 40160 $4,000 4/16/1998 Out Building 30219 $11,000 6/1/1999 12:00:00 AM - Visit History Date Who Purpose 5/16/2002 12:00:00 AM Paul Talbot Meas/Listed 6/21/2000 12:00:00 AM Paul Talbot Meas/Est 6/1/1999 12:00:00 AM Andrew Machado Mea./List Bldg Permit Only 3/15/1989 12:00:00 AM ML Sales History _ .......... ............ __. ... Line Sale Date Owner Book/Page Sale P 1 6/15/1995 COY, SHELBA J C137383 2 COY, BRADLEY E C45086 -- Assessment History .._...... _..._.._. _.. ,. Save# Year Building Value XF Value OB Value Land Value Total Para 1 2006 $168,300 $3,700 $500 $105,000 2 2005 $163,100 $3,700 $600 $111,000 3 2004 $143,900 $3,700 $600 $111,000 4 2003 $122,600 $3,700 $0 $39,500 5 2002 $122,600 $3,700 $0 $39,500 6 2001 $122,600 $3,700 $0 $39,500 7 2000 $53,600 $3,400 $17,300 $25,600 8 1999 $53,600 $3,400 $0 $25,600 9 1998 $53,600 $3,400 $0 $25,600 10 1997 $50,200 $0 $0 $25,600 11 1996 $50,200 $0 $0 $25,600 12 1995 $50,200 $0 $0 $25,600 http://issql/intranet/propdata/ParcelDetail.aspx?ID=20351 5/12/2006 Parcel Detail Page 3 of 3 a 13 1994 $49,800 $0 $0 $28,800 14 1993 $49,800 $0 $0 $28,800 15 1992 $56,400 $0 $0 $32,000 16 1991 $65,400 $0 $0 $44,800 17 1990 $65,400 $0 $0 $44,800 18 1989 $65,400 $0 $0 $44,800 19 1988 $46,900 $0 $0 $18,500 20 1987 $46,900 $0 $0 $18,500 21 1986 $46,900 $0 $0 $18,500 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=20351 5/12/2006 Town of Barnstable Regulatory Services sn ASS.Mass. ` Thomas F.Geiler,Director y M $ Qpp i639• ♦0 1pp�,ra Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 Mayl5, 2006 Ms. Shelba Coy 419 Lincoln Road Ext. Hyannis, Ma. 02601 Re: Illegal Apartment: 419 Lincoln Road E(t., Ma. 02668 Map271 Parcel 022 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincere da Edson Amnesty Program Zoning Officer Building Department gforms:zoning3 : .ARNOTABIA %639 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1999-07-Coy fiVy4 Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment Summary: Granted with Conditions Petitioners: Shelba J.and Todd Coy Property Address: 419 Lincoln Road Ext.,Hyannis Assessor's Map/Parcel: Map 271,Parcel 022 Area: 0.27 acre T" Building Area: 1,234 sq.ft. 4 Zoning: RC-1 Residential C-1 Zoning District ' Groundwater Overlay: GP Groundwater Protection District y; Background: The property that is the subject of this appeal consists of a 0.64 acre lot commonly addressed as 419 Lincoln Road Ext. in Hyannis. The site is improved with two structures; a one-story, 1,234 sq. ft. single-family residence, according to assessor's records dated 10/14/98, and a 24'x 24'detached garage that was recently ,LI constructed. The property is located in a RC-1 Residential C-1 Zoning District and is serviced by Town water K- and a private septic system. The applicants are proposing to convert the upper level of the garage structure to a family apartment. According to the floor plan submitted, the family apartment will be approximately 576 sq. ft. in area and will consist of a kitchen, living room, bathroom and one bedroom. The family apartment will be occupied by Shelba J. Coy, owner of the property. The main residence will be occupied by Todd Coy, son of Shelba J. Coy. The applicants are requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in RC-1 Residential C-1 Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 22, 1998. A 60 day extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened January 13, 1999, at which time the Board granted a special permit for a family apartment subject to conditions. Hearing Summary: Board Members hearing this appeal were Ron Jansson, Gene Burman, Elizabeth Nilsson, Tom DeRiemer, and. Chairman Emmett Glynn. Shelba Coy represented herself before the Board. Also present was Todd Coy. Ms. Coy addressed the Board and stated she would like to build a Family Apartment over the existing garage. The Family Apartment is accessed via a rear staircase along the outside of the dwelling. The floor plan was explained by.Mr. Coy. The main house(to be occupied by Todd Coy)will have two bedrooms, and the family apartment(to be occupied by Shelba Coy)will have one bedroom for a total of three bedrooms on site. The overall size of the Family Apartment complies with the requirements of the Zoning Ordinance. Ms. Coy stated she understands, and complies with, all the regulations and requirements of Section 3-1.1(3)(D)of the Zoning Ordinance. — ------- Town-or tab e- n g oard of Appea s- ecision an Notice Appeal Number 1999-07-Coy Section 3-1.1(3)(D)Special Permit-Family Apartment Public Comment: No one spoke in favor or in opposition to this appeal. Findings of Fact: At the hearing of January 13, 1999, the Board unanimously found the following findings of fact as related to Appeal No. 1999-07: 1. The petitioner, Shelba Coy, is seeking a Family Apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. The property address is 419 Lincoln Road Ext., Hyannis, MA as shown on Assessor's Map 271, Parcel 022. The site is 0.27 acres located in the RC-1 Residential C-1 Zoning District and the GP Groundwater Protection Overlay District. 2. The site is improved with two structures; a one-story, 1,234 square feet single-family residence, and a recently constructed 24'x 24'detached garage in which the 576 square foot Family Apartment is to be located. As such,the Family Apartment meets the requirement of Section 3-1.1(3)(D) of the Zoning k Ordinance in that the family apartment contains not more than fifty percent(50%)of the square footage of the existing.residential structure. 3. The applicant has filed an affidavit indicating she is in complete awareness of -and understands all of- ( the requirements of Section 3-1.1(3)(D)of the Zoning Ordinance and agrees to be in compliance with all those requirements. 4. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the relief being sought for a Family Apartment subject to the following terms and conditions: 1. The Family Apartment shall comply with all restrictions of Section 3-1.1(3)(D) and shall be the primary 3F year-round residence of the family member(s) residing therein. 2. The Family Apartment shall be developed and maintained as per plans presented to the Board. 3. There shall be a maximum of three(3)bedrooms on this site, including the Family Apartment. 4. The Family Apartment shall be occupied by not more than two family members-one of whom is Shelba Coy. n of Barnstable Building and Health Divisions Regulations. 5. The locus shall comply with all Tow The Vote was as follows: AYE: Ron Jansson, Gene Burman, Elizabeth Nilsson,Tom DeRiemer, and Chairman Emmett Glynn NAY: None is Order: j Special Permit Number 1999-07 for a Family Apartment has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20) da� after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. aaL�9.9 Emmett Glynn, Chair an ate Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this--- ---day of / under the pains arid penalties of perjury. Linda Hutch nrider, Town Clerk 2 l�9 Sl �Wt , The Town of Barnstable J&. Department of Health, Safety and Environmental Services IARWABL& Building Division MAM 1639. ,0�' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date:,5C?Q 3 0, fig �7- Name: Phone#: S Address: (. f// Village: ll�J�1/)!J e �� 6 G Type of Business:L_�/�� Cc U C rl t�'i� Map/Lot: � / � — 01�a INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwellingwhich are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Appli t Date: J Hoauoc.doc MAP 1 / I 7 125K a _ 86 20 sUZ'� oisK r 13fi f LI `= 115 13 02jx i ! r a.._•_ r 2 s.... 41 i� QJ �-• 7 j 35 �s s: 163 130 t— jv n i r9 rl cum ls2 _ 021 __'~ •f.v 3 R a.. ,• ..... � 111 Jrlu f 074K f G OSIY // ( 1N1" • f IY 071x ~-- 7f +J -� oil? ' ` a117 t 24 3 f L 1 116 r1»/ - 1 8 • + f23 15 _ , 416 f 11 Iolan.V-7� -- nrK m4 05 f _ cull AF Fm ' 12l1 r �T10 + rr•r` t r + - -�. . - ...�•" E OAK '�„ �'..► _ 44 flu 43 104 ..�.� I — - f —� --� ' l{ f t :3 .,L + ; - a 027Koff : j f2. ` 1 yt' 82-2 f` s 103 --,..._.. ii 0 02IK -t_ f .. f I��rr j 6 2 1"• _ I F•"�'ffK ' EST , - _.—' •, �; 21K i iy i ��:t� i' - --i 160 �♦ i, i'�; i 65 �f _` •�, , pup-. 1 =d ,�`-yr /f •r5 �� �I2/t' t 12 ! y O21K t. f r �IIK ^�- � 89 :184 \ IJbY f , O2i1C' r. J 191 193 LIST �' _= oux 1.AK .\ INK. 60 ==:52 f 194 11f mo MAC �!+ !-_ ```—•,, I 124 53 f %;, K t I ; Illl `•_ 6 : 19 ; + SI rAnt-�YM' 5 MAr z I i .......... 99 20 ............. Q-111 0211M J 7�-c� To',nr 136 13r LI 2 8 0 2z K -4150 51 .... JOB m . .......----a..................... .......... 29 -i- -,-40 A( '2 0 7 ......... ..163 35 ...... ......... Ir 130 024M 074AC #477 ............ US K ouu .............. 9 f. 44R ; 34 024 4 ....... UO AC QUA(148 I a 0113 0� 0.2 ....... U t 01.1 ........... 161, aW. o 024A( il 4m 117 .......... .......... 24 "C-3 1 8 194 70s 23 ........ 014M 7 115 (-7 _(2 416 4A( 0219 2 .................... is one 33 f 4A( 05 .......... 2 03111 44 4 . ..... ..... I--V I i ; . INK . ...... film 104 2 -.4 103 2-2r all *U3 OVIII: 6- 2 J6 6 EST 65 02 190mit 51 089 '18 ok oil Oil filU GASK _ . 0 J-1 2-1 61 18 191 OUX 4f 19 193 . ........ ovic �.' @.#SAC tv 14 j Ic 52 60 j 67 1 *ss UOU........... 0219 53 1 :2 ;1 ...... "all Z,4Q I `_ —__ 7- can c^ ram~; '--j A_Palo 'Ergi ) Map Parcel Permit#' �f o2� 9 House#- Ilea -T to I sued Board of Health(3rd floor)(8:15 -9:30/1:00- :y 01 Y Conservation Office(4th floor)(8:30-9:30/1:00 r, 2:00) - 3 �.� Planning Dept. (1st floor/School Admin. Bldg.) '" BE ive Plan Approved by Planning Board 19 SEPTIC Sy S CE ;INSTALLED I . al TOWN OF BARNSTAB NeNE E AND - ill�o ' Building Permit Application T9I� REGULATIONS Project Street Address �U ��� Village ��/rt/ytt� T Owner Address 4-D m Telephone O - 9, Permit Request , First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 1 60 O 1U Zoning District t0 Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of ExistingStructure Historic House ❑Yes @'I o On Old Kin 's Highway ❑Yes &No g g Y Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not i cluding baths): Existing <5 New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes �No Fireplaces: Existing New Existing wood/coal stove ❑Yes UNo i Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ZShed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name (.( Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE c/ DATE ✓ 171- 9 BUILDING PERMIT DENIED FOR THE FO LOWING REASON(S) a FOR OFFICIAL USE ONLY PERMIT NO... DATE ISSUED MAP/PARCEL NO. r `' • 4 p� o i � , � - .i •_ , { - ice'�d . # 4 _ • - .ems. ADDRESS f VILLAGE' rs' OWNER _ �t DATE OF INSPECTION: FOUNDATION ! f FRAME INSULATION _ - z FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROU�;GH 5 . FINAL ! t GAS: ItOur&§k FINAL Wm .;; _ - FINAL BUILDING N ® - , + p cr co /r -may • • , J 3 t ' `! DATE CLOSED OUP O C E 4 < < ASSOCIATION PLItIII'O. M v I> °F'ME r, : The Town of Barnstable • Y 9e� '. ,0�' Department of Health Safety and Environmental Services rEc r�no�" Building Division 367 Main Street,Hyannis MA 02601 . Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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. Jr Type of Work: Est. Cost /4 Co d J Address of Work: dJAL&*J►'L 7& p V/Owner's Name Sd J Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied —$Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY d hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR L/— 9r Date Owner's Name r_z The Commonwealth of Massachusetts Department of Industrial Accidents "" == Office of/nlrestigations 600 Washington Street ._.. �� Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: O location: n d r Q _ city 77 1/V o h h f S Dhone# s6 V'`J 26 4Y 96 I am a homeowner performing all work myself. I am a sole ro rietoi and have no one workin in any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job comaanv:name.;. address: city. phone#: insurance co. olicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name .. address. ity' phone#: insurance co ohev# cbmpany:name address: city phone# _:. _. _.. . insarance co. olicv# / . .. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is/true and correct r, Signature - D 9 Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (raised 9/95 PJA) _ T . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their _ employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be resumed io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 .�a FRAMING SECTION ALL DIMENSION LUMBER SHALL i BE Kb SPF NO.2 OR BETTE-R. x COLLAR-TIE 2 x RAFTER J SHINGLE j 2 x CEILING JOIST 0 p.C. W/IS LB. FELT I � 1 i I Ix PINE FACIA R-30 KRAFT FACED FG BATI-S R- UNPAGED FG BATTS SOFFIT VENT W/G-MIL POLY VAPOR BARRIER PINE SOFFIT (1 sr t 2No FLUOR) I , I I I 1 I 1 i'. �2x FLOOR SOI ST (iSr 2►e FLOOR) i I I I 1 - •. 111 SILL SEAL '� I'L 0 ANCNOR BOLT _ @ 6.,-0" O.G. "CONCRETE o FOUNDATION WALL III S17111u6 LF_ S ot)"r-:-R FFL7- PAPER ROOF P4 y G � � • �_____— C L G Jo 1ST S U. �YfS7 A J-OIST � EFL _ToiST /-f�9iv�TF�S � l.J IN Dv c.0 HEAPr-RS (T' YP. ) ,�XISTIN G I.JlaLL To 6E RE1toUED— - � p�vwooL — FL° 0 I � �D/STS @ t7• C. Ste- k _ t�lELltil� �"arS� 0 C � } Xz � = I WALL S� S � C I Jv � v��r�vvG��c.��� fl- su s ` • � i I v All) AT/D Al wArLL • g�chrt�� �Laa� Su4l� T�tcl� LF4077d6 fair . . � ., . . Fe/ T'ne . own ®f Barnstable �s� -��r--�c NJ TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ase print. .. DATE - JOB LOCATION �4� Zl�cdh Rd. Fxr7- a/,, 0 ,'s Number Street address Section of town "HOMEOWNER" Name Home phone Work phone . PRESENT MAILING ADDRESS L//q ,, Cii%ty/town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Officia. on a form acceptable to the Building Official, that he/she shall be responsibly for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Sta} Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE L L64 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of. this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owne_ shall act as supervisor. " Many Home Owners who use this exemption are unaware that the assuming Y are g the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home '•Owner actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier responsibilities, mar communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map� � ---Parcel G 2� INSTA L ��' 3 � dPrmit,# :e 7�J�4 LLED IN Cdp�ip" I Health,Division _ 3 Q,e,�-�.. ? - -A3'��;�- - Wi I TI'TL �e&Gd° -EN �NTALConservation Division T® N E ANGBlLATIrj;gS o�S- If' Tax Collector Z f, A Treasurer Planning Dept. T Date Definitive Plan Approved by Planning Board ` Historic-OKH Preservation/Hyannis Project Street Address o� Village Owner A ;.Address q/9 . �c®(- E Telephone Permit Request Square feet: 1st floor:existing proposed 2nd floor:existing SSX_ proposed Total new Estimated Project Cost +" Zoning District Flood Plain Groundwater Overlay 0 _ Construction Type , (�1 Lot Size. _a� (•� Grandfathered: ❑Yes �(No If yes, attach supporting documentation. Dwelling Type: Single Family 1 Two Family ❑ Multi-Family(#units) Age of Existing Structure t e,G Historic House: ❑Yes YJ No On Old King's Highway: ❑Yes J4 No Basement Type: ❑Full '❑Crawl ❑Walkout Other 6a_,,,� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing view Number of Bedrooms: existing_ new ' Total Room Count(not including baths): existing to —new-3 First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes iNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes /1q.No Detached garage:❑existing )dnew siz%N0 Pool: ❑existing ❑now size _Barn:0 existing" ❑new size . Attached garage:❑existing ❑new size _ Shed: existing ❑new size� —Other: Zoning Board of Appeals Authorization Appeal# `' Recorded Commercial ❑Yes lo , If yes,site plan review# Current Use Proposed Use Q;,A4 BUILDER INFORMATION Name r, 64-1 /, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO eathtA,kM `fa:k� J L,),J0_ &4 d1aA&aJA s v SIGNATURE DATE 6—IS' 9 r r FOR OFFICIAL USE ONLY PERMIT-NO. - r DATE ISSUED `' m 44 MAP/PARCEL NO. ADDRESS- 3 °V ILUAGE OWNER, DATE OF INSPECTION: ' ,y • -all FOUNDATION E { • — } r FRAME INSULATION .. FIREPLACE:''= - ELECTRICAL f ' ROUGH FINAL s # PLUMBING.- �'ROUGH,- FINAL t t GAS: 'ROUGH FINAL s� ' `w � � . : , ,t 1, x -`T :•. y t t � _ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .. - ! • �' ; }' y _1 - i .yam 3 ' _ N _ ' " i °F TMe A The Town of Barnstable • 11JUNsrestE, • 9� � � Department of Health Safety and Environmental Services iOrEo ram" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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: —16-rn AT 'I Q�b�1� Est.Cost Address of Work: tjP -J 1IyLtj JK kd -0/t. A/-yL/yU"Q Owner's Name Date of Permit Application: 5- 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's N e � y' The Commonwealth of Massachusetts - D artment o Industrial Accidents :-::..' eP f affeeol/mDS99898195 _ - t 600 Washington Street - - c� Boston,Mass 02111 Workers' Com ensation Insurance davit z name: ,-I 01-C.w 1�6 location LA - a :��, I ) U � ttI A hone# - 2�-0 Z am a omeowner p arming all work myself ❑ I am an employer providing workers' compensation for my employees working on this job. ................................. tOIDp nY ';;'-: '.%;:;::`:: ? ::;:: ::':;:::::;`. ::::: :::!<; :::::. :::: :::::::::::?: ::::r: :5: ;i r%•`::::: :%�::%:<`;` :S:"is:::<i`:::.:.':' .:::': :::>:':%:i i;`;::i:-: C �i:-`,:�>:..-.`:::•i:�.`ii:�i:�:�i ;::::::;r::;:::;: .:::•.�::::.�:•. .:.::.::::::.. address:::::::.>.; . ...... .....•... . ........:.:::;;:,::....... ;; 'mane 4;: >:::..,:.:::':::::::::: t):;;,. ...:..:. :.:: tnsuranc ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have - - . the following workers' compensation polices:. _ __ -. ____ -_.-- _. ::::......... ..........% --:.::::;:::.:.:; comoanvname.::::::::: :.:I.:.:::::.::::,.r. »: " --- ..::::.�.::::::::..:.�:::v. ..........................:.. ........... ......:. ...........................:... ........... \ :::;{si;?i:::::}:'i'::':::?;:v}:jtiC+?+::;iiiiiii is i::ii'} >- ?:'{'i:::is rii':isi:s::i:+j:i:;i::ii is:!..'I,:i i:ivti i'{ii::•:ii:!: .::::iii::i:j::::;i::is i::::%r:i:!i i:tt is is !i::^ii: ':is is ;i:is_:;i::;i:>:::: .... ,.. ::;:;"ii:ii:i::::::i;:,,v;:}}:ivi'ji:: i'iii�iiiiiiiij `:::; - A ss. .. .. . ... . . ... .......... ............................:................... ........................ ............. .............................................. .•...{..:••:::::n::::::::.:::..:::..,}iii;::i};;>iiii:;:{:•::,;:;:;:;isjijii:Y,.;ii:::i::4;::.:.-.,;iii;::•;:•;:�:i;;i:;i:.. ..., ...........,>C..,...... f.................... ................::.::.::::.::::::::::::::•::................................................................... ....... ...............;............ :........................................<.....................k fr.,:....,:....<......... �101!�... .. . . ;:y:;;: ::3:i>.. 4a::v::? <:i r:2a::::::: :::::::•ri;::;:i:> �:::::': :> :'` :: .::i:: :i:' 2G ` :': ::::�::: ;>: ? i:- :: �:i ::> ........................................... rw::::::::::.�::::•:::•.�:::::w.�........,.. r : .� ......... ♦..<.....I. I. .. ... :::::.�:.:::::::::w...•...............:...n....•:...................v:::x v:::. .......{q�r.,vv.•.......................... �±' ":'::::::......::::..;...................r:::::{.:.:::::::.is•ii::.v:.:vl.»•ri;v'x.'iTi:4:•i:ii:v:i iY:.r inauraneeco:>:::::.::..:::;•;;::.:;-;;>:.....;,::;,:...:.........:;;•;::<•;:<;;.;:.;:;.: :':.::::•>:»:;:::•.:::._:._::::;•.;..:.:.;;::;;..::,:. I... ........... ...... ... ...._... . ...::::.::......._- i./,��///////f1i. camvany ns�ne::<:--.--..-';:<::..'..::<::�:::::::<::>:>::i::::<::::<:::>::>:::<:?:ffifflism .e...... ..... ..:.....::.:...:........:� . ....... .....................��I�1�1�1................. ..:w: v:::..:,............................... ::. -1�1 ....'..is ii::::;;:i<•:•:::!^ii'ri:4'':iiii:•:;i ::ii:i::i>+:+:'<:.ii......�.ti:ti i:::!i?'.�'ii.'�':•ii:ii`i} .. -.. ""'::::::::4:h;iii:i:!iii;:::•:;i: + :ii::v:i::li::'i: ............... e. .. ....................................:...:.......:.........................222MEM.-, ...................................... ................................... ..................................... ................ .......:::. . . .. :i i;'s'::i: .................................... ::::''ts::::::`:: :: :::.-: i 53i:2?�: ::;:..*:�:::::;'::;: �::::;`:::;:;::.::?::}::t:::::::-.*-. :>;::`:::::`«:::::::i:::::.::.i':`.r:.:%; '•:.' :y�:: ::::::v'::'?:::':'::::....................................... iiiii Fai>rue to secure coverage as required under Section M of MGM 152 tan lead to the imposition of criminal penalties of a Sne up to$1,4W.00 and/or one years'imprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a Ste of$100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigation+of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct 0 III Signature Date eo"2 S-- // _ - Print name J-fil Phone# S'6 k- >7 5 A�9 h CMdal:e only do not w:b, area to be completed by city or town official town: permit/llcense# ' ❑Bonding Department . ❑Licensing Board immediate responed []Selectmen's Office [3Health Department rson: phone#; ❑Other (mvyed 9195 PJA) Y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the*legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit-to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requires of this chapter have been presented to the contracting authority. Applicants Please fill in the workers'-compensation affidavit,completely,by checking the box that applies to your situation and__ supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of industrial Accidents for confirmation of Insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'compensation policy,please coil the Department at the number listed below FEMME City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in theemut/license member .which wM lie used as a reference number. The affidavits may be reto6Rio P the Department bymail or FAX unless other arrangements have been made. The Office of investigations would him to thank you in advance for you cooperation and should you have nay 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 Men 01 lovesilgadons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 M CWR Appmda J Table JS21b(eoatinue" Pteseriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fueb MMUMUM MIMMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U-velue= R-values R-value' R vacua' Wall h meta Equipmem Efficiency' Package R value` R value 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 95 AFUE T 15% 036 38 13 23 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 13 25 N/A N/A Normal Y 19% 0.42 —38 19 _..r?5 ----- N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: l L-��c,a Rd os o - J ` �l 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: (f3 ----_...__.: w - - - -' -3. SQUARE FOOTAGE OF ALL GLAZING _ 4. %GLAZING AREA(#3 DIVIDED BY#2): I �G 5. SELECT PACKAGE(Q--AA see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J : Footnotes to Table J5.2.Ib: ` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces.(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. Tf:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d--scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling-equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a.. NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 tME The Town of Barnstable �r Tn do Department of Health Safety and Environmental Services Building Division qBAMSTABM 367 Main Street,Hyannis MA 02601 i639• ♦0 ATED��A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION p Please Print DATE: to — JOB LOCATION: )�d. 9V number l str t ` village "HOMEOWNER": idlLgv- y9f name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 1p8 Signature ofHornVowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. QTORMS:EXEMPT .......... r 1, ID 1. w., 1 5.!�3 MAN. Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1999.07 -Coy Special Permit Pursuant to Section 3-1.1(3)(0) -Family Apartment Summary: Granted with Conditions Petitioners: Shelba J. and Todd Coy Property Address: 419 Lincoln Road Ext.. I lyannis Assessor's MaptParcel: Map 271,Faicel 022 Area: 0.27 acre Building Area: 1:234 sq.ft. Zoning: RC-1 Residential C-1 Zoning District Groundwater Overlay: GP Groundwater Protection District Background, The property that is the subject of this appeal consists of a 0.64 acre lot commonly addressed as 419 Lincoln Road Ext. in Hyannis The site is improved with two structures, a one-story, 1,234 sq. ft single-family residence, according to assessor's records dated 10/14/98, and. a 24'x 24'detached garage that was recently constructed. The property is located in a RC-1 Residential C-1 Zoning District and is serviced by Town water and a private septic system, The applicants are proposing to convert the upper level of the garage structure to a family apartment. According to the floor plan submitted, the family apartment will be approximately 576 sq. ft. in area and will consist of a kitchen, living room, bathroom and one bedroom. The family apartment will be occupied by Shelba J, Coy, owner of the property, The main residence will be occupied by Todd Coy, son of Shelba J. Coy. The applicants are requesting a Special Permit for a family apartment pursuant to Section 3-1,1(3)(D)of the Zoning Ordinance. Family apartments are allowed in RC-1 Residential C-1 Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 22, 1998. A 60 day extension of time for holding the hearing and for filing of the decision y,ns executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened January 13, 1999, at which time the Board granted a special permit for a family apartment Subject to conditions. Hearing Summary: Board Members hearing this appeal were Ron Jansson, Gene Burman, Ell2abeth Nilsson,Tom DeRiemer, and Chairman Emmett Glynn. Sheiba Coy represented herself before the Board. Also present was Todd Coy. Ms. Coy addressed the Board and stated she would like to build a Family Apartment over the existing garage. The Family Apartment is accessed via a rear staircase along the outside of the dwelling. The floor plan was explained by Mr Coy, The main house(to be occupied by Todd Coy) will have two bedrooms, and the family apartment(to be occupied by Shelba Coy)will have one bedroom for a total of thee bedrooms on site. The overall size of the Family Apartment complies with the requirements of the Zoning Ordinance Ms. Coy stated she understands, and complies with, all the regulations and requirements of Sectior 3-1,1(3)(D)of the Zoning Ordinance- A03-)-ClaOl Wd Lb: TO 66-ZO-OrIV Town of Barnstable-zoning Board of Appeals-Decision and Notice Appeal Number 1999-07-Coy Section 3-1.1(3)(D)S;eeial Permit Family Apartment Public Comment: No one spoke in favor or in opposition tQ this appeal. Findings of Fact: At the hearing of January 13, 1999. the Board unanimously found the following findings of fact as related to Appeal No, 1999-07: 1, The petitioner, Shelba Coy, is seeking a Family Apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. The property address is 419 Lincoln Road Ext., Hyannis, MA as shown on Assessor's Map 271, Parcel 022, The site is 0.27 acres located in the RC-1 Residential C-1 Zoning District and the GP Groundwater Protection Overlay District, 2. The site is improved with two structures; a one-story, 1,234 square feet single-family residence, and a recently constructed 24' x 24' detached garage in which the $76 square foot Family Apartment is to be located. As such, the Family Apartment meets the requirement of Section 3-1,1(3)(D) of the Zoning Crdinance in that the family apartment contains not more than fifty percent(50%)of the square footage of the existing residential structure. 3. The applicant has filed an affidavit indicating she is in complete awareness of - and understands all of- the requirellIents of Section 3-1.1(3)(D)of the Zoning Ordinance and agrees to be in compliance with all those requirements. 4. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance, Decision: Based on the findings of fact, a motion was duly made and seconded to grant the relief being sought for a Family Apartment subject to the following terms and conditions: 1. The Family Apartment shall comply with all restrictions of Section 3-1.1(3)(D)and shall be the primary year-round residence of the family member(s) residing therein. 2. The Family Apartment shall be developed and maintained as per plans presented to the Board. 3. There shall be a maximum of three (3) bedrooms on this site, including the Family Apartment. 4. The Family Apartment shall be occupied by not more than two family members- one of whom is Shelba Coy. 5, The locus shall comply with all Town of Barnstable Building and Health Divisions Regulations. The Vote was as follows: AYE: Ron Jansson, Gene Burman, Elizabeth Nilsson, Tom DeRiemer, and Chairman Emmett Glynn NAY None Order: Special Permit Number 1999-07 for a Family Apartment has boon Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised In one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) dayyafter the date of t e filing of this decision. A copy of which must be filed in the office of the Town Clerk. mmett Glynn, ChairmJK Date Signed I Linda Hutchenrider, Clerk of the Town of Sarnstable, Barnstable CQU . as; hus4t*.hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filet(, h'is d w s, d't Oo appeal of the decision has been filed in the off a of the Town Clerk. f e�/ s � h: ` . 1 Signed and sealed this day of .0 l _ ry f 4"INUT1� 11es of perjury. Linda Hutchenrider,;T C ?q ` FD _ .—................. ... . ........._.__.-........ ...........----------..........-..........1.... ....--.._-._.... — - .-..- -------- ........__..._......- vz _..------------------ -------------- ------------ -- --------- --- -- - t: 1 F.W O 1. ' U ITS ---------- ----- ---- EH 01 1, - _log ;' vz :, 24' 1 NI d 1 i :1 OD { O a ,1 i I �1 ii i 3054 - 3068 054 i 10 S'1 6'3 5'10 24' 24' r 5sf �3 -- �-oo 7 S•� .S �'�� +� ��f�� ���W1 CIE� . .s.� DOP Oil 0 .show e - ------------------------------------- --- S76S`f rr Sd3C� en o K E . J - -- ----... -- .-. Q'S4---------- - ---------- ---------------3D54------------- -- --- - 2 4' 24' -....- - -- -- ----- --- Ofs UW i• - • l U 7 s� s �'w+� �Y ��t�k ray wti ��!� • AI i s16 DOP ---- ------------------------------ - ---------- 514�i.1�G Fes'-��--_`�` IT76,Srf cT !' s-8 S8 e n oMjc� � . Lj: -- ---- -- -- -------- - ------ - ---------------�4----------------- --. - 24' 24' �' r - - - W54 ! SI8 s .5ho�e STOW S76.Sel CT ----------.... -- --.3�4- -------- - --------- ---------------3D54-------------------- -- 24' h BARNSTABLE COUNTY REGISTRY OF DEEDS •JOHN F . MEADE , REGISTER REGISTER RECEIPT # : 1999 6703 RG170R PRINTED : TUE 3/02/99 12 : 57 : 01 BATCH : 3483 CUSTOMER : N/A PAGE : 1 097EOO <-PAGE : 2 RECORDING FEE . 11 . 00 17INSTRUMENT # : POSTAGE : . 33 RECORDING, DATE : TUE 1999-03--02 12 : 55 MARGINAL REF PEE : . 00 ADDRESS : 419 LINCOLN ROAD EXTENSION COPY FEE : . 00 STATE EXCISE : . 00 TOTAL AMOUNT DUE : 11 . 33 COUNTY EXCISE : . 00 -PAID BY : CASH GTOR/GTEE GROUP : 001 TOWN : EARN BARNSTABLE INSTRUMENT: N NOTICE CAR CAVEAT CONSIDERATION : . 00 STATE EXC CONSID : . 00 COUNTY CONSID : . 00 GRANTOR : GRANTEE : DESCRIPTION : LINCOLN RD EXT HYANNIS MARGINAL REF BOOK-PAGE : GRANTORS : BARNSTABLE TOWN OF (APPEALS &O) COY TODD {&O} COY w.HELBA •J (&O) GRANTEES : NONE RECORDED t" etur'n adc1RE55 : SHELBA ,_i COY 419 LINCOLN ROAD EXTENSION HYANNIS MA 02601 I i Town of Barnstable Planning Department Staff Report Appeal Number 1999-07-Coy Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment 'o Date: January 7, 1999 To: Zoning Board of Appeals From: Approved By: Ja queline Etsten, Principal Planner Reviewed By: Art Traczyk, Principal Planner Drafted By: Alan Twarog,Associate Planner Petitioners: Shelba J.and Todd Coy Property Address: - 419 Lincoln Road Fact., Hyannis Assessor's Map/Parcel: Map 271,'Parcel 022 Area: 0.27 acre Building Area: 1,234 sq.ft. Zoning: RC-1 Residential C-1 Zoning District Groundwater Overlay: GP Groundwater Protection District Filed:October 22, 1998 Hearing:January 13, 1999 Decision Due:March 31,1999(includes a 60-day extension) Background: The property that is thesubject of this appeal consists of a 0.64 acre lot commonly addressed as 419 Lincoln Road Ext. in Hyannis. The site is improved with two structures; a one-story, 1,234 sq. ft. single- family residence, according to assessor's records dated 10/14/98, and a 24'x 24' detached garage that was recently constructed. The property is located in a RC-1 Residential C-1 Zoning District and is serviced by Town water and a private septic system. The applicants are proposing to convert the upper level of the garage structure to a family apartment. According to the floor plan submitted, the family apartment will be approximately 576 sq. ft. in area and will consist of a kitchen, living room, bathroom and one bedroom(see the attached elevation and floor. plan). The family apartment will be occupied by Shelba J. Coy, owner of the property. The main residence will be occupied by Todd Coy, son of Shelba J. Coy. The applicants are requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in RC-1 Residential C-1 Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Staff Review/Comments: From the materials submitted, it appears the family apartment meets the following requirements of Section 3-1.1(3)(D) of the Zoning Ordinance in that: • all zoning setback requirements are met, • the unit will be developed in a manner which retains the residential character of the area, • the apartment unit is under the 50% size limitation, • the property owner and family member(s) are cited as the primary year round residents, and • a floor plan of the proposed family apartment has been submitted to the file. Town of Barnstable-Planning Department-Staff Report Appeal Number 1999-07-Coy Section 3-1.1(3)(D)Special Permit-Family Apartment Groundwater Protection According to assessor's records, there are currently 3 bedrooms in this residence. With the proposed family apartment, there would be a total of 4 bedrooms. The existing septic system consists of a 1,500 gallon tank with two 500 gallon leaching chambers. The applicants have submitted a copy of the latest Certificate of Compliance which states that the septic system was inspected on 4/23/98 and that it meets Title V requirements. However, the Town's General Ordinances and Title V of the State Environmental Code (310 CMR 15.00) limit the amount of wastewater discharge and the amount of nitrogen loading allowed within zones of contribution to public water supply wells. Nitrogen loading is based upon the number of bedrooms on the property and the size of the lot. The subject site, being less than half an acre, is allowed no more than 3 bedrooms. Due to concerns for groundwater protection, staff suggests the Board limit the total number of bedrooms allowed on the locus to three. Special Permit Findings: In addition to meeting all of the provisions of Section 3-1.1(3)(D), the granting of a Special Permit requires the following finding of facts to be made by the Board (as required under Section 5-3.3(2)): • that the application falls within a category specifically excepted in the ordinance for a grant of a Special Permit, (Special Permits pursuant to Section 3-1.1(3)(D)-Family Apartment-are permitted in all residential Zoning Districts provided all criteria are met.), and, • that after evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Suggested Conditions: If the Board should find to grant the relief requested, it may wish to consider the following conditions: 1. The family apartment shall comply with all restrictions of Section 3-1.1(3)(D) and shall be the primary year-round residence of the family member(s) residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. 3. There shall be a maximum of three(3) bedrooms on this site, including the family apartment. 4. The locus shall comply with all Town of Barnstable Building and Health Divisions Regulations. Attachments; Application Forms Copies: Petitioners/Applicants Assessor's Map/Card Elevations and Floor Plans Septic System Certificate of Compliance 2 Town of Barnstable-Planning Department-Staff Report Appeal Number 1999-07-Coy Section 3-1.1(3)(D)Special Permit-Family Apartment Copy of: Section 3.1.1(3)(D)-Family Apartments D) Family Apartment subject to the following: a) Not more than one(1)family apartment is provided. b) The family apartment is within or attached to an existing residential structure or within an existing building located on the same lot as said residential structure. c) The residential character of the area is retained as nearly as possible. d) The family apartment contains not more than fifty percent(50%)of the square footage of the existing residential structure if being proposed as an addition thereto. e) All setback requirements of the zoning district within which the family apartment is being located are complied with. f) The property owner resides on the same lot as the family apartment. g) The family apartment is occupied by members of the property owner's family only. h) The occupancy of the family apartment does not exceed two (2)family members at any one time. i) The family apartment is the primary year-round residence of the family member(s) residing therein. j) The family apartment will not be sublet or subleased by either the owner or family member(s)at any time. k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment have been submitted by the property owner or his or her agent to the Building Commissioner and the Zoning Board of Appeals. 1) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship among the parties seeking approval have been signed and shall be signed annually thereafter for the duration of such occupancy. m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Commissioner. n) No such occupancy permit shall be issued until the Building Commissioner has made a final inspection of the proposed family apartment. o) Within sixty (60)days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities in such unit and notify the Building Commissioner to inspect the premises. p) In addition to the provisions of Section 3-1.1(3)(D)(o) above, upon vacation of any family apartment, the premises shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further inspect the premises upon which a family apartment has been vacated at least three(3)times per year for three (3) years consecutive from the time of such vacation. 3 TOIrM OF SA WS=LE Zoning Board of Appeals OCT 2 2 f Aanlieatiea for Familo Apartment Snecs al Pe==it f H i Date Recei`ue For orr:_e t29e orlr: THE Z 6 Appeal # Q � BEEN D THEO ENFORCEMENT OFMMTO 1 -- Hearing Date - J3- BE APPROPRIATE BMW GIVEN TSE.4E CIRCUMSTANCE& Dec:si=: Due .t 1-Q The undersigned hereby applies to the Zoning Board of Appeals !or a Seed Perms't for the development and maintaining of a Family Aparte.nt- in ac:==_a With Section 3-1.1(3) (D) of the Zoning ordinance, in the man=ar and for the reasons hereinafter set forth: Applicant Name: C 0 - To O Prc ne :S aY-��5-g�► j Applicant Ad::Lreas: V 9 .(/'"]A kA 17' r �vA Jyl Mo. 42160 I Pr=perry Location: Pr=;e==y Owner: a 10 0 Phc=e OS•-�7�=�y Ad_=esB of owner: 41n 1 n . Iq VAKIAPS MO, 01 o 1-A/y If applicant a'�:fers :�t owner, state pat_=a oe is ere=_; NL=.':er of Years owned: Assessors Hap/Par=el Nu.:.ber: 7l —2� =ning Dist_'_c_: RB [j, RB-1 [ 1. RC [ J Rc-. �� RC-2 RD [j,,. RD-1 [ l . RF [ ] . RF'-. [ J , R_-2 .-S . r , RG [ I. RAH [ I . PR [] . Gr=undwater overlay District: AP [ j, GP � HP [ J . H=e(B) and relationship of the faaily members to oe=upp the F=ily Apa=tme=t: 1 , , HZ.e: � . b , Relationship to owners: C K, r) Not 1'• Relationship to owners: The ?:oily Apartment is to be develcped: ( « vi,.hin the) h ex-sting single .artily st=s......_e. as an addition to the exist:Zg single fa_•:ily st_uc__=e. in an existing ac-tessory building. [ j other - Please =%plain: Arrlication for Paailo Arartment Snecjal perait Description of Ccnst_--uetion Activity: Praposed Gross Floor Area of the Family Apar=ent Unit: ........... 71 sc. The Grose Floor Area of the Existing Single Family Dwelling Unit: SS sc. Do all structures, existing and .proposed, comply with all setback re=i=ements for the zoning District in which it is located? Yes N Will this be the permanent address of the oc=pant(s) of the Family Apar=ent: ............ ........... ... .. . ... .. ... ....0.. . . .. .. Yes(V, N If no, Please Explain: is the praoer-y located in an Historic Dist=ict? Yes( ) ?f yes ORE Use Only: No =terior Changes...... . . . . . Plan Review Number Date Approved in the bui'_d'ng a designated Historic Landmark? Yes(] ttc If yes Kist==ie Devar-pent Use on!-.-- Data Approved is the property served by public water supply? Yes14 Ne is the property on private septic? Yes pQ Nc If yes Health Denarment Use Only-. Title V system Yee(] Nc Date Approved si gaaz::re: Date: Applicanz or Agen •s Signature Aaan—s Address: Phone: Property Location: LINCOLN RD EXT MAP ID: 271/ 022/// Other ID: Bldg#. 1 Card 1 of 1 Print Date:10/14/1998 escriphon code pprarse a ue ssesse a ue UUT,19 LINCOLN RD EXT b L N D 1010 57,0 57, 801 ANNIS,MA 02601 00BARNSTABLE,MA sA ccountan ax Dist. 400 Land Ct# er.Prop. #SR VISION Life Estate DL 1 2 Notes: DL2 TO .�b�, n4.. �.:a.eax . e, sa 'Ai.•. .: ,yx dp ' t. .Pe 1. O e ssesB value r. Code Assessed value r. Code Assessed value COY,BRADLEY E C45096 Q o75,buo a 1 is signature aC now a ges a WS y a a a O ector or sseSsor. Amount INNER ma ypescription Description umer a ear mOU .:,, r• Via., ., , ., ; Appraised Bldg.Value(Card) 53,600 Appraised XF(B)Value(Bldg) 3,400 o Appraised OB(L)Value(Bldg) 0 Appraised Land Value(Bldg) 25 600 ON ;�,1 a t �,, �. '. �. 4k m Special Land Value ' Total Appraised Card Value Total Appraised Parcel Value 82,600 Valuation Method: Cost/Market Valuation Net I otal AppraisedParcel Value 5 Ell is MMS w Permit issueDate .Q a: :r. YPe escnphon Amountinsp. a e o .".F.. ate Comp. a; �"''Comments N, ,Date ID La. Purposemesult �... �. r- - ,.: � ,` •...,r> e� ., �E��.Pi Use Code Description zone rontage ept n: n: rue ac or U.Factor Notes-Aaj pec:a ricmgAaj. unit Price Lana r bv�value rig a Fam , , o a an n I oral an u Property Location: LINCOLN RD EXT MAP M: 271/ 022/ Other ID: Bldg M 1 Card 1 of 1 Print Date:10/14/1998 .r r LL w emenUL EJL Description onime a a en ype nc escr+paon odel 1 idential ea de C n;tne gype aths/Plumbing tones Story 42 ccupancy 0 eiling/Well m or Wall 1 4 Wood Shingle /o Coarmon 4/PPctrrs Wall . 2 all Height of Structure GableMp f Cover 3 ph/F Gls/Cmp WDK SAS tenor Wall t Drywall o e eseR n or 4 24 UBM 4 2 tenor Floor 1 4 Carpet omp ex 2 oor Adj nit Location eating Fuel 3 as eating Type reed Air-Due umber of Units C Type 1 . one umber of Levels /o Ownership edrooms 3 Bedrooms athrooms Bathroom 0 Full 1 ase otat Rooms 5.1011 Rooms iu Adj.Factor .19571 Bath.),pe a(Q)Index 97 Kitchen Style d'.Base Rate 5.67 l�g Value New 8,697 ear Built 963 . ff.Year Built 975 rm1 Physel Dep uncnl Obslnc on Obslnc pecl.Cond.Code Code on ercen a Pecl Cond% m e am I U erall%Cond. 3eprec.Bldg Value 3,600 Code Description units Unitrice yr. lip Rt WSLWR Tp—r.-7Nu—e suit Xec Room FPL1 Fireplace 1Sty B 1 3,000.1M 1975 1 100 2,3 Coile Dwerspnon lvtng reo (MOSS Area rea n s n eprec value oor IUul UBM Basement,Unfinished 1,00 �20 11.1 11,24 WDK Wood Deck 241 21 5.51 1,33 t ross sv ease ea it 1 9 , 'i I/ �I I 1 i { I I I a I `T i i Ii I I_ i I 24' t , t t ' t ' t t ' w , t t , t , t , ' t t t ' , , t , t t �/ `z C i t ' t t '( , t t i t , � i t A , , t t ' , t t ' , t i W t , t , t , , , :3Q54 3068 054 i 5110 6'1 i 6'3 ! 5'10 _! 24' I F ,r lk !L Do� - W S�taw e --------------------------- - -------- -- oom -------------------- - --------------------------------------- --------------------- 24' �- ..� .tiI1�..w- a...•,..F.. .P'JY'.1NSK.p.YrV.,�..r:t'.. •' - ►o 4-80se Q i;!P0 QA I -rAnK 6 3 :. V ISM <-- 83 ,97 M ------------------- ---------------------- THE COMMONWEALTH OF MASSACHUSETTS Coy BARNSTABLE, MASSACHUSETTS QLertificate of COMPItante THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(XX)Upgraded( ) Abandoned( )by at Al A T-i nr_nl n. Rd Ext, Hyannis has been constructed in accordance with the provisions of Title S and the for Disposal System Construction Permit No. - Q dated '^ Installer W E Robinson .-Septic Sry Designer The issuance of this permits 1 n t be consq=d as a guarantee that the system will function igned. Date �_ Inspector , o _._ TOWN OF BARNSTABLE LOCATION �/ `1 / A' a/�' SEWAGE# 7 VD.L .GE ASSESSOR'S MAP 4 INSTALLER'S NAME&PHONE NO. i .�•,1 O /-- 7 7 7 SEPTIC TANK CAPACY �U U IT LEACHING FACILITY: (type) ,f 60 ` S (size) NO:bF BEDROOMS •� BUILDER OR OWNER 'o PERMUDATE: yam'/ g g' COMPLIANCE DATE:1 3"S Sep�on Distance Between the: "" Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Piira[e Water Supply Well and Leaching Facility (If any wells exist site or within 200 feet of leaching facility) Feet Ed of Wetland and Leaching Facility(If any wetlands exist 'li Feet 00 feet of lea ching face 'n 3 )within ty 8 wished b F yJoe fi ,..,. .siL: :.... ,. .,4.,✓..`w. a.•�`u. .lr.NYiimo.r A.w;,wu.uw.aad:¢e`+m:d1 'Yrwi6'Ed4+�Ytm.',preti`u:xirF"�.'P.','.'9C`.M'r.viYau.7wa+ .. .. .. .. EtatR..:,+x•.ewo:......:..r....-»...-__. c TOWN OF BARNSTABLE BUILDING PERMIT ". PARCEL ID 271 022 GROBASE ID 17974 ADDRESS 403 LINCOLN 'ROAD EXTRNSI PHONE HYANNIS ZIP LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 30219 DESCRIPTION 2 CAR GARAGE (24 X 24) PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: PROPERTY OWNER . Department of Health, Safety ARCHITECTS: and Environmental Services TOTALBOND -P'ERS: $34.10 CONSTRUCTION COSTS $110000.00 438 ADD RES. GARAGE & CARPORT 1 PRIVATE p ws lMA88. `� M16� BUILD I O BY DATE ISSUED 04/16/1998 EXPIRATION DATE t 5 pG - W 1 f (DO { l (y� rTIv 3 tg I � f _ Vpj�v ' t ffi qkoot 1 I . ` I\APo I i Cul 1 / Lon 1 (� , Cli �� T►Il J, �� I , � n� �.r,.t., w J I rnV -�-�� i ;Zcj,p -4P cl ED �l t'�' `a�• l R �p5 I' I .Yyr;,• , � , , �°""'_ '-'_ tom' NN1 , 7,r- Assessor's map and lot number... .I....... .,.,1�; /" �d c < THE SEPTIC SYSTEM MUST BE Q,,ofra�o Sewage, Permit number ........�� r. ' . •- I� y / �� �✓ INSTALLED IN COMPLIANCE � �� . l WITH ARTICLE II STATE Z BAWSTADLE. • 7 House;number .......... f SANITARY 'CODE AND TOWN moo "639 .. ..................................................... iu REGULATIONS. a�ava• TOWN 'OF BARNSTABLE DUILDIrHG INSPECTOR 3 c 1 , APPLICATION FOR .PERMIT TO ..:..................... .............. ............ .. ............:......:.. r TYPE OF CONSTRUCTION .:....................................... 1! ! .��---.................................................................. C1 r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accoiding to the following�informbtiori `"`" Location ................. .....�11. ..�. .�t.......... .{ : ?� �. '1. !"l............................................................ ProposedUse ............ -...�. ..t ... ...... ....................................................................................................I......................... ZoningDistrict .......................... ......-.................................Fire District .............................................................................. Name of Owner -'l..•. . :. �.� .......................Address .q.13....A!.n �a/.12....P4 �X. 7. Nameof Builder ........`...........................................................Address ......:............................................................................. Nameof Architect .............................:....................................Address .................................................................................... Number of Rooms ................./..............................................Foundation 16a...v..., Exienor ............ ��� ............................................................. Roofing ................ ........... ../.".. ..:- .. ............................... Floorsr1.. ..............................................Interior ...................... .. . ... - .......... ............................... pqy Heating ........ �..'....................... ..................................Plumbing .............::c. ....................................... Fireplace ..................................................................................Approximate Cost .. ..... ........................................... Definitive Plan Approved by Planning Board -----------_______-----------19 . Area .....1`t1... .. .................. Diagram of Lot and Building with Dimensions Fee `............... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I ice► I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .. ...... ........:.-..... .. ....... ............... ti Coy, Bradley E. 20333 add to frame No ................. Permit for .................................... dwelling . ............................................................................... 419 Lincoln Road- Ext. Location ................................................................. Hyannis ............................................................................... Bradley E. Coy f2— Owner ................................................................... frame =� _ ,� s Type of tonstructio'n ............................ ................................................................................ V Plot ....................... Lot ................................ June 20 78 Perr-4,Granted ........................................19 r. Date,of Inspection ........................ .........19 Completed ............ Date-- .................z.........19 PERMIT REFUSED ............................................................. :19 ..........................................................*................... ........................................................................... . ......................................................... ...................... Approved................................................... 19 .................... ........................................................... . .................. .......................................................I...... 7,r-. Assessor's map and lot number .......:......... .j. fi� !f'•� fi? ".f,.-.-............. �0 f TM E r0� Sewage Permit number ........ 9 Z 2"33TADLE, i Housenumber ..............:....!.................................................... 9 MARL OD i639 e00 AEG AIPY a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ` I 4 TYPE OF CONSTRUCTION ............................................ 0_-_k .. �--......................:............................................ ................................................Gt- r - 19.... .. U TO 11HE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 41 'I'I t-,+ ►'1 G'el t In. � ............................................................. ! . ................... ProposedUse ........... ................................................................................................................. Zoning District ....................................:k ...............................Fire District .............................................................................. Name of Owner'D7.6 ,.1�?a l :7 , 1......................Address �� �^1 ►'� [+r11 ra .?S �X 1 � fJ............................. .. �................ t { Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ........../ <f .......................................................... Exierior ............ �:.............................................................Roofing -.......1/'71 .... Floors .............i./... /' ................................................Interior ................�-... ........................✓ ................................ Heating .: ...~.....'...........f—f i;l^.............................Plumbing ............. Y�4'YI.:P.......................................... Fireplace ....................~.......................................................Approximate Cost .. ................................................... Definitive Plan Approved by Planning Board ---------------____-----------19--------. Area ii V y r` I Diagram of Lot and Building with Dimensions Fee ' ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH -� 6 'vi ve kr1a i f A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name A,:.J..:!� .......................................... XX Coy, Bradle—yE-.-J -A=271-22 20333 add to frame No ................. Permit for ............................ ..... dwelling ............................................................................... Location 4016 Lincoln Road Ext. ................................................................ Hyannis ............................................................................... Bradley E. Coy Owner .................................................................. Type of Construction ........frame................................. ............................................ ................................... Plot ............................ at ................................ June 20 78 Permit Granted ....... ................................19 Date of Inspection . ........................I..........19 Date Completed ............11 .......................19 PERMIT RE USED .............. .......... ... .. ...... ....... ............... 19 j* . .. ............ .... ... .... .......................... ..................... ................... ..................................... ...................................... ...................................... ........................................ Approved ................... ......................... 19 ............................................................................... ............................................................................... e A � Town of Barnstable Regulatory Services may, Thomas F. Geiler,Director. Building Division ■"�", Thomas Perry, CBO, Building Commissioner 0 9.°i� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: - My name is ' I am the owner/resident of the property located at: `;t",'_y4jvl� KeK: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: r Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for,the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately ;. note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family A artment. 14so . understand that I am required to complyy with all conditions imposed by the ZB pecial P�3nit �" and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. Iccagree. to note the Building Commissioner immediately in the event of the sale.of this prpperty. Q ; If there is no longer a Family Apartment at this location, please explain: -The apartment has been dismantled. =_= The apartment has been transferred to the Amnesty Program(Appeal No. Other M Sworn to under the pains and penalties of perjury this IS day of 2013. Signature Phone Number Print Name .. h e. )lO.a C. a gfirms/famaffid.doc rev 11/0.8/11 To wn of Barnstable Regulatory Services oFTME Thomas F. Geiler;Director MI ]Building Division '`� f , ` BAMSTWLX ' Thomas Perry, CBO,Building Commissioner AMAM , prFc . 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.maxs Office: 508-862-4038 s;l C i Fax:-50&790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: Go/ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Ama &V - e_Z6��_ Name &relationship to owner: �6_41 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this /'f� day of &L2012. Signature Phone Number Print Name �O q:forms/famaffid.doc rev 11/08/11 I Town of Barnstable Regulatory Services of'THE A Thomas F. Geiler,.Director Building Division ' BMWWABLE. ` Thomas Per CBO Building Commissioner MASS. Perry, > g Ar 1639. Aim 200 Main Street, Hyannis, MA 02601 eo�r www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable- Family Apartment Affidavit ' I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: �{DJ ��v=4� % • 939 C L"" `)l J7 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: P Name & relationship to owner: .Q�t The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. "E= The apartment has been transferred to the Amnesty Program (Appeal No. = ) Other .+.Y f, Sworn to under the pains and penalties of perjury this 'J day of 2011.`: Signature Phone Number Print Name Town of Barnstable Regulatory Services pUtHE Toy, Thomas F.Geiler,Director Building Division TOWN OF BARNSTABLE BARNSTABLE, Tom Perry, Building Commissioner 9� 059. 5. 10$ 200 Main Street,Hyannis,MA 02601 7010 JAN ( I AM www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: / The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 6 j 2010. Signature Phone Number Print Name e!� Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services pF'THE Tqk� Thomas F.Geiler,Director . Building Division BMtNSTABLE, ' Tom Perry, Building Commissioner 2u Q ,BAN 13 Y MASS. i639• 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 'own of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is SJ I am the owner/resident of the property located at: ©y'Z The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner: " cam. The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartrrient, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has-been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other _ Sworn to under the pains and penalties of perjury this day of ja 2009. Signature Phone Number Print Name S T C v Q/bl dg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services kVE tp Thomas F.Geiler,Director i U t N �T Building Division r;ABLE 9BARNSTABLE, Tom Perry, Building Commissioner JAN I PM 1; 59 MAS& qj 1679• 200 Main Street,Hyannis,MA 02601 Arfp ,�s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is J. — a I am the owner/resident of the 11a 3 property located at: , e o & A141 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this �� _day of 2008. 4 9C� Signature Phone Number Print Name -,,S � e j b Q C O Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable 0 r- Regulatory Services Thomas F. Geiler,Director Building Division - a RNS TABLE * saxivsrns . ' Tom Perry, Building Commissioner v Mass. g �ATE�Mpr see 200 Main Street,Hyannis,MA 02601 2001 JAN 15 Ali 11: 34 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5'09-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is J � I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: nn Name & relationship to owner: Name & relationship to owner: Je-" J 0 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1.Eamily Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of �� 2007. A. saw 7�s- �S�90 Signature Phone Number Print Name e-1 o T C O Q/bldgdormsdamaffid Rev:1/03 Town of Barnstable 0 �� Regulatory Services °F1ME tOk, Thomas F.Geiler,Director i. Building Division :�Fz ;5 VABLE * anxxnMASS.a Tom Perry, Building Commissionera3 �E'�9� 16;q. 10�' 200 Main Street,Hyannis,MA 02601 d 7 www.town.barnstable.ma.us .w�CJIVtS10N Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: �Q T � Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: J � Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2006. Sv -77tS- 84� 10 Signature Phone Number Print Name S h e l b y I C o Y Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division • M BARNSfASLE, = Tom Perry, Building Commissioner MASS. 039. �m 200 Main Street,Hyannis,MA 02601 s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Si I am the owner/resident of the property located at: Map and Parcel Number 7 �?� � 0 A The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Cn Name & relationship to owner: -} ate . • --- s Name &relationship to owner: 9 The Family Apartment will be the primary year-round residence for the;above-identf ed family members. In the event that the listed relatives vacate said apartment, I Aill imm diately notify the Building Commissioner in writing. I understand that no subletting or subleasing of rr said Family Apartment is permitted. I I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this T day of 2005. 0 Signature V V Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 & 'Town of Barnstable Regulatory Services pF THE Tn_� Thomas F.Geiler,Director. ,#,t _ t t ,.} Building Division BARNSTABLE, Tom Perry, Building Commissioner P' ; "� MASS. g, ; J N 2 1 F H 6..3 200 Main Street,Hyannis,MA 02601 �AlFO MA't A Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 1 I/am the owner/resident of the CT property located at: Map and Parcel Number The ZBA granted me a Special Permit/Variance on 3 1,9 9�/ /4? 9_()7 Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: 4 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other -� Sworn to under the pains and penalties of perjury this day of 2004. Signature Phone Number Print Name h e � Q I COV Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services y°FINE tok� Thomas F.Geiler,Director 10 OF B ARNS i ABLE Building Division BMWSTABLE Tom Perry, Building Commission 3 ,J Aft 21 PH tz' 4 8 9MASS. . 200 Main Street,Hyannis,MA 02601 • AlED��p tC '� Office: 508-862-4038 V Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose.and state as follows: My name is I am the owner/resident of the property located at: 41/c7 7W, &tr Map and Parcel Number d The ZBA granted me a Special Permit/Variance on Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book'alb) Page �16 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ` Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this_�day of 2003. Signature Phone Number Print Name e. a Co Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services ptrt tOk, Thomas F.Geiler,Director ti Building Division TOWN OF BARNSTABLE swuvszas Peter F.DiMatteo, Building Commissioner 9�A � 200 Main Street,Hyannis,MA 026012002 FEB I I PK 12: 39 QED►�.�a Office: 508-862-4038 Fax:.508-790-6230 ..� VISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: �D jr d My name is I am the owner/resident of the property located at: �J Map and Parcel Number MAP= a 7 'P a&PA The ZBA granted me a Special Permit/Variance on J— /3 -)`f S q l 4 91—O Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Q Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J 2002. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:010702 t BARNSTABLE - A-rTIDAVIT I, being on oath, depose and state as follows. s� 1.) I reside at ��� A.�� /Y1 �l�-U` V 1 2.) I am the owne e p�p1 �ated shown on Barnstable Assessors' maps as MAP Q 7 1 PARCEL 0 9 3.) I Do i0.,aA_Do not have a Family Apartment at this location. 4.) On , 199-7 -, the Zoning Board of Appeals, on Appeal No. the"? O f granted me a S ecial Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME Relationship to owner: 6 b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Comrrussioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 1 n g 00 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this day of 1199 Signature Print Name ,S ke I-& I C HAMOTAEM Town of Barnstable THIS DOCUMENT HAS i Zoning Board of Appeals NOT BEEN RECORDED Decision and Notice FILE COPY ONLY! Appeal Number 1999-07-Coy Special Permit Pursuant to Section 3-1.1 3)(D)-Family Apartment __________ p ( Summary: Granted with Conditions Petitioners: Shelba J.and Todd Coy Property Address: 419 Lincoln Road Ext., Hyannis Assessor's Map/Parcel: Map 271, Parcel 022 Area: 0.27 acre Building Area: 1,234 sq.ft. Zoning: RC-1 Residential C-1 Zoning District Groundwater Overlay: GP Groundwater Protection District Background: The property that is the subject of this appeal consists of a 0.64 acre lot commonly addressed as 419 Lincoln Road Ext. in Hyannis. The site is improved with two structures; a one-story, 1,234 sq. ft. single-family residence, according to assessor's records dated 10/14/98, and a 24'x 24' detached garage that was recently constructed. The property is located in a RC-1 Residential C-1 Zoning District and is serviced by Town water and a private septic system. The applicants are proposing to convert the upper level of the garage structure to a family apartment. According to the floor plan submitted, the family apartment will be approximately 576 sq. ft. in area and will consist of a kitchen, living room, bathroom and one bedroom. The family apartment will be occupied by Shelba J. Coy, owner of the property. The main residence will be occupied by Todd Coy, son of Shelba J. Coy. The applicants are requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in RC-1 Residential C-1 Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 22, 1998. A 60 day extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened January 13, 1999, at which time the Board granted a special permit for a family apartment subject to conditions. Hearing Summary: Board Members hearing this appeal were Ron Jansson, Gene Burman, Elizabeth Nilsson, Tom DeRiemer, and Chairman Emmett Glynn. Shelba Coy represented herself before the Board. Also present was Todd Coy. Ms. Coy addressed the Board and stated she would like to build a Family Apartment over the existing garage. The Family Apartment is accessed via a rear staircase along the outside of the dwelling. The floor plan was explained by Mr. Coy. The main house(to be occupied by Todd Coy)will have two bedrooms, and the family apartment(to be occupied by Shelba Coy)will have one bedroom for a total of three bedrooms on site. The overall size of the Family Apartment complies with the requirements of the Zoning Ordinance. Ms. Coy stated she understands, and complies with, all the regulations and requirements of Section 3-1.1(3)(D)of the Zoning Ordinance. TTown of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-07-Coy Section 3-1.1(3)(D)Special Permit-Family Apartment Public Comment: No one spoke in favor or in opposition to this appeal. Findings of Fact: At the hearing of January 13, 1999, the Board unanimously found the following findings of fact as related to Appeal No. 1999-07: 1. The petitioner, Shelba Coy, is seeking a Family Apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. The property address is 419 Lincoln Road Ext., Hyannis, MA as shown on Assessor's Map 271, Parcel 022. The site is 0.27 acres located in the RC-1 Residential C-1 Zoning District and the GP Groundwater Protection Overlay District. 2. The site is improved with two structures; a one-story, 1,234 square feet single-family residence, and a recently constructed 24'x 24' detached garage in which the 576 square foot Family Apartment is to be located. As such, the Family Apartment meets the requirement of Section 3-1.1(3)(D)of the Zoning Ordinance in that the family apartment contains not more than fifty percent(50%)of the square footage of the existing.residential structure. 3. The applicant has filed an affidavit indicating she is in complete awareness of -and understands all of- the requirements of Section 3-1.1(3)(D)of the Zoning Ordinance and agrees to be in compliance with all those requirements. 4. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the relief being sought for a Family Apartment subject to the following terms and conditions: 1. The Family Apartment shall comply with all restrictions of Section 3-1.1(3)(D)and shall be the primary year-round residence of the family member(s) residing therein. 2. The Family Apartment shall be developed and maintained as per plans presented to the Board. 3. There shall be a maximum of three (3) bedrooms on this site, including the Family Apartment. 4. The Family Apartment shall be occupied by not more than two family members-one of whom is Shelba Coy. 5. The locus shall comply with all Town of Barnstable Building and Health Divisions Regulations. The Vote was as follows: AYE: Ron Jansson, Gene Burman, Elizabeth Nilsson, Tom DeRiemer, and Chairman Emmett Glynn NAY: None Order: Special Permit Number 1999-07 for a Family Apartment has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) day fter the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. _ V.1_/f "Emmett Glynn, Chair n ate°Signed' '. f' I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision i d that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this /o? day of under the pains and penalties of perjury. inda Hutchenrider, Town Clerk 2 c S Planning Labels 23-Dec-98 RetNo mappar ownerl owner2 addr city state zip 00 1 271 008 271 008 271 009 LEACH; ANDREW JOHN JR 361 OAKWOOD RD HYANNIS MA 02601 271 010 MORRISSEY, BERNARD D 373 OAKLAND RD HYANNIS MA 02601 271 011 DAVIS, ELEANOR %THE BOSTON CO - ATTN A SKEEN ONE BOSTON PL 024-0034 BOSTON MA 02108 271 012 CAHOON, SHERRIE D 399 OAKLAND RD HYANNIS MA 02601 271 013 PSAROCOSTA, LEWIS A W GLORIA PSAROCOSTA 391 OAKLAND RD HYANNIS MA 02601 271 016 MCCOLLEM, MICHAEL C 414 OAKLAND RD HYANNIS MA 02601 271 017 MILK, ANDREW B SUSAN M MILK 23 OAKLAND RD HYANNIS MA 02601 271 018 STAFFORD, BEVERLY A ET AL 257 ROUND COVE RD, CHATHAM MA 02633 271 019 DAVIDSON, LORETTA A 376 OAKLAND RD HYANNIS MA 02601 271 020 COUGHLIN, JOSEPH F TRS JOSLEPH F COUGHLIN TRUST 404 THIRD AVE MELBOURNE BEACH FL 32951 271 021 JANULAITIS, ERDVILIS 680 FALMOUTH RD HYANNIS MA 02601 271 022 COY, SHELBA J 419 LINCOLN RD EXT HYANNIS MA 02601 i 271 023 CAPONE, JAMES J & LORRAINE CAPONE, JEANNE E 2 HARNDEN RD FOXBORO MA 02035 271 024 MAYO, MEREDITH A 258 MONOMY CIR CENTERVILLE MA 02632 271 025 BACHAND, LIONEL C PATRICIA A BACHAND PO BOX 210 HYANNIS MA 02601 271 026 MARCOS, DENNIS G & CHRISTINE E P O BOX 641 S YARMOUTH MA 02664 271 031 CAUDLE, JOHN H III & CAUDLE, NEIL & DALE 434 LINCOLN RD EXT HYANNIS MA 02601 271 032 271 032 271 032 271 064 ARENSTRUP, RICHARD D TRS PARK SQUARE TRUST BOX 2248 HYANNIS MA 02601 271 082 t 271 103 BEARSE, ROBERT JR BARBARA J BEARSE 17 ARROWHEAD DR HYANNIS MA 02601 271 104 CONRADO, RENATO F & RICARDO F %NORWEST MORTGAGE INC 405 S W 5TH ST DES MOINES IA 50328 271 112 LADD, ANNE 11 CHESTNUT RD CANTON MA 02021 271 113 MCAULIFFE, FRANCIS P & MCAULIFFE, BEVERLY A 221 BUCKWOOD DRIVE HYANNIS MA 02601 271 114 VALENCIA, ROBERT G & PAULA 691 TREMONT ST DUXBURY MA 02332 271 115 PATRIQUIN, MYLES J 205 BUCKWOOD DR HYANNIS MA 02601 271 116 ELLSTROM, STEVEN W & ELLSTEOM, KATHERINE T 24 DESERT SAND IN YARMOUTHPORT MA 02675 271 169 WALKER, JAMES A JR & WALKER, SYLVIA L 726 FALMOUTH RD HYANNIS MA 02601 1 Zoning Board Of Appeals January 13, 1999 Abutter Notification Little,Nancy L. 7313 W. Sierra Vista Dr. Glendale,AZ 8530.1 Moulton,Kristin P. 416 Lincoln Rd.,Ext Hyannis,MA 02601 Petrovek,Kevin M.,Trs. Jan-August Realty Trust 353 Lincoln Rd. Hyannis, MA 02601 Proof of Publication . e Town of Barnstable Zoning 13"iO of Appeals Notice of Public Hearing UriderThe Zoning brdinance for January 13, 1996 To all persons interested in,or affected by the Board of Appeals under Sec.11 of Chapter 40A of the General Laws of the,Commoriwealth of Massachusetts,and all amendments thereto you are hereby notified that: 7:15 P.M. Coy Appeal Number 1999-07 Shelba J.Coy and Todd Coy have petitioned to the Zoning Board of Appeals for a Special Permit for a Family Apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance.The property is shown on Assessor's Map 271.Parcel 022 and is commonly addressed as 419 Lincoln Road Ext.,Hyannis.MA in an RC-1 Residential C-1 Zoning District. 8:05 P.M. TeleCorp PCS,Inc. Appeal Number 1999-08 Telecorp PCS, Inc. has petitioned to the Zoning Board of Appeals'for a Special Permit . pursuant to Section 4-4.4(2)Nonconforming Building or Structures Not used as Single or Two-Family Dwellings.The petitioner is seeking to attach an accelerator antenna to an existing Commonwealth Electric utility pole. and install a concrete equipment pad and cabinets along with associated cables at the base of the pole.The property is shown on Assessor's Map 274, Parcel 019 and is commonly addressed as 1364 Phinney's Lane. Hyannis,MA in an RG Residential G Zoning District. 8:10 P.M. TeleCorp PCS,Inc. Appeal Number 1999-09 Telecorp PCS,Inc. has petitioned to the Zoning Board of Appeals for a Special Permit pursuant to Section 4-4.5(2)Expansion of a Pre-existing Nonconforming Use.The petitioner is seeking to attach.an accelerator antenna to an existing Commonwealth Electric utility pole and install a concrete equipment pad and cabinets along with associated cables at the base of the pole.The property is shown on Assessor's Map 274,Parcel 019•and is commonly addressed as 1364 Phinney's Lane,Hyannis.MA in an RG Residential G Zoning District. These Public Hearings will beheld in the Hearing Room;Second Floor,New Town Hall,367 Main Street, Hyannis, Massachusetts on Wednesday. January 13. 1999.All plans and applications may be reviewed at the Zoning Board of Appeals Office,Town of Bamstable, Planning Department,230 South Street,Hyannis,MA. Emmett Glynn,Chairman Zoning Board of Appeals The Barnstable Patriot December 24 8 December 31, 1998 r