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HomeMy WebLinkAbout0044 MAPLE AVENUE - AMNESTY l .Q6 1A-,P r �'�%x �_ �� a� r� l `� �5 j I i i 1 a �L r� l ,. �!'I j� ���. f oFt► ,ot, Town of Barnstable *Permit Building Department Services. Fapires6moe efromissuedate 9sexx r,E,g Brian Florence,CBO CCAME�g MAS&59. .� Building Commissioner - 0 � �Ar fD MA't 200 Main Street,Hyannis,MA 02601 S www.town.barnstable.ma.us EP 14 2017 Office: 508-8624038 FOWAJ OF 8 llg$I40-62 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �k / Not Valid without Red X-Press Imprint Map/parcel Number (y Property Address J I 4 A4A 44 'C AI a— ❑Residential Value of Work$ p p Minimum fee off$35.00 for work under$6000.00 Owner's Name&Address I'll/d H R!3!i Contractor's Name a I!iw4 4 / !�l / I/V,S Telephone Number S✓ —6 C 620 Home Improvement Contractor License#(if applicable) /ry. �7j j Email: Construction Supervisor's License#(if applicable) � el'a f a y ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner -1'have Worker's Compensation Insurance Insurance Company Name 14 1 —�A4a Workman's Comp.Policy a d y P/ z 4126 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. SIGNATURE: �GI QAWPFILESTORMS\building permit forms\EXPRESS.doc 08/16/17 _ CC> CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/nYY) Imo/ - 05/19/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the.policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lori Wong OXFORD INSURANCE AGENCY INC PHONNo,EExtll 508 987-0333 (FAX Nc: ADDRESS: Iwong@oxfordinsurance.com 300 MAIN ST INSURERS AFFORDING COVERAGE NAIC# I OXFORD MA 01540 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B: LIBERO MOLINARI INSURERC: MOLINARI HOME IMPROVEMENT INSURERD: 11 SHEEP PASTURE WAY I INSURERE: EAST SANDWICH MA 02537 INSURER F: COVERAGES CERTIFICATE NUMBER: 156284 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICYNUMBER MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I POLICY❑PRO ❑LOC JECT PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - Ea accident i�ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A AUTOS AUTOS BODILY INJURY(Per accident) $ PROPERTYDAMAGE $ I HIRED AUTOS AUTOS UUT S Per accident i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ _r DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH —j AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? WA WA WA AWC40070081132017A 05/21/2017 05/21/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SDD,D00 N/A 177 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20.03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This rtificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdtworkers-compensation/investigations/. Sele proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES.kE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis WCRIBMA MA 02601 Daniel M.CroWy,CPCU,Vice President—Residual Market— @ 1988-2014 ACORD CORPORATION. All rights reserved. A ORD 25(2014/01) The ACORD name and logo are registered marks.of ACORD W 1 MOLINARI HOME IMPROVEMENTS SPECIALISTS IN ROOFING, REROOFING, REPAIRS,WOODSIDING&GUTTERS 1 93 THORNTON DRIVE, HYANNIS, MA.02601 Office 508-771-5266 Cell 508-360-0745 Fax 508-888-3750 09/08/17 MR LARRY BERNARD 44 MAPLE AVE HYANNIS ,MA RE—ROOF ENTIRE ROOF AREA #1 STRIP OFF EXISTING ROOF #2 INSTALL METAL DRIP EDGE WHERE NECESSARY #3 INSTALL NEW VENT PIPE FLASHING #4 CHIMNEY CHECK ALL FLASHING AND COUTER FLASH WHERE NECESSARY #5 INSTALL ICE AND WATER SHIELD AND SHINGLE UNDER LAYMENT ##6 INSTALL CERTAINTIED SHINGLES COLOR /6, JL G(< #7 THOROUGH CLEAN UP OF ALL DEBRIS RELATING TO THE ABOVE WORK * LIMITED LIFE TIME WARRANTY ON SHINGLES * FULLY INSURED WORKMENS COMPENSATION AND LIABILITY INSURANCE FOURTEEN THOUSAND FIVE HUNDRED --------------------- ONE HALF TO BE PAID UPON COMMENCEMENT OF THE ABOVE WORK , THE BALANCE TO BE � P ?LO' ' �C/ ckcft License or registration valid for individual use only ce of Consumer Affairs&Business Regulatio dffi n before the egpii ation date. If found return to: R[OME IMPROVEMENT CONTRACTOR, Office of Consumer Affairs and Business Regulation Registration�1:02322 Type:, .. 10 Park Plaza-Suite 5170 Expiration DBA Boston,MA 02116 MOLINARI ROOFING Libero Molinari SHEEP PASTURE Fl1lM ,r,. is z t r.• EAlST SgNDWICH MA37 Undersecretary Not valid without signature y Massachusetts Department of Public Safety t� Board of Building Regulations and Standards License: CS-040124 Construction Supervisor LIBERO J MOLINARI - 11 SHEEP PASTURE WAY EAST SANDVACH MA'0253 /Comrriissioher Expiration: 03/29/2019 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIPS Licensing information visit: WWW.MASS.GOV/DPS i The CowmorrfrwWt ofMassrfdiusefts .���k��iF a,f�it<1r�striall�ccade�s Offilce of Imw-idgadems 600 Was.`fiWon&reet Bastogf A9.02111 4mv.mazLgavldia Wurrlmrs' Caulpensa6n Inso once A—TIiiw*-R.�tder-s/Cia-ntrartars/Flectrcians/Plombers Applicant Infa=afign Please Print E Iy - 60 0 e �ifyfSfa k` S Phan Are} im employer?.Check.the appropriate ba= ' Type of project fr ulaied} I. ❑I am a general confsctar and I 6. New construe6m mplagew(Ad andfor part- ime).* 1=eluredihe sue-contadozs 2.❑ I am a sae gropfietcur orparEaw- Usted on- the aEtw1md sheet.. y- ❑Remodel These sub-contractors have soup and lrat�e ara employees. 9- ❑Demolition wcddn,,t fotmm is any Wig. employees andhave wor-rs' 9. ❑Building addition [No wodz& comp.insurance comp_insuran=, 5. ❑ fife are a coapo afim and its 10_❑Eleo r al repairs or adcEtions officers have exercised their 1L Plumbing repairs or additions 3_❑ F ama bameown:er doing all vrorlt ❑ g P _ right of exempfiou per MGL ���o���'�F c.1.52, have no1.. afrepairs . insmanre reSuired][ g I and ha (J employees.[To waders` 13_❑'Other conq_msutanm required_ #Any appUCCUtffi2tdiecsboaintitalsafiIIautthesectioabekwshatdagdeawozkes'campeasa5auporkyinf=2ff L i asnevsvaecsvdrosaba�ttdais�Sdaruinirtrsiingtireysze3oings1fvradcamdtheabizeoutsidecoatrsctats- Isubmitaneara$zda&indiaaegsacIL rCbn=adosfbst checYidtFs box must attac3ye d maddi6anal shed shocrragt mn—of the snb•caMIxsckxS=d stmfevrhe9m ornntthnse eobidesbm empioyees.iftheiub-com�hxveempioyees,tbeynnrtpmsadethea worke&comp.poriyaucmbes I am art errrp�ysr flenf;rs pra�Rdi>�workers'corrtperrsrdiarr fasrrrarrca�or zrr}T emptv}ees $etobv is t7t�pv(ic,�gird jo&sata irrformatiom InsaranceCompanyName: AI'm AA 1 V)•y4 l — Policy al or Self-in€.Ec.; wry d O 7 a o 2/112 2 90?A rapinfionDafe:.�� Job Om Address_ �h'—1-4,$1a CifpfStaW.ip: le-5 Attach 2 COPY of the workers'compensationpolicy`declaration page(showing the policy, er and ezpi=bon date). Faalrm to secure coverage as nequiredunder Secdoa 25A of MGL m 15-7 can lead to the imposition of criminal penalties of a fine up to$L,50D Ua aadlar acre year impdsonment,as well as civil penalties in the form of a STOP WORK ORDERand a llm of up to$25 DO a dap against the violator. Be adcased that a copy of this statement maybe f nvarded to the Office of Irrestigati=of the DIA fair iisunmce coverage yredffbation. Irla trerafiy Rdcrthykpais raTties of pajury th&the info &dabar�s is bus and carrect Siffiature / Date ty,ftid use wd. Do not wrfte in t ds area,&be cmnpleted 5p city arton�n a, I j or T wn• PerimtUcense:9 bsuing nthor4(curie one): L Board of HeaItli 2.I3uelfng Department 3.fij town Clerk 4.Electrical hmpector 5.Plumbing Inspector 6.Other Caa#act Person Phan#: -- - 6 r. ormation and las-racfiolas Ma�ca GCheaal Laws chapter 152 req�es an eu[pIoy=�pie workers'c��ion for•6ieir cmpIoyees. p tc)fiiis ,an=g7LV=is defied as.°`:every person in.f3ie service of m1officr under auy cDnixa ct of hire, empmr-w or implied,oral or writf An Mayer is defined as`pan indi •;rh�aT pmrtn�,asso�on,an or oii�legal e�Y,or a¢3'two or more of the foregoing end m a3omt use,and including lie legal�ese�es of a deceased employer,or the r=ei4er or trustee of an md=vidaal,p up,associaioon or otherlegal MtitY,emPlDY'h3g CpI0Y=9- HoWeYer fhe ti�anfbree azfineotsand esi ordestfierem,ortheocca toffi�e- ownerofadweIlingh�sehavmgnotmoreIIiag house of ano�.er who employs pemons to do ,r-.,r,cfi-rLr�Fi on or repair wDik an such dweI Eng h=D dwe i the grounds or building app thcmfo shaIlnntbecan=of such employmexdbe d=medfn be an exoployra" or MGL chspf!:r 152,§25C(6)also states tthA leyetp state or local licensing agency shall withhold ffie issuance or renewal of a Hcease or permit to operate Z huskess or to construct buildings in the commonwealth for any applicantwho has not produced acceptable evideum of cdmcplianmwn the hLmrance.coveragerequired." Additionally.M TCZ chiifr 152,§25g7)aims"Neither the cow cmwMM nor Ely of its political subdivisions shall ear thin any coalrad f=the:perfo3.ance ofpublio wDiIc untl acceptable evidence of comp Han cc Wh i the inscn`�ca.. regmrearcefs of this apt-z have been p==k:d In the cQ1fr�r1��.anf Ddly-' Appiicaats . - Please flI oil the-wow'c omp=SaiiDn affidavit complexly,by a=jCm g ib a boxes fhat applY to your sifnaiion and,if ne�essarp,supply sob-coat r s)name(s), addresses)and ph=nnmberCs)alongw&'E=CMt1:ffcatI--Cs)of insmence. LiabiI4 Companies(LLG')or Liability igs(LI P)wry no e�l°yees o$ies than the members or partners,are not rid to cauy worla&comPensafion.iuscnunce. If an LLC or LLF does have ernpIoyees,a policy isrequned- Bea•dvisedi33A this a$dayk maybe snbmite try the;dtfDepadmentof fudusftial Accide for confi Dn of inscn`�ce cove2age: Also be sine to sta and date the affidavit The affidavit should b eretomed to ibe city or town that the application fni the permit or license is being regOest not the D eparfzne of L � d,�,, Shouldyou have;any questions regarding die law or ifyon ate Med m obtain aworiceis' =npmsatioupoficLplmsecalltheDepmtnentatfhemmzbrrHsfadbelow: Self-fi uredcampan?essbonlde rtheir sr lf-msm=ce license number on the appiopaain line: City or Town OffiriaLs . f Please be sore tb.,t tbo affidavit is complete a adprilted legiibly. The Departm.eathas provided a space at the bctb= of the affidavit for YOU to fM Old inthe event the Office ofInymjgaflohs has to ccmh ctyouregardingthe applicant Please be sure to f M in.the pen LWlicrose nnmberr which vM be used as a=ference=amber. In addition,an applicant fhat must sabmt m_ultPIe pconitllicenae aPplicstions in any given yew,need only submit are a$daYit indicating cogent p olicy inforzuatian(if necM&aly)and under"lob S-itn Addx=e tie applicant should vu-"all 10catiens in (c-y or town);'A copy of the-affidavitfiiat has beg officially stamped or ma&ed by the city aFr town maybe provided to fhe applicant as grooftl at a valid affidavit is on file for f�nre pmrmifs or licenses. A new affidwitmust be;{Iles oi>t ea cb year.V7here a Home owner or citizen is obtaining a license or p=mA not related in any business or commercial vemture eorpe�mittabronleaves et-, said person is NOT rcgilmdto completetiesaffidavit (ie. adoglicens The Office of InvcsEgaiians wouldlhke to thank you in.advance far yotm cooperation and sbouldyov.have any cic o=, please do nothesifate to givens a call 'IheI?eparfinems a.ddremtelephone and faxnumber: . ammmmealtbE of ch Dot r�I�d�ial Ac �n.� • . . Fax#617`27 7M xevised¢24--07 TOWN OF.BARNSTABLE BUILDING PERMIT APPLICATION .:r Map `� cet � Application # C;0 IW. 6 Health Division ` U� � j a y�7 Date Issued Conservation Division ;Application Fee Planning Dept. Permit Fee Date Definitive PI p oved by Planning Board �8 Historic Preservation/Hyannis d33 Project Street Address s u J Village YANKS Owner LAAJ LL 6f 9NAYZO Address qq /�'A1��.� Telephone Permit Request T AL,,i? /y G Lt/ Ll/ /hi II.L/ d Moyd- (-,)/-D OUT-5ID G 4EA I R 1a/6 Q �(241)e �ufNr �1 Square feet: 1 st floor: existing t� proposec! D 2nd floor: existin946—proposed d Total new Zoning District Flood Plain Groundwater Overlay o© Project Valuation Construction TypeWa00 9+1') 1\C'� W lrl DGW t r^ Lot Sizee��� �w l,�)3(D Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family l( Two Family ❑ Multi-Family (# units) Age of Existing Structure r OL V S Historic House: ❑Yes Ao On Old King's Highway: ❑Yes 4No Basement Type: &Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sgft) '�00 Basement Unfinished Area (sq.ft) l o o Number of Baths: Full: existing A new Half: existing new 0 Number of Bedrooms: existingo new Total Room Count not including baths): existing new Q First Floor Room Count Heat Type and Fuel: 9 Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes VNo Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes J o Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑'No If yes, site plan review# Current Use �Qu �� �.W \4°`/Ae Proposed Use 5d � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L-Q1AAjt13 Oe66t111CZVCf Telephone Number ) Address �/ MC1121&- License# �G(1 rit Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )�z vmLa L)Ea To uL�y t5 a2�21 /4 y6ft --- 6 o t ldlky`4 W& k&i cd SIGNATURE- (,�J�LUUP.I/� � 1�1/ DATE a • FOR OFFICIAL USE ONLY „ . APPLICATION# () t�'DATE ISSUED °'�'�_ ':.,:TF 'i- •�� � ' _ i .. �q? MAP/PARCEL NO:,., i a i :ADDRESS VILLAGE F OWNER , DATE OF INSPECTION: _. pFOUNDATION 1-21il,"Iz: M1 ' f t FRAME INSULATION]' t FIREPLACE ' ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS ,GA ROUGH tea`—H EE : FINAL y , DATE QLOSED,OUT . : ASSOCIATION PLAN NO:- The Commonwealth of Massachusetts Department of IndustrialAccideWs Office of Investigations 600 Washington Street t Boston, MA 02111 rs�ww.m ass.go v/dGa Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L e ibl Name (Business/Organization/Individual): 6CU R_A&AALV Address: %Al4 07. City/State/Zip: Phone #: S�v —7 7) Are'-you an employer? Check the appropriate box: Type of project(required): .❑ I am a employer with 4• ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or paft-time).* have'hired the sub-contractors.. - - _ __ _._____.. . . .. . . . 2. ❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition employees and have workers' working for me in any capacity. 9. ❑ Building addition [No workers' comp. insurance comp. insurance. r,�quired.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions .myself [No workers comp. right of exemption per MOL 12.❑Roof repairs insurance required.) t c. I52, §I(4), and we have no �� employees. [No workers' 13.❑ Other hs comp. insurance required.) t\leW W�h��ov�l 'Any applicant that checks box#) must also fill out the section below showing their workcrs'compensation policy ° \J C s TAI AS t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must si davit indicating such. I_ tContraetors that cheek this box must aMched an additional sheet showing the name of the sub-contractors and stale whether or not those emroit ✓�bG. cmployccs. If the sub-contractors have cmployccs,they must provide their workcrs'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job sile 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 MCL c, 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the 0ffice of Investigations of the DIA for insurance coverage verification. I do he certify under the pains and penalties ofperjGkry, that the information provided above is true and correct. Si zn ature P Phone #: . Official use only. Do not write in this area, to be completed by city or town official City or Town; Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk d. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#; hformation and.. Instructions . t Massachusetts Gencral Laws chapter )52 requires all employers to provide workers' compensation for their employees. tract of hire, Pursuant to this statute, an einployee is defined as "...every person in the service of another under any con express or implied, oral or written." A.n employer is defined as "an individual,partnership, association, corporation or other lcga) entity, or any two or more of the foregoing engaged in a join, cntetprise, and inc)uding the legal represcnlatives of a deceased employer, or [he receiver or truslce of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than Ihrcc apartments and who resides (herein, or the occupant of the dwelling house of another who employs persons to do mainlcnancc, constnic,ion or repair work on such dwelling house build' appurtenant. thereto shall not because of such employmcnl be decmcd to be an employer.' or on the grounds or MGL chapter 152, §25C(6) also slates 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 cornmoMYealth for any applicant�yho has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) stales "Neither the commonwealth nor any ofifs political subdiv�s�ons shall cc enter into any contract for theperfohr iarnce ofpublic-work until acceptable evidence ofcompliancc with (he Insura11 requirements of this ehapterhave beenpresentcd to the contracting authority.' Applicants Please fill out.the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contraetor(s) name(s), address(es)and phone numbers)along with their cerlificate(s) of insurance, b3 ilcd Liability Companies (LLC)or Limited LiabilityParfnerships(LLP) with no employees other than the rnembers or partners, are not required to carry Workers' compensation insurance, if an LLC or LLP does have employees e policy is required. Be advised that this affidavit may be submitted to the Department of lndustna) Accidents for confirmation of insurance coverage• Also be sure to sign and date the affrdaYit. The affidavit should be retuned to the city or down that-the application for the permit or license is being requested not the Depart eTnl of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain e work compensation policy,please call th Department at the number listed below, Self insured companies should enter their e tense number on the appropriate ante h PPriate line.P self-insur City or ToYrn Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidayil for you to fill out in the event the Office of investigations has to contact you regarding the appli cant. Please be sure to fl) in the permit liccnse,number which will be used as a•reference number. In addition,an applicant that rnust submit multiple permi,/license applications in any given year, need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address" the applicant should write "all )ocahons in —_(c)*ty or town),-A copy of the affidavit that has been officially stamped or marked by the city or town may be provided Lo a applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavi lJnusf be filled nti t each year. Where a home owner or citizen is obtaining a license or permit not related to any businessfor commercial VCD1Ure e, a dog license of permit to burn leaves etc,) said person is NOT required to complete this ajFb`davit. The Office g ce of Invesli atIons wou d Re o anyn��rrawar1'�r'tinn and shou➢d have any questions, please do not hesitate to give us a call. The Department's address, Iclephonc and fax number; The Commonwealth of M assachuse tts Department of lndusbT a) Accidents Office of Investigations 600 Washington Street Boston, MA 02 11 l Te). #t 617-727-49DO ext 406 or )-877-MASSAFE Fax # 617-727-7749 Revised q-24-07 www.lnass.gov/dia f Town of Barnstable, - Regul'atory Services Thomas F. Geiler, Director - s.,�tzxsntsr�• �P 16.19. k-b BLLUding Division r'D Tom Perry, Building Commissioner 200 Main•StrcetHyannis MA.02601 www.town.bzrnYt.able-rn2-.us Office: 509-962-403 9 Fax: 509-790-6230 HOTdEOWWER LICENSE EXEMPTION ,I Plcarc Print DATE: o `' t o , IOB LOCATION: n umb cr s trcct vi l l agc 7 75 y/ ?3 name home pho`ne�#,(� work phone RR # CUENT MAILING ADDRESS; VL H A 02-601 , city/town stag ap code The current exemption for"homeowners"was extended to in owner-occupied dwc ings of six units or less and to allow homeowners to engage an individual for hire alto does not possess a license, provided that the owner acts as superYisor_ DEFIxM0N OF EOM3DVrrIN'ER Persons) 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 stiuctures 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/shc understands the Town of Barnstable Building Department minimum inspection procedures and requirermcnts and that he./she will comply with said procedures and r ements. • Signature of Homeowner 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. - $OMEOwNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building pemvt is requimd sha11 be excrrrpt from the provisions of this section.(Section I D9.).1 -Licensing of construction Supervisors);provided that if ncc homeowner rngages a po-son(s)for hire to do such wofk, that such HDmeD AMa shall act as supervisor." Many homeowners who use this exerrrption are unaware that they m assuming ncc responsibilities of a supervisor(sec Appendix Q, RlllCs&Regulationsons for Licensing Ctruction Supervisory,Section 2.15) This lack of awareness bhen results in serious problems,partieular}y whrn thc homeowner hires unlicensed persons- In this case,our Board cannot proceed against the unlicensed person as it Would with a licensed Svpervisor. The homeowner acting as Supervisor is ultimatc)y responsible. To ensure that thc homeowner is fully aware of his/hcr rrs onsibi)itics, many communities require, as part of thc prnnil application., that thc homeowner certify that hchbc understands the responnbilitics of a Supervisor. On thc last page of this issue is a form currently used by scvcnl towns. You may cart t amend and adopt such a fom-/certifieation for use in your community. Q:forrM:homcexcrrtpt THE t Town of Barn-stable 0 t t Regulatory Services ' HARX6TABL? Thomas F. Geiler,Director BaiIding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis; MA 02601 www.town.barnstab le-ma.us off cc: 508-862-4038 Fax: 509-790-6230 Prop e rty Owzie r Mus t Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize to act on my behalf, in all matters relative to'v,Qrk authorized by this building permit application for. (Address ofrob) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the . 'Homeowners License Exemption Form on the reverse side. Q:F0RMS:0 WNEUERMISSION o � �3AR51q G ©i-kc V ) o (c` L„ R� STOM 6 E Q - . M;;IynJu� f7� �c1TCN� �i / �. _ I 0ftgG � ��- � R � _�___ :, I • r o,u;N I TER 5 �' s i n T �'t( jc� o. I r /'-rr' 03 v k �v,,� 9'-&a CLI c rI(;Zr rr<z. I l I I A noN: _ ©�� �1 S T/���Z MASSACHUShVAi' !AW REQUIRES / CARBON MONO DETECTORS IN � � 7�'.�- 1� ALL RESID DWELLINGS. 1714 NDOtt.Z E FIRE ALARM INSPECTION.TH INSTALLATION OF CO DETECTORS IN ACCORDANCE SMo DE'ECTORS R VIEW D WITH 527 CMI31.00 WILL BE J JYERIFIED PRIOFFTO SIGNING THE Y 6 BUILDING PERMIT d R L 1 D T. D H °T EP TMEN DATE BOTH SI U E E FOR P N LING vo J• v -- DIP s c. 1� 'Z 6o ITFFFII i3!L-o r / A Q.� C 0'1\i �,,.ny./WAY•,c.,.,.r.......aM►M�+�i.w»►�rw vwd�Mr vo 2 N-3AT N+ _ F NMP ►,, - Ell ,� r IT I _ lz t'1 k E � _ t 1 Ol r, I Town of Barnstable Regulatory Services 9�n `� Thomas F. Geiler, Director Eo;o. Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 July 28, 2009 Mr. Lawrence Bernard 44 Maple Avenue Hyannis, MA 02601 Re: Amnesty Apartment Dear Mr. Bernard: Enclosed is the Certificate of Occupancy for your Amnesty apartment. We have prepared the Amnesty Certificate of Compliance and forwarded it to the Amnesty Program Coordinator. Sincerely, Lois Barry Division Assistant Enclosure amnco Amnesty Program Helping to snake affordable housing possible, dp W, 13, Of amstable AR K Or i fo fry ... .... Certificate of Compliance � - This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code x° and Town of Barnstable zoning ordinances in accordance with the Amnesty program. Owner Lawrence W. Bernard Location 44 Maple Avenue,Hyannis, MA Unit Capacity One bedroom not to exceed two people Inspector M/P No. 308169 7/27/2009 Town of Barnstable Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 9 MASS. $ (508 i639- ) 862-4038 �� Certificate of Occupancy Application Number: 200903331 CO Number: 20080395 Parcel ID: 308169 CO Issue Date: 07/27/09 Location: 44 MAPLE AVE Zoning Classification: RESIDENCE B DISTRICT Proposed Use: ROOMING & BOARDING HOUSES Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO LAWRENCE BERNARD ` Building Department Signature Date Signed =f°FINEt°� TOWN OF BARNSTABLEBuilding °�► Application Ref: 200903331 • * BARNSTABLE, * Issue Date: 07/21/09 Permit 9 MASS. �p 163q. A`�� Applicant: BERNARD,LAWRENCE W TR Permit Number: B 20091290 rF0 MA't Proposed Use: ROOMING&BOARDING HOUSES Expiration Date: 01/18/10 Location 44 MAPLE AVE Zoning District RB Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 308169 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num Est Construction Cost$ 0 j Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING 1 BEDROOM APT,NO CONSTRUCTION THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BERNARD, LAWRENCE W TR BUILDING SHALL NOT B CCUPIED UNTIL A FINAL Address: 44 MAPLE AVE INSPECTION HAS BE ADE. HYANNIS, MA 02601 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK ORANY PART THEREOF;EITHER.TEMPORARILY PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE.APPROVI B THE JURISDICTION. STREET OR ALLY GRADES AS:WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE'SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE: PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). r ► s, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 'j 1 Heating Inspection Approvals Engineering Dept Fire Dept 77/, 0 2 Board of Health 9 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 30 �. Parcel Application #�2�90333/ Health Division /-I Date Issued Conservation Division Application Fee Planning Dept. Permit Feed s' Date Definitive Plan Approved by Planning Board p/ � Historic - OKH Preservation/ Hyannis e 'S - Project Street Address 1 Village Owner G��pr e�(�� �J�1�1'1C�I�P;� Address g MCk Q te- Telephone 6 - J - 141 VI a) Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size a CA Cr(!,S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ "Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new r Number of Bedrooms: existing _new Total Room Count (not including baths): existing ` new First Floor Room Count Heat Type and Fuel: 4 s ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization W Appeal # a ODCI-0)q Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 10 NamecCC �� C� Telephone Number - Address '14 License # a- nU yA V\ Home Improvement Contractor'' Worker's Compensation # _ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR JI/lC_` K�-�C DATE ' FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED : MAP/PARCEL N0. f ADDRESS VILLAGE OWNER zc DATE OF INSPECTION: 'FOUNDATION 8 r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. r R-AR iSTABLE LAND COURT REGISTRY ., j !QQBARNS[ABLE.u` 1 9Dpr A39 �00 �rj I IN ��s n I foamy. 11. i Town of Barnstable Zoning Board of Appeals Decision and Notice Comprehensive Permit No. 2009-014 Lawrence W. Bernard To legalize the use of a separate one-bedroom living unit as an amnesty unit pursuant to Chapter 9 Article II Section 14 of the Code of the Town of Barnstable Applicant: Lawrence W. Bernard 1 Property Address: 44 Maple Avenue Hyannis, MA 02601 Assessor's Map/Parcel: Map 170, Parcel 018-001 Zoning: RB Zoning District f`�a Deed Reference: Certificate number 188593. Applicant: The applicant is Lawrence W. Bernard, who resides at 44 Maple Avenue Hyannis, MA 02601. Lawrence W. Bernard is the owner of the property as evidenced by a deed recorded Barnstable Land Court Registry on May 20, 2009 Certificate number 188593. Locus & Background: _ The subject property is a 0.21-acre lot initially developed in 1921 as a rooming house. Today the ® Colonial style, two—story dwelling has 2,467 sq.ft. of living area. The lot is served by public water and public sewer. The public Health Division has no objections to six (6) bedrooms at this property. At some point an additional living space that includes a kitchen area, living area and sleeping area situated in a two level breezeway section of the dwelling was added to create a separate living unit. Relief Requested: Mr. Bernard has applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Chapter 9 Article II of the Code of the Town of Barnstable. More specifically Section 14, the Amnesty provisions of the "Accessory Affordable Housing Program" for the additional living space in the dwelling. This permit is sought to correct the situation of a pre-existing and unpermitted apartment unit as provided for in Town's Accessory Affordable Housing Program provided the unit is restricted to being affordable housing F for qualified persons as required under Chapter 40B. 1 The zoning relief necessary for this Comprehensive Permit to be issued is to Section 240-13.A (1) Principal permitted uses in the Residential B Zoning District to permit a second independent living unit in the single-family zoning district. The issuance of this Comprehensive Permit would allow for an approximately 350 sq.ft, One-bedroom living unit to remain only if the unit is used as an accessory affordable apartment unit and the main part of the dwelling is owner occupied. I Town of Barnstable,Zoning Board of Appeals Decision and Notice, Comprehensive Permit No. 2009-014-Lawrence W. Bernard,trustee Glase Realty Procedural & Hearing Summary: The applicant initially made contact with the Accessory Affordable Apartment Housing Program Coordinator and completed the Site Approval Application in January 5, 2009. Notice of the site approval application was submitted to the Department of Housing and Community Development on January 5, 2009, in compliance with 760 CMR 56.00 "Comp. Permit; Low or Moderate Income Housing" Based on that application, Town Manager,John C. Klimm issued the Project Eligibity letter (site approval letter) on January 13, 2009. A copy of which was also transmitted to the Department of Housing and Community Development in accordance with the requirements of CMR 760 Section 56.04. An application for a Comprehensive Permit was filed at the Town Clerk's Office on March 13, 2009. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot'on February 27, 2009 and March 3, 2009, and notice sent to all abutters in accordance with MGL Chapter 40A. On March 25, 2009, Hearing.Officer, Laiura F. Shufelt opened the public hearing at 6:05 p.m. The applicant, Lawrence W. Bernard was present at the hearing. Cindy L. Dabkowski, the Accessory Affordable Housing Program Coordinator with the Growth Management Department was also present. Mr. Bernard gave a brief explanation of the unit and cited that he understood the requirements of the program and the fact that he would occupy the home as his principal residence and the apartment unit would only be occupied by a qualified income tenant as year round affordable housing. Ms Shufelt reviewed the file with the applicant to assure compliance with all of the program requirements. It was also noted that the comprehensive permit is not transferable and violation of the rules is cause for a hearing to rescind the permit. Public Comment was requested and no one spoke in favor or in objection to the granting of the comprehensive permit. One letter from an abutter was read into the hearing. Ms Shufelt noted the proposed conditions that would be imposed in the permit and the applicant cited that he understood the proposed conditions and consents to abide by them. At that point, the Hearing Officer closed the hearing for public comment and proceeded to continue the case until May 20, 2009 at 6:00 p.m. to ascertain the guidance necessary pertaining to realty trusts. The hearing Officer re-opened Comprehensive Permit No. 2009-014 Lawrence W. Bernard on May 20, 2009 at 6:05 p.m. at which time Mr Bernard provided documentation that he had willingly removed the realty trust form the property. At that point, the Hearing Officer closed the hearing for public comment and proceeded to grant the request with conditions. 2 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No. 2009-014- Lawrence W. Bernard,trustee Glase Realty Findings of Fact: At the hearing on March 25, 2009 the Hearing Officer made the following findings of fact. First with respect to standing-the Jurisdictional Requirements of the applicant to apply for a Comprehensive Permit under MGL Chapter 40B as identified in CMR 760 Sections 56.04 and the Town of Barnstable General Ordinance Chapter 9, Article II: 1. The applicant is Lawrence W. Bernard. Lawrence W. Bernard resides at 44 Maple Ave Hyannis, MA. The applicant requested a Comprehensive Permit for an existing one-bedroom apartment within the breeze way portion of the single-family dwelling as an accessory affordable apartment unit. The conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the "Accessory Affordable Apartment Program" as an amnesty unit. 2. Lawrence W. Bernard Owns the property as evidenced by deed recorded at the Barnstable Land Court Registry on May 20, 2009 Certificate number 188593. 3. On January 13, 2009, a site approval letter was issued for the property by Town Manager John C. Klimm, in accordance with MGL Chapter 40B and 760 CMR 56. Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application. Second, with respect of consistent with local needs 1. According to information submitted, some time before 2000 an independent one bedroom living unit of approximaly 350 sq.ft. was created. The one bedroom unit is located within the breezeway connecting the main house to the garage portion of the dwelling. No valid variance or special permit was ever issued for the creation and use of that independent living unit. The one bedroom living unit qualifies for this comprehensive permit under the amnesty program provisions of Chapter 9, Section 14 of the Code of the Town as the unit existed prior to January 1, 2000. 2. The applicant is aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 3. The house is served by public water and public sewer. The proposal has been reviewed by Thomas McKean, Health Director, and the property is approved for a total of six (6) bedrooms. 4. On January 5, 2009 the applicant signed an Accessory Affordable Apartment Program Agreement Affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable County Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as the applicant's primary residence. 5. The applicant understands that the affordable unit will be rented to no more than two persons with a household income of 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and further agrees that rent (including utilities) shall not 3 i Town of Barnstable,Zoning Board of Appeals Decision and Notice, Comprehensive Permit No. 2009-014-Lawrence W. Bernard,trustee Glase Realty exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 6. According to the Massachusetts Department of Housing and Community Development, as of September 9, 2008, 6.8% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. Summary: Based upon the Findings of Fact cited above, the Hearing Officer ruled that; • The applicant Lawrence W. Bernard has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Affordable Housing Program, and • The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Hearing Officer Laura F. Shufelt ruled to grant the Comprehensive Permit in accordance with MGL Chapter 40B and Chapter 9 of the Code of the Town of Barnstable to Lawrence W. Bernard for property at 44 Maple Ave Hyannis, MA. It is issued to allow for a one bedroom accessory affordable apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) persons. 2. The total number of bedrooms on the property shall not exceed six (6). 3. The property owner shall occupy the dwelling as his primary residence. 4. This unit shall not be occupied by a family member of the owner. 5. All parking for the accessory apartment and the main dwelling shall at all times be on-site. None of the bedrooms shall be rented to lodgers for the duration of this comprehensive permit. 6. To rneet the requirements of affordability, the cost of housing (including utilities) shall not exceed 30% of 80% of the median income for a single person household for the Barnstable MSA. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 7. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the Accessory Affordable Housing Program. 4 I , i Town of Barnstable,Zoning Board of Appeals Decision and Notice, Comprehensive Permit No. 2009-014-Lawrence W. Bernard,trustee Glase Realty 8. The Growth Management Department shall serve as the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS) The fee for the initial monitoring of affordability and annual certification and inspection of the accessory unit shall mirror the fee charged by the Health Department for the rental registration program. Currently that fee is $90 annually. 9. The applicant shall apply for a building permit for the pre-existing accessory unit. Prior to securing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division shall determine that the property is in compliance with applicable on-site wastewater discharge requirements. 10. The applicant may select their own tenant. The tenant shall meet the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the Town of Barnstable as a qualified tenant. The applicant will be required to work with the Town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice must be given to the Growth Management Department and the unit must be listed with the Town. 11. Every twelve months the applicant shall review the income eligibility of the tenants occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the Growth Management Department of the Town of Barnstable, as Monitoring Agent, an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicant and/or tenant shall provide the Town any additional information it deems necessary to verify the information provided in the affidavit. 12. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer shall have"the ability,to hold a hearing to show cause as to why this permit should not be revoked. 13. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration.of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred, the Growth Management Department of the Town of Barnstable shall be notified within 60 days of the name .and address of the new owner. 14. This Comprehensive Permit shall be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit No. 2009-014 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, Section 11 of the Code of the Town of Barnstable. If after fourteen (14) days from that transmittal and the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. 5 t 1 Town of Barnstable,Zoning Board of Appeals Decision and Notice, Comprehensive Permit No. 2009-014-Lawrence W. Bernard,trustee Glase Realty Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the Town Clerk's Office. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. I, Laura F. Shufelt, as Hearing Officer for the Zoning Board of Appeals certify that a copy of this decision was transmitted to the Members of the Zoning Board on June 3, 2009 and that 14 days have elapsed with no action taken by any member of the Board to reverse the decision. � l Sit u Laura F. Shufelt, Hearing Officer Date 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. j. Signed and sealed this day of 7 under the pains and penalties of perj ury. Linda Hutchenrider, Town Clerk 6 f E ' BARNSTABLE LAND COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 14''day of July 2009,by and between Lawrence W. Bernard of 44 Maple Avenue Hyannis,MA 02601 and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the "Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which wll be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree �. as follows: I.C� PRO PE CT SCOPE AND DESIGN: S GN: A. The terms of this Agreement and Covenant regulate the property located at 44 Maple Avenue Hyannis, MA 02601 as further described in deed recorded herewith as Barnstable Land Court Registry on May 20, 2009 Certificate number 188593. S B. The Project located at 44 Maple Avenue Hyannis, MA 02601 will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). r(1 C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2009-014 and any plans submitted therewith and all applicable state, federal and municipal laws -1- and regulations. Said permit is recorded herewith as [Barnstable Land Court Registry document O t T �I 3 &certificate of title J D. The Owner agrees to occupy the principal dwelling unit located on the property Yas their principal residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW. 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental t body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a parry or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuityto a household with a maxirnum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the "Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pusuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a parry may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,Lzcluding but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be,and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry on May 20, 2009 Certificate number 188593 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable Land Court Registry on May 20, 2009 Certificate number 188593. IX. TERM OF AGREEMENT': The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Temnt occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rer_dering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 f i X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants mining with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merely personal covenants of the Owner,and (1) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. M. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing-mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions.hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this_day of (� 2009.1 OWNE BY: Signature Printed: ��iC 1�U� x` ( '- COMMONWEALTH OF MASSACHUSETTS unty of Barnstabl s: On day o 2009 before me,the undersigned notary public,personally appeared the Owner(s),proved to me through satisfactory evidence of identification,which were V L( u ,to be the person(s) whose name(s) is signed on the preceding or ka-clied docume kno-wledeed to be that he/she signed it voluntarily for the stated p oses. Notary Public / Printed: 7 l My Commission Expires: e7 �aUIU 4 THERESA M.SANTOS lotNotary Public COMMONWEALTH Of t�A$�ACl06lSETT3 My Commission EIS October 8,2oio r i TOWN OF BARNSTABLE BY: TO"MANAGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this jjayo2009 before me,the undersigned notary public,personally appeared KLim9" �,�the­Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were ��'--ag Ito be the person whose name is signed on the preceding or attached document and acknowledged to be thagye signed it voluntarily for the stated purposes. _ -2 Notary Public Printed: ��ti- G7/�`f�E E My Commission Expires: 42,6 _ LINDA R.WHEELDEN NOTARY PUBLIC - COMMONWEALTH OF MASSACHUSETTS v My Comm.Expires Feb.7,2014 5 _ — •., .ti.,,•rw ,. .vw.w +►w+.-tea+•• I� LCl J o G./V A C . Y 1 r�fZ A R&��J �• I —Z''' _ V —M i rit v p d t" PAT Ai J sow ---N. Ar. .f J f i LA ra-u J+ INI �✓ G f T - TA I 1 - e S \ I E C I l� F L Dor: 1s114s190 05-20-2009 3=39 Gt f t x 1SE593 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED I, LAWRENCE W. BERNARD, Trustee of Glase Realty Trust UDT dated December 10, ' ``a 6r3c 1993 and r rded in Certificate 132345, of 44 Maple Ave., Hyannis, Massachusetts 02601 in consideration of ONE ($1.00) DOLLAR paid, grant to, LAWRENCE W. BERNARD, of 44 Maple Ave., Hyannis,.MA 02601, with QUITCLAIM COVENANTS, the land, together with the buildings thereon, situated in Barnstable (Hyannis), Barnstable County, Massachusetts, bounded and described as follows: ' 6o1843 LOT PLAN 24291-A Subject to and with the benefit of all other rights, reservations, easements, restrictions and encumbrances of record to the extent.that same may be in force and effect. Q_ For my title see Certificate No. 132345. WITNESS my hand and seal this 20th day of May, 2009. Lawrence W. Bernard COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. May 20, 2009 Then personally appeared the above named Lawrence W. Bernard, and proved to me through satisfactory evidence of identification which was 0961° (I c&, to be the person whose name is signed on the preceding document, and acknowledged the foregoing instrument to be his free act and deed before me. Notary Public David R. Harsch ' JAN. 9.2009 12:24PM BARNSTABLE BOARD OF HEALTH NO.930 P.1i1 r� Town of Barnstable Health Inspector Office Hours Regulatory Services 8:00—9:30 Thomas F.Geller,Director 3:30—4:30 only Public Health Division.1e1p. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 A ESTY PROGRAM APPLICANT QUESTIONNAIRE 1. General Information: Address: 44 Maple Ave Map 30S Parcel 169 Name: Lawrence W. Bernard Phone: 508-775-4173 2. How many bedrooms exist on your property now? 6 2a. Please include a copy of your floor plans for the entire property. 3. Is the dwelling connected to public sewer? YES If the dwelling is connected to public sewer, skip questions 4-9 below, 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to pu is 4d, supply wells? Go 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? y n permit on file? YES or NO • 6. Is a disposal works construction P P 6a.If yes, how many bedrooms were approved according to this permit? Bedrooms. co 7. Were any building permits obtained for construction of additional bedrooms? YES or 0 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9, Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ---------------------------------------------------------- FOR OFFICE USE ONLY TO BE SIGNED BY A HEALTH INSPECTOR/AGENT ONLY The Public Health Division has no objection to bedrooms at this property, Signe Date: Inspector rint): IYI O;fit ealtWwpf les la m n es ty app I` 1 woo 7 C w a►y nvt� 1 j<i r C14 "-1 r c C')�, Lit k3L ��'� -� 'I.:i ti (r I - ---- ----�J_ 9 J J - i rMrt.7�•^,;., •ypr+r,c...w.. v�i+»rwaur.xyw■✓+rw^r,.w+wm..w+ r •rwlYMMn PQW L-Ih lit tA J+A 13�L-p uT �pSd it -X/3 qX�3 �• 1 F L . ,ry��a°^.y• 1tiMWNA1rY�l�� I�1�'iAc�M°'y�{�Mi��'�'�•'1N'LM.MpMrV V Doc:1 s 114 s 190 05-20-2009 3`39 Ct f� 1EES93 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED I, LA``WRENyyCE W. BERNARD, Trustee of Glase Realty Trust UDT dated December 10, 1993 and�r Arded in Certificate 132345, of 44 Maple Ave., Hyannis, Massachusetts 02601 U in consideration of ONE ($1.00) DOLLAR paid, Cf grant to, LAWRENCE W. BERNARD, of44 Maple Ave., Hyannis, MA 02601, with QUITCLAIM COVENANTS, the land, together with the buildings thereon, situated in Barnstable (Hyannis), 4% Barnstable County, Massachusetts,bounded and described as follows: bo g y 3 � LOT 3 z PLAN 24291-A Subject to and with the benefit of all other rights, reservations, easements, restrictions and encumbrances of record to the extent.that same may be in force and effect. For my title see Certificate No. 132345. WITNESS my hand and seal this 20th day of May, 2009. Lawrence W. Bernard COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. May 20, 2009 Then personally appeared the above named Lawrence W. Bernard, and proved to me through satisfactory evidence of identification which was 009&Te (Ices,)? to be the person whose name is signed on the preceding document, and acknowledged the foregoing instrument to be his free act and deed before me. Notary Public David R. Harsch ' JAN. 9.2009 12:24PM BARNSTABLE BOARD OF HEALTH NO.930 P.1i1 r Town of Barnstable He&lth Inspoctor Office Hours Regulatory Services 8:00-9:30 Thomas F.Ge9ler,Director 3:30—4:30 Only ' , MAB®MASS � Public Health Division Thomas McKean,Director 200 Main Stroct,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 A ESTY PROGRAM APPLICANT QUESTIONNAIRE a 1. General Information, Address: 44 Maple Ave Map 308 Parcel 169 Name: Lawrence W. Bernard Phone: 508-775-4173 2. How many bedrooms exist on your property now? 6 2a. Please include a copy of your floor plans for the entire property. 3. Is the dwelling connected to public sewer? YES If the dwelling Is connected to public sewer, skip questions 4-9 below. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to pu is supply wells? 5, Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? y 6. Is a disposal works construction permit on file? YES or NO �, - 6a.If yes, how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or 0 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9, Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO - ----------------------------------- FOR OFFICE USE ONLY TO BE SIGNED BY A HEALTH INSPECTOR/AGENT ONLY The public Health Division has no objection to bedrooms at this property. Sigue Date: �7 Inspector rint): L O;/healtlr/wpf les/amnestyapp rE OF'THE ram, Town of Barnstable *Permit# /�0 ' N�Q� Expires 6 months from issu e Regulatory Services Fee BARNSPABLE, MASS. i639. $ Thomas F. Geiler, Director ♦� PfL pTED MA'i A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 ti www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �� Property Address _A + ` Ir' 1,-, Li AU YA 1 y I v 1 _S P I"A oa�Q J BfJ, Z idential Value of W frk-'300 Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address - ��1. �`O C- V J i vAP--,b AV E YAm t-k A 1\'v"-'v 0?6C) Contractor's Name -yU yC 1 ��yf�1�� Telephone Number 0e) 1`1 i S_ Li( I tome Improvement Contractor License#(if applicable) Construction Supervisor's License # (if applicable) ❑Workman's Compensation Insurance Check one: le or XAPREOS.S. PERMIT L1 0 am the oHomeowner ❑ I have Worker's Compensation Insurance MAY I 1 2009 Insurance Company Name TOWN OF Qnt�ft RI TFT {.J I E Workman's Comp. Policy # Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to f ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Ee Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required. Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: .,OR I Maui i.`\A I'I-ILFS\FORMS\building permit forms\EXPRESS.doc Revised 100608 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information //�� Please Print Legibly Name (Business/Organization/Individual):L/4 v R!�4A Co. V-ijsN/�" Address: Ci /State/Zi L �' 4 tY P� � V � Phone#: 5� � 4173 Are you an employer? heck the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling shipand have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' workers' comp.insurance comp. insurance. $ 9. 0 Building addition equired.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3'. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right,of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rtify under the pains and penalties of perj ry that the information provided above is true and correct Si ature. Date l Phone#: �� 3 7�1 Uf 7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any.contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal 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 wbo'.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 chapter1152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings-in the'commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situatioand, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of \1 insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy.of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,..telephone arid fax number: TheCommonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia s . Town of Barnstable Regulatory Services Thomas F. Geller,Director Building Division PIED Tom Perry,Building Commissioner . .200 Main-Street Hyannis;MA-026-01 _.. ..... ... _ _.._. . . -- - www.town.b arnstable.ma.us Office: 50 8-962-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �., Please Print -9 DAM- JOB LOCATION:-4-4— AV L ld YA )' Wy r S number street pry village "HOMEOWNER":UA W Ri—)V TC� ����A 1�p 5-08 7 py G �_ 4-1 7 of name ! home phone#P f� Work phone# CURRENT MAILING ADDRESS: 4 t "I A M C . /o C+ r , VI—A)� 7 d 1?AQ)N SrA� - t 4 sS 0/ 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 performedrmder the building permit. (Section 109.1.1) The undersigned"homeowner"assl es 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 Tpwn of.Barpstable.Bui.ldiug Department rmnimum inspection procedures and requirements and that hr-Ahe will comply with said procedures and r ements. 4 Signature of Homeowner Appivvai of Building Official Notre: 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 boirreowner performing work for which a building permit is required shaft be exempt from the provisions of this section(Section ID9.1.1-Cleansing of eonatrvetion Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall ad as supervisor." Many homeowners who use this exemptian are unaware that they are assuming the resporuibilities of a supervisor(see Appendix Q, Rules&Regulations for beensing Construeticin Supervisors,Sxtion 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hirrs unliceasod persons In this case,our Board canrmot proceed against the unlicensed person as it Would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately=sponsble. To ensure that the homeowner is fully aware of his/her responsr?n7ities,many communities require,as part of the permit application, that the homeowner cutify thxt he/she understeads 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 curb a fommfeertifiea ica.for use in your community. Q:forrrrs:homcexcmpt Ta�ti Town of Barnstable . Regulatory Services a Ra RNC1'1 RT�F • Thomas F.Geiler,Director - 166 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 Property OwnerM.ust mplete and Sign This Section If Using ABuilder I, as Owner of the roect subject e J P P n-y hereby authorizeJ2�do-JA�� to act on my behalf, in all matters relative to r •autho ' d by this bdding permit application for. C 1M ;- U LO VA Ids (Address o ob) Signature of Owner Date Print Name a If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 0:F0RMS:0 WNERPERMISSION Date: Jan 5, 2009 To: Building File From: R. Anderson Re: Bernard, 44 Maple Ave,Hyannis M&P: 308-169 Zoning: RB Overlay: AP Found ad in CC Times (Dec. 8, 08) for apartment. Previous conversations indicated Mr. Bernard was claiming to provide clean & sober place to stay for clients of the Duffy Health Center. Previous document in file indicated he rented 7 rooms. (See memo dated2/27/02 On this date, Mr. Bernard stated the following: It is not an apartment (although advertised in the classified as an apartment). It's an efficiency unit. Unit is empty. It was created 30 years ago buy previous owner. The house next door has 10 units. He obtained a building permit a few years ago (roofing?). F SHE Tp� Town of Barnstable w. WtNSTABLE. r Regulatory Services Thomas F. Geiler, Director , Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 w:ww u.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 December 17, 2008 Mr. Lawrence Bernard 44 Maple Avenue Hyannis MA 02601 Illegal Apftftment: 44 Maple Avenue Hyannis MA 02601 Map: 308 Parcel: 169 Our-records indicate that your house at the above-referenced location is currently being used for more multi-.family units than allowed, 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: o Apply for a building permit to restore the property to a single-family home i Apply to the Amnesty Program - - 0 Prove that this is a legal multi-family home. Please contact thisoffice immediately to tell us what direction you wish to take. Linda-Edson Amnesty Apartment Investigator Building Department gforms:zoning3 Q trf �,-,aw Jane Swift Governor ✓ola d,et�IG Robert P.Gittens /� p � �� Vr ��� A �i Secretary U� 10 o�rrrirrm6 Marylou Sudders 259 ✓Vo/wj,/ J,w Commissioner Jackie K.Moore,Ph.D. �' &a 0260/ Tel:(508)957-0900 Area Director Fax:(508)790-1024 www.state.ma.us/dmh Richard W.Dunnells Center Director JULY 17, 2002 ROBIN GIANGREGORIO BUILDING DEPARTMENT OF BARNSTABLE 200 WEST MAIN STREET HYANNIS, MA 02601 DEAR SIR OR MADAME: Mr. Larry Bernard of 44 Maple Avenue has asked me to recommend him to you for permission to continue to operate his home there as he has been doing. I am pleased to do so. As a case manager in the Department of Mental Health one of the biggest problems I help my clients with is housing, particularly after leaving hospitals and community residences, ready_fo.live independently. The rooms Mr. Barnard rents have been a crucial answer to this problem. He has demonstrated a way of being a landlord that combines compassion and a no nonsense requirement for responsible, good citizen behavior, which fits the needs of these individuals exquisitely well. To live at 44 Maple Ave. has been a powerful incentive to recovering people learning to be responsible and who need housing. His no nonsense rules have made the house a safe and clean place to call home. He is not afraid to offer a helping hand to someone who is disabled and at the same time to require proper deportment. Fair and congenial, the discipline that Larry requires and inspires has Yelped many. YOURS TRULY, aC t�Crl�'�2 Robert Lambroschino . �. . .;�: . . . '. • . : .. , .. . .. , III Approved-by j ard'Dunne s, Center Director/Superintend f Accredited by • Awa/aw jov/j� -ems O/MC, � JOINT COMMISSION on Accreditation of Healthcare Organizations Department of MentaC lfeakh 259 T(orth Street O A. C�annis, 34% 02 601 JUL 4C '02 ;lrCj�/�� III,if lliiof1111111111!!!l1 Mull i!III 91III lit 111 1 1 1 E11 1� t111tt1t11 ! 11 1 11 tl 1! �1 tt 111 1 � , " ��, �� ,�,; ,�_ �( �- �- ,� �- ��� ,��, ,I' �.. O � A Aft 4 a � +a t �, +1t r 1�� � 1'w' ♦ y '�- -�., y��•. �+�Ott---�. � L� .. .'. is - •. -: . - , r, � ,,, �,.. +�, .��,?� i � '--,� -,,,-^"yam�-P�::�A.✓". , '�� w► di NOW �r ✓'.'ice' '�, ��. owl —, .r y��.'"� � e`er a 'rfi`^Lt,� .• ,gay�� ^`CA»�V _ s �� �,p^�� 'j r-i• ` {I— _ "�. f � �,.+i � � r.a >-;i��.�� -•}•_•X'El�' '•� l 'ram. r .. , +sue `t i� i r _ 1I a - x All 44 :. f4 IT . �� e r� 44 1 i I���IIII� • f - A t , 7/30/02 44 Mapiety Hy T r i. 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'* ''. 1 �y q�,►. .r•'�.M;r{ij �e yF f n 1'� ��t �*, � �t t'- °�: •` 1�� +. ,,� ,�•��� 'dRC,..� �r ! l.j.�'��-1�l�f ` rhrrgt`r�..11 �}/'. b ! t � \' � ; . • •.�•. c . t� -d`�j` s °yi°'�- v 'at' 1yi. 4 $ } , t - �'��•�.,f _ a� rs.--• q, �r`�.uxr.t� !71`i•T�,` f�.. R,§3 .. a err. �� �.��r�"' ' _-���.,�.r a x: t J -+.� 1�.{7• i� �- ti� � r _Ti �.�. 5•,. �e YI .,. r. 1. ;' ^'j�t(t' r�l s` 4k�. `!�y1'�\ :�i„ :°F�'• � "'t .s � �. � i �'Sj•r 1` 1♦ a 1 ,.! p-{ ai� e• .. C l� i•_i y .• r \ 1. t%•fj 1g N^ t �► _ IS .wJ�'+' ) rr to } .. - �,. ,c 4, 4.aa►y �'� � - �7"�y`��" ...� y r ��w i`,mow. ♦'!J'!k t�teH.3-`���3 \"`� �. fs Nfj 1t ._'.fc3 .,h ��� � .} dam' d� •�'�`A r:a'i! 5 a - . �y,�' ;,; � R Y�l��?•r�"R" ~, 1 C�►�'+�,;•� ��X `I" s."` ,r 's`; �d°a '�' �S r .�► 7 i .' �Q ��� � •. '• /. � •� �• :- a -�'P� �{5 / !• A r ` ..µ} "a. 1"•.'"�'. r !�K"�t " H� \'tea.• i, r . vq 4c; 2/27/02 R308-169 AA 44 Map fit Hyannis " SS required proof that this facility is a legitimate & legal use. Owner claims use in effect for about 15 years. Sale records indicate 4/15/87. Owner attempted to obtain lodging license. Carol Ann Ritchie referred him to SPR Advised owner that SPR would be necessary. Owner rents 7 rooms. He will retain a civil engineer upon advise of SPR Coordinator Advised that ZBA relief would be necessary Applicant indicated that he may reduce rooms to 6. Relief: File for use variance (7 rooms) and special permit simultaneously. If all boarders are elderly or incapacitated owner may be eligible for relief by special permit under the Shared Elderly Housing section 4-1.5 but use limited to 6 persons. i �� �� �� �� �i u u ii �� 1�0 II II II II I If III II II II If II ,, / I II _ - _ 1 ' - � -- _ � � �� �... _ � I \ � - ` .. `, � c __ _ Y _ _ ir kLj-� A- cw 1V_1 �maklwr-l.�U L - 1��� cxn CL-y-cl Pvv7()14-Xl -CkYL oe -�D (�CJQ' I 0 � , (CIO A v ` a t ou ws�le _ C v Z kc,Lwa-� 4-jcc 0�° 4 � ., ,, • r • � f �, ..� � - i • � , y + �. 1 y . r } F i; , rr i J r � .. . � �. r i i . 1 1 � . . r , `� * s , a ' , ' � ` ' ,.� , � � _ ` 1 � � r r r r t� r ;_ - ,. +. r ., + j ` r ��•�- � i . l � � � �. . • S , � r i ' � r { M :. � - .� ` vinfen Building Pride, Independence, and Community Vinfen Corporation 950 Cambridge 5t. Cambridge, MA 02141-1001 Tel:(617)441-1800 Fax:(617)441-1858 TTY:(617)225-2000 .✓ 7 re ti i vinfen Building Pride, FL Independence, and Community Vinfen Corporation �0 950 Cambridge St. 0-1 y Cambridge,MA 02141-1001 Tel:(617)441-1800 'eP4 A-6 /I;i— Fax:(617)441-1858 TTY:(617)225-2000 r7 �o V i d 1 �6\ "�-� �},ri:��+�1.'�,'It jai�•.��' )idd?'itf:li�fl f7117ftltitil!'3��3�?lY�td'1�3�SI dI��tt 11�tttiitl��i ,// , ? },i is sty: !sE k;!}:?. Li. �3: I: � ::� .� �^' f /�� ` \ f~� �, .� • t �i� _ .. _ _ _. _ i.d� _ _ `. (/ ti.,,, �.. � t ' � ».. t+:... I Jane Swift Governor Robert ry p pod Jdat� p �xo� Secretary Ur Ui Ur /� Marylou Sudders ,259 ✓ WX Ai,, t Commissioner Jackie K.Moore,Ph.D. c� az��s2ul, t7.26t77 Tel:(508)957-0900 Area Director Fax:(508)790-1024 www.state.ma.us/dmh Richard W.Dunnells Center Director JULY 17, 2002 ROBIN GIANGREGORIO BUILDING DEPARTMENT OF BARNSTABLE 200 WEST MAIN STREET HYANNIS, MA 02601 DEAR SIR OR MADAME: Mr. Larry Bernard of 44 Maple Avenue has asked me to recommend him to you for permission to continue to operate his home there as he has been doing. I am pleased to do so. As a case manager in the Department of Mental Health one of the biggest problems I help my clients with is housing, particularly after leaving hospitals and.community residences, read to live independently. The rooms Mr. Barnard rents have been a crucial answer to this problem. He has demonstrated a way of being a landlord that combines compassion and a no nonsense requirement for responsible, good citizen behavior, which fits the needs of these individuals exquisitely well. To live at 44 Maple Ave. has been a powerful incentive to recovering people learning to be responsible and who need housing. His no nonsense rules have made the house a safe and clean place to call home. He is not afraid to offer a helping hand to someone who is disabled and at the same time to require.proper deportment. Fair and congenial, the discipline that Larry requires and irspires has helped many. YOURS TRULY PC`` , Robert Lambroschino Approved by and Dunne s, Center Director/Superintend t Accredited by 0 JOINT COMMISSION on Accreditation of Healthcare Organizations residents Requirements- Lodging House and Dormitory businesses I License Applications Contact visitors I }: Licensing Board Ht (M.G.L.C.140,section 22,et al) Permits and licat e All applicants must make sure appropriate zoning is in effect for a lodging house or Dormitory. e All applicants must apply for a Certificate of Occupancy from Inspectional Services. e All applicants need to apply for an Inspection Certificate in order for our department to issue applicant the license to operate as a lodging house or Dormitory. e Pursuant to Massachusetts General Laws, four or more unrelated persons living together constitute a Lodging House and require a Lodging House License. Annual fees are as follows: e 0-9 rooms$75.00 per year e 10-19 rooms$150.00 per year e 20-29 rooms$225.00 per year e 30-39 rooms$300.00 per year e Any building containing more than 39 rooms,please add$4 for each additional room. Application For Lodging House License in PDF Format. Application For A Dormitory License in PDF Format. Note: In order to view and print in PDF format,you must download and install the Adobe Aaobate Reader.utility. For more information call (617)635-4170 key word search �I ©Copyright 2002 City of Boston.All rights reserved. hapJ/www.cityofboston.gov/licensing/dormitory.asp 7/3/2002 The Licensing Board for the City of Boston One City Hall Square,Room 809,Boston,Massachusetts 02201 (617)635-4170 BosroXrs. oormm►ea APPLICATION FOR A DORMITORY LICENSE (General Laws,Chapter 140,sections 22) Date The undersigned respectfully makes.application for the dormitory license as follows: ❑ Dormitory owned or operated by ❑Dormitory owned or operated by ❑Dormitory not owned or operated by an educational institution fraternity(sorority,alumni,etc.) educational institution or fraternity Name of owner or lessee Name of educational Institution using dormitory Dormitory address —ZIP Code Description of dormitory (Describe premises and Include U description of the facilities avail We to dormitory) Number of floors: Number of rooms: Number of stwilents per room Total number of students residing Provide the riames of all officers or director of housing for the educational Institution: N fraternity house,M list name and address of principal officer of the organization.(focal as well as national): Name Address Title Shares Manager's Name or person to be in charge of premises ----Tel.No. Home Address: Zip Code Applicant's Name(printed) Tel.No. Home Address- Zip Code Applicant's Signature: Notice 'Premises used as a dormitories require the approval of the Inspectional Services,City of Bosion,as to compliance with the Boston Bull ft Code.The Renewal Application must-be fled and appropriate payment made before May 1"of each year.Application carrot be processed without a current Egress Inspection ceff"a AV dormitories are required to maintain on its premises a Est of all persons who reside therein.If students,list school and home address.This fist must be made available to the UcenskV Board for the City of Boston or other duty authorised law enforcement agents upon request. BUILDING DEPARTMENT CLEARANCE APPLICANTS MUST NOT FILL IN THIS SIDE RESTRICTIONS—REMARKS APPLICATION FOR LODGING HOUSE LICENSE Certificate Issued G.L.Ch.140.S.22 (DORMITORY) Certificate Expires Capacity License No. Class Ward Prec. ___Div. ZONING CLEARANCE ' Tel.No. Zip Code Name ZONING DISTRICT- Address ALLOWED USE- CONDITIONAL USE- Board's Action PRE-EXISTING,NON-CONFORMING USE-.,-_ • CERTIFIED'AS PROPERLY ZONED FOR A GRANTED REJECTED DORMITORY- NAME TITLE DATE I Rec'd By Fee Receipt No. The Licensing Board for the City of Boston One City Hall Square,Room 809,Boston,Massachusetts 02201 (617)635-4170 3osroass. oumm.wa APPLICATION FOR A LODGING HOUSE LICENSE (General Laws,Chapter 140,sections 22) Date The undersigned respectfully makes application for the lodging house as follows: Name of lodging House Location of Premises Zip Code Description of Lodging House (Describe premises and Include full description of the facilities to lodgers) Number of rooms: Basement First Second Third Fourth Fifth Number of floors: Total Number of lodgers: Basement First Second Third Fourth Fifth Total Number of lodgers that can be accommodated:(if different than above) Individual or Corporate Name: ff the applicant Is a corporation,complete the following: Name Address Title Shares Manager's Name or person to be in charge of premises Tel.No. Home Address: Zhp Code Appr=nts Name(printed) Tel.No. Home Address: Zip Code Applicants Signature: Notice Premises used as a lodging house require the approval of the Inspectional Services.City of Boston,as to compliance with the Boston Building Code. The Renewal Application must be fled and appropriate payment made before May I"of each year.Application cannot be processed whhout a current Egress Inspection certificate. 'AN lodging house keeper shah keep or cause to be kept,in permanent form,a register in which shall be recorded the true name and residence of every person engaging or occupying a private room averaging less than tour hundred square feet floor area.Such register shall be kept for period of one year after the last entry therein,and shall be open to the inspection of the Licensing Board authorities,they agents and the police officer. BUILDING DEPARTMENT APPLICANTS MUST NOT FILL IN THIS SIDE RESTRICTIONS—REMARKS CLEARANCE —Application for-- Certificate Issued LODGING HOUSE LICENSE Certificate Expires G.L.Ch.140,S.22 Capacity License No. ZONING CLEARANCE Ward Prec._.r:__-Div. ZONING DISTRICT Tel.No. Zip Code ALLOWED USE- Name CONDITIONAL USE- Address PRE-EXISTING,NON-CONFORMING USE- CERTIFIED AS PROPERLY ZONED FOR A LODGING HOUSE- Board's Action HAMS GRANTED TITW REJECTED DATE Rec'd By Fee Receipt No. ' v The Florence&Mary E. DUFFY HEALTH CENTER 105 Park St.,Hyannis,MA 02601 Tel: 508-771-9599 Fax:508-771-1986 Deborah C.Doughtery Arthur Bickford,MD Chairperson Medical Director July 12, 2002 Robert Prall Judith Best-Lavigniac,FNP Treasurer Executive Director Ms. Robin Giangregorio Barnstable Building Department 367 Main Street Hyannis, MA 02601 Re: Larry Bernard I am writing this letter of recommendation for Larry Bernard so that he may continue to operate a licensed group home in the town of Barnstable. For the past seventeen years, Larry has provided a clean and sober environment for clients from the Department of Public Health, Gosnold and High Point and has done so in an organized and thoughtful manner; taking into account the diverse needs of the clientele he serves. It is my pleasure to recommend his continued licensure. If you have any further questions, please feel free to contact me at the clinic. Respectfully, J dy Best- vigniac,FNP xecutive Di ector A non-profit community health center providing healthcare services to men and women who are homeless and linking these patients into existing healthcare resources in the community. . vinfen Building Pride, Independence, and Community Vinfen Corporation 950 Cambridge St. Cambridge, MA � 02141-1001. Tel:(617)441-1800 Fax:(617)441-1858 TTY:(617)225-2000 v vinfen Building Pride, Jndependence, and Community Vinfen Corporation 950 Cambridge St. v Cambridge, MA 02141-1001 Tel:(617)441-1800 Fax:(617)441-1858 TTY:(617)225-2000 Z;4 01V CIL— Is:�Yz zo�- b TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel Permit# Health Division D,�_ 3-�,S�yY� &J, a y 7 7 Date Issued 3 ® Conservation Division 312s I i MIA Fee ��s -00 Tax Collector -3. /RS/0 Off , I"�-ee, �P 'o Treasurer Planning Dept. AM rc;"-WNT 5PTAW "()N;cCTtON �.ti�!Ii3BAii�?h171S10f�pluc?" Date Definitive Plan Approved by Planning Board pm rrr Historic-OKH Preservation/Hyannis Project Street Address / 14 /*//A P AU E Village )q YAN N I S Owner �-XV R C �� Q�P 1`JI�JAtldress y� i4P�, /� Telephone 7 7,5- 1-1 f 7 3 + Permit Request L OUTSIDE 6AS,EP-1/�-NT 57A/ R S .3 ya Wa-3 = FoUAIJ, A iON a KzP1Im &� l/`/ ICI AO L CO - WIIN bow Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 00 Valuation 11. n i Zoning District Flood Plain Groundwater Overlay 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 VAS Historic House: ❑Yes INo On Old King's Highway: ❑Yes U Basement Type: $4ulI ❑Crawl ❑Walkout ❑Other //��� Basement Finished Area(sq.ft.) /� f-Y Z-3 - 3,q5 $9 f4 Basement Unfinished Area(sq.ft) 210 S% )041 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_ new Total Room Count (not including baths): existing new First Floor Room Count b Heat Type and Fuel: 1 as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes U1 o Fireplaces: Existing _Z New Existing wood/coal stove: ❑Yes kol -Betaelied garage: ire Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage: C�]existing ❑new size Z Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes C9"N If yes, site plan review# Current Use t Proposed Use Q) W l L'- - BUILDER INFORMATION - - -- - Name � GC-A Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE (�,�Cv-,I A DATE I f r i FOR OFFICIAL USE ONLY PERMIT'NO. 4 DATE ISSUED MAP/PARCEL NO. > } ADDRESS VILLAGE - OWNER - - DATE OF INSPECTION: � r FOUNDATION FRAME 3 dJ r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL w • GAS: ROUGH FINAL FINAL BUILDING' i DATE,'GL>OSED OUT ASSOCIATION PLAN NO. t q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing,at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C UT S I p E BAS& M�—_N T s TA)istimated Cost � t °v Address of Work: P//A)>L- C AVC,— 7 AI-)P-) I Owner's Name: I� R VS T) Date of Application: Zr S —y-Z I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑�B ding not owner-occupied &Dwner 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 Regi.stra'on No. e G [al q:torms:Affidav :rev-122001 77te Commonwealth of Massachusetts —i Department of Industrial A ccidents la - "� , :� ; 0117ca ofl�aas�lostlaaS _ - 600 Washington Street Boston,Mass 02111 Workers' Cam enaatinn Insurance ATdavit naive location W�f � /�� 4YAr-"1 -1citv ' onto 7� 9/73 I am a homeowner pesfforrming all wMk mysei£ ❑ I am a sole grogiietor and have no a=woddng in any capaisty . .:.::..C.w a...v♦.,p}....r....•.....:�.......:.......:.....n.:..r:..OI......:......•.....E...4.a.....,.....!.Qv m.n.:t..•....:I.....:.:....>n........7....a.%....1,.....nsE.........:..........t:... :.....:.Q.:....rr:.....w..C..n.....::\...•.v..:.,.:..:.':......:...::...nn.........v...v.:.....n::.:.:....:...:........r....♦......v:......r....v:....:.......:.nr......a...•..........v..:..n......,...r..r..•.....::...♦....1,...-w....rvv..n......:w..:.v...n..vr...d......v.....A T..k!....a.•...:..:.r:w...,..a......�v..•J......:.r..v....l.rS:..:.n.....v:r...i.......,.:.,....�. .•:...,.w....�..................w...n,w..v...:�....,....wv........:.::..::.....:...x.....v:.:.....r......:ww..�.'3+.'F!bwAv...?RW•..Y.r..<f..?YJ3n�.+?.:•..!♦.w-.j.v?....�♦?v.R..Y?)..w?.•.�..:`�.,w:..;.vw.w,!v.;i;.:nl.:.a}.:.><�?.�nO?_n..�..a.z..4x_-_...^..?0...v\;::<-.i}..ce,;.-:-:g x.!w.v:+.:.i�..x,.k.`+..v7{..c♦L..•L.;-•w.}>�..W..m.. i».a.la.N tag x.•%.?.,•.:.JK..t:.?<h♦vtu<..:s.v..«..}..1v<":vdob Yn..r..".. � nv .i.:.fL. �n.. w:.".+`K.:., ..:.. ..... 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Falb=to-g=m eoveea;.as regtft dw Secdm2U otMGL M essieed Isms=Ptieaett ai pmaitlea o[a dos Imp"s1-00•QO d/or wow+tMPTb==M&ao Ina"dvApolnintbttormo[aSiOPwO8SO8DFBdaQ�o[iIt10.00adga tom I d • Dopy of"shdimedmy be torwardad to Ow OMcc otlat�atltsllowt o[dts DlAfns.t�•aap�tledto� I do ha vby cooly undo the pt�s aad pe=U91 ojpatyury is tnra iota tarred k 01) MAd e- o) 80,vw�d- ......— - oincial an only do not wttfa is fhb area to be eompieted b7 city or Iowa QMcMI cky or to+m: •M ❑Br�aiat peF °est OLW=dn Board ❑chacicif b=wd! eeponu is teq tired p selc's Omce p m+� Hwdthnop-r eontad person: ____ C3ptber (mum 0193 PJAJ Information and Instructions y. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensanon for thzir roployees. As quoted from the."law", an employee is defined as every person is the service of another under any ca= if hire, e:cpress or implied, oral or writt= kn employer is defined as an individual. partnership, association, corporation or other legal entity, or any two or more of he-foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, orthe;rec.-ner rtutea of as individual partnership,association or other legal entity, employing employees. However the owner of a iwelling house having not more than three apartxn nts and who resides thm arthe:occttpaat of the dwelling house of anther who emplovs persons to do mainmeaaace,coatrcdon or repair work,on.such dwelling house or on the Q*n+m^� cr building appurtenant thereto shall not because of such employment be deemed to be as 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 f nurance coverage required: pdditionaIly,nerthe:rthe coammnawealth nor nay of its political subdivisions shall enter into nay contract for the performance of public work=mil acceptable evidence of compliance with the insurance requite of this chapter have bem presented to the coins"n g authority. i Applicants and Please fill in the woricras' compensation affidavit complady,by the.box that applies to:your situation supplying names,address and phone numbers along with a certificate a£iattuaace as an affidavits maybe submitted to the Depar==of Industrial Ac id=far cmffmMidrm dfinsm FgF- Also be sum'to sign and dat .the affidavit The affidavit should be,returned to the city or tow a that the application for the.13=ud or licrnse is being requested,not the Departmem of Industrial Accidents. Shaald you bave any questions °"law"or if You are required to obtain a wow co®pensatioa policy,please ciU the Department at the member listed below. . City or Towns _ _. .... . as h ded a space at the bottom of the un Please be s that the affizdavit is complete and.; legibly. The Department provi Ii�..Plse affidavit for y=to fill out in the==the Off ce of has to ce�act Yon the be sure to fill is the pease nmabe�which wdTbe used as a refeamre ammber. 'lhe affidavits may be rued t^ the Department by mail or FAX unless other arraagememts have beam made. The Office of luve wdgatioms would like to thank you in advance for you cooper==and should you have any T1CM0ns- please do not hesitate to give us a call. . �' �Deparaae�'s address,telephone and faxmzmbex: . The Commonwealth Of Massachusetts Department of Industrial Accidents Oitics of Ines catlods 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ezt..406, 409 or 375 • Op THE Tp� BASrAB� : The Town of Barnstable e `oa 039. Regulatory Services TEo MAC° Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main-Street,Hyannis MA 02601 . ce: 508=862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 2 ( Please Print DATE: JOB LOCATION: L / ` L 1T AV �, �y/Vt S Li _J�/ r streets n ry py u village 1/\S• r U T) "HOMEOWNER": /#WK�-1 7 l.. I� X1 -1'f�1 / Y6 /�73 ! '1 name home phone# work phone# . CURRENTM.ARJNGADDRESS AWC IjYAI,)Wjg V/S IV 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 swerviso_r. 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. Cu�A NeAnQ�c LU' 661VI C� Signature of Homeowner 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 log.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 s'everal towns. You may care t amend and adoptsuch m nforu urmuniyyomt . Q:FORMS:EXEIvIPTN WIGGIN PRECAST CORIDOI'�A- ION 79 RAIII-OWS LANL)ING ROAD • P.O. WX 1 13fl f�rlr:n�;�i-l. n�n,�;n1:fII ICF f l i fl7!i�iSl Phone (508) 564-677F. Types Type-0 T $1075 .00 T $, 0 � CU 52" �0.. /S" COMPLETE OUTSIDE BASEMENT ENTRANCE „" 511%*WIDTH S "Y'WIDTH OUTSIDE OUTSIDE DIMENSION DIMENSION DURABLE AND ECONOMICAL —Finished Basement Floor Line 2"Above Base of Casting. 1. Steel reinforced concrete, sub-grade. Type-B Type-C �- 11$107 5 .0 091/17.. 1 c''757 0u 2. Positive seal proved by decades of field experience ss°T i3. .Rugged steel dual —leaf doors solidly5'i>"WIDsecured to water shedding sills. OUTSIDEOUTSIDE DIMENSIONMENSION 4. Finest quality seals and caulking used 1 Ithroughout. 12 I~ Type•D $1250 .00 JOB REQUIREMENTS T 55WI6" OUTSIDE 1. Foundation wall opening 40" DIMENSION Wide maximum all sizes. � k 1 ST 1 1I G- 2. Adequate access for delivery truck. (Solid ground surface conditions.) Precast Bulkhead Will,Bilco t)oors 3. Stairwell should be 2" to 6" above Finished grade. i�I STD - A WO WE MA 1 al �R W iN11M�►w W 4�h41Lo M�w�' �MLM it .r. 6 A S DO Ws } Hl Y II ` a �� ��o��. �X�s�r► r�� WINDOW r�c�l`14RE:T�. 5TA)lk �\ 1 S 1 -.�. wr�+we .ylyraaw«aiiy�y.nh i 24291 PLAN OF LAND IN BARNSTABLE (Hyannis) Whitney & Bassett, Engineers September 1950 April 24, ].953 f?77ZR nl �� .,yofl � �•:'P.C.teC.8,.o03 <rVh//C, QA V e. 00 C.a. 89.to C,8, o C, m 3• '� 397.42 o N `•l Z" m �b n v p 40 Plan 9638 fi'led with cert no. 1152 U a C.fH 00' E. C.B. `-1 (SeaP/an963Rr39:6 kC. /oo. � i I / i . am 118 64 r c�: •.,- , R m v, •b O l` Q0 to ti � ° Cj CY d C.g; q 1 �• /0/. /7. V a, �� iy NEW7'011/ f�UiJ�IC �/+9/.46 4 ..... /-^,E" (3Z.0 0 tz,,- 127.81 e.e. ' 48 63•. 'ca N. 18•33'•20.,�, 79.1,6 • 9s z 'v �.o + O M c 1 4i 1 � OC L NV n j (p Moir Q Q E .I _ Sep------ s:Is�oa' /0"w. 579 r /38:8/ 70.81 c.e. 'N....... L.t.e. •.-S.15004'ro^w '� 76.56 i / a 128. 71 p•• 77 Coffee . House, Inc. e copy of part;of plan C.AL— -APRIL LAND RMSTRdA T/ON OFF/CE . Z9,1963 Scale of this plan 40 fret to art ino9 SSA Scale T. Falrckugh, Engineer for Court ST. 1 -° a r � 2/27/02 To: ' File From: RCG R308-169 44 Maple Hyannis SS required proof that this facility is a legitimate &legal use. Owner claims use in effect for about 15 years. Sale records indicate 4/15/87. Owner attempted to obtain lodging license. Carol Ann Ritchie referred him to SPR Advised owner that SPR would be necessary. Owner rents 7 rooms. He will retain a civil engineer upon advise of SPR Coordinator Advised that ZBA relief would be necessary Applicant indicated that he may reduce rooms to 6. Relief: File for use variance (7 rooms) and special permit simultaneously. If all boarders are elderly or incapacitated owner may be eligible for relief by special permit under the Shared Elderly Housing section 4-1.5 but use limited to 6 persons. - IL q a� Ho To ez W ILE YOU WERE OUT M 7 Of S S Phone Area Code Phone# FAX Area Code Phone# Telephoned Returned Call I I Left Package Please Call Was In Please See Me Will Call Again Will Return Important Message Signed ©AVERY REORDER NO.47296 ®Made With Recycled Paper " � 3 �" 1� o '� � ,� � � I r ^ ^ u � x\1 N a ry^�w J Y �� �� f UF*DATE'*PERMIT RECORDS : ADD CHANGE DELETE . PRINT FEES HELP END ADD RECORBiS TO PERMIT TABLE • +------------------------------------------------------+ -------- ; QUERY: NEXT PREVIOUS FIRST LAST END ; -----= PERMIT PARCEL ; ----------------------------------------------------- PERMIT DESCRIP ; PERMIT NO STATUS ; PERMIT TYPE APPLICA; MASTER PERMIT i2 EXPIRAT ; PARCEL ID 308 169 MASTER ; OWNER NAME BERNARD VALUATI ; LAWRENCE W TR ; 0 CONSTRU; ADDRESS 44 MAPLE AVENUE CONTRACT HYANNIS LOT 3 LC242 ARCHITE ; BLOCK ENGINEE ; DBA -------------------------------------------------------- ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT. CTRL-I FOR HELP. l ,�tP��/� ���� ��� � � �� 1 - ���� _ _ � _ �" _ -. w I�, I r i _ !. .� j _ _ � -; y 6_-Agsessor's office Ost floor): D� >C �� U/ Assessor's ma and lot number ........................................... CF TM E t0 P � �`f,► oard of Health (3rd floor): -�/ C74� !,� 7 UST CONNECT TO TOWN SEWS , Sewage Permit number ......./.............................. .� . T, 4 Z BABaSTABLE, S Engineering Department (3rd floor): '�c r639• •� House number ........................................................................ ''�oMar a� Definitive Plan Approved by Planning Board ---------------------_-----------19-------- . APPLICATIONS.PROCESSED 8:30-9:30 A.M..-and 1:00=2:06 P.M. only TOWN -OF BARNSTABLE - BULLDIHG .40 ECTOR • APPLICATION FOR PERMIT TO ..`. �}►�C�t.... ......`.. '.``..... !!). ....4QA .Y)�S.......a4u?!e.. .EEZ.E TYPE OF CONSTRUCTION .. OCR d......�: .6...... :.. .l C �e 5...`.............................................................1 t, 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: gg��Cjjnn M�ggtt ��++ /� `' ��,, �/ a ,, / �l �7 Location s' .....:.f...1.b"t.C.!�1=......../'T.l . .................' `...!.. .��: ..............!' T:. ......... ht ��....`. 47)..- ProposedUse ....5T1� GE ......AR 7 ............................................................................................................... Zoning District ...Fire District ..t-� YR.�n.t s.............:.............................. Name of Owner :.....�LR.NA9'P .....Address 44......T-`1&-?LXF....Av:�;:.......i WN!('VtAks twd....."Oe.VA OK ........ 1.05.....q�n....S � ��lc P.uua .. . VYIG ec Name •of Builder 1,JJ.k ...Address Name of Architect ..... ......................... .................Address ............................ Number of Rooms ...���`.................................................Foundation ..`' ........C6���. .Pi .......��S'1 /N6 gam. �•�— Exterior ... , 't�T`. ? .. ...........W.M?.h..........C.00YRoofing .......1 p�!1. .!^.L.........::J..1'�.I �.b. ,� ........ Floors , �$ .......... �.�A?©�. ........................Interior ..... `.���. :................................................... Heating. ........ ` .. `: .......................................................Plumbing .......... o ................................................... Fireplace .......`LQ.. \. ......................................................Approximate Cost .......... f Q... .. ...... ............ ... Area P.. ....... .1........ Diagram'of .Lot and Building 'with Dimensions Fee 80 . a - - Q0 Ns � -170 " 10Pk�:_ AV& OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I- hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ,��....\J.�.....�! .. .................. Construction Supervisor's License � BERNARD, LAWRENCE ' No 3 2,2 5 6.... Permit for ..ADD DORMER....... -- �`� . Single...FamilY...Dwelling.". ..... ........ � V. t: Location .... 44 Maple„Avenue.................... • _ ., -� `` _ a Y .y Hyannis................... �'" i 1 J Lawrence Bernard Owner \ 2 ........ ... .............. ... , t �,."� - •,.� vim,, �r .. i Type of Construction ' Frame .... .... ..... ' �1J ti - -• t �T! , i v ,..yk ... .... .........................-.................. .............. W. r Plot ........................... Lot° ' ........'...... '? ........ 0 all . `. a `"'\ ..J� rt- a � I (. �...+.•sue �� . •(Permit Granted ....S.e .tember 13.r...jq 88 ................. - � '` ....,�'' ��' � - k � +� � � _ « � � �`• �' , Date of-Inspection a ..19 3 # E Date Completed .....:.... ... .... ......:``19 is � • .. t .. � r�J � t � , `�. . t. �.-� 1.2 IS r �# � . ^••�. _ � �^� �.i,,, �- �t •.jam �. �E t �y-_�-_....� • �y` ..r+ I .. ,,,z cti1) ti � .t y- ( �) �� '*+. ~• �lE + +ry J � �{` � k .ram—.+..�..... r � .! � `�� w Assessor's map and lot numbe 1.�!. .�.,I ./.... ... ..... oFTHETo Sewage Permit number .........17,,. . ... / ... .... Z BAUSTULE, i House number M :............. Pao b 9 9� ... 0 MAY Ar TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... �!�D.c� ...... T�Q..... 'E '4 .... `� TYPEOF CONSTRUCTION ................................................... � G ............................................:........... �j .................... �,�Y... r�.19��� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............4-a .. ..../ �',�. ..,�f�/ .. ...... 1 i1! 1c7.�t. e -......................... ................................... Proposed Use ..... .� ?d .. .....✓..�.:����L ...0 !:3� . .... ................................. .............. ZoningDistrict .....��..........................,,.LL.yy.................................Fire District ........... .. ..C......................................................... Name of Owner ...Y..eJ,�'fl��.. 1.4 /Wkl........Address .........411* kl ........................................................ Name of Builder ...G,. 061,24& .0.✓?�............................Address .......T....�,�...��.}�.�1.`�/......... Name of Architect ................Address Number*of Rooms ..........1.....................................................Foundation ....... _ ....... L ............ Exterior ..........5wl/ �o�i .................................................Roofing .........11 0,v,5/0011. ..� � (��.,G ................ Floors ..../...............................................................................Interior ........... yldf . Heating ..................................................................................Plumbing .................................................................................. ....................... ........A proximate Cost ��C90 GLr� Fireplace - ............................... pp ........X........................ ................................. Definitive Plan Approved by Planning Board ________________________________19________. Area � C�J'".�/� Diagram of Lot and Building with Dimensions Fee /(,l................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH .Z 0 4'11 ' Qka PO-S 4AI IF- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ................ Construction Supervisor's License �8 i ' FLASHMAN, JOANNE No 26759 Permit for .REMODEL/Add GARAGESingle ................................... .Family.Dwelling....................... Location ... NEPllg..AYQTXIAQ............................ Hvannis ........................................................................... Owner Joanne Flaslin ........................... . ............................ Type of. Construction* .....F.•am.......................... ........................................................................... 4Plot ............................ Lot ......................... 16, July 31 • P&mit- Granted ................... ................ I 9- 84 -,.zDate of In' spection ........................... .. ...19,1 19 Date Completed ........ .....................:11 . . & The Town of Barnstable KAM Department of Health Safety and Environmental Services ems" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph"rossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) 73 Property owner's name Telephone number A . Size of Shed Map/Parcel# �Jwl.C1t. 3� szo " Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Ci Conservation Commission(signature required) OVL �� 3o �'►�w-9 H THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg C,/7 � � za OA..4_ 1 fir' z ' a - -r I 'AP 308 STANDARD LEGEND \--_-= ! note naT all symbols will appear an a m .'-����• : �� �"`•, l "��� '--_^� GOLF COURSE FAIRWAYa j \ r I _ "� t �`--���� DECIDUOUS TREES ,......—.......... :, M it 36 --------- --------- ' EDGE OF BRUSH \•T \` t .....,..^ ORCHARD OR NURSERY 1 1 t i ......_.......__._.......__......._........._-....._ ._. - CONIFEROUS TREES MAP- 308 MARSH AREA !! I ' I I i .�'*. EDGE OF WATER 11,59 J 2_ _i i 1,,i j _ „� ! GIRT ROAD i` _. A::-_ J MAP 3 8 ........y PAVED ROAD I / I DRIVEWAYS � PARRING LOT f 22DITCHES i' I - i� PATH/TRAIL 3 ................._..._..........._.._....... _.._..................�...._...........,..,....._, 1 ' \ PROPERTY LINES i a ' 1 � HOUSE NUMBER 1 � ........_.\::�._........_........._...... _PARCEL NUMBER \ LIf 2F001 CONTOUR LINE ._..+-..-.._...._i t -------___- i �� "" 10 FOOT CONTOUR LINE 1 SPOT\ "_"____ ............... ! .. ELEVATION -'- �.... -__..._ ...._...,.._... STONE WAIL I ..._.. _.........._....�.................._. .... ...._..... ....... 6.81 ' ._�.............._. _...................__ ........� �_'... FENCE RETAINING WALL RAIL ROAD TRACKS L` U STONE JETTY 2?•� i + L,— ^S SWIMMING POOL __�........_..._.._.._.._ _ - � .i PORCH/DECK 45 -- 4^ BUOOCN/PIERT/1ETTY ES r ' f �• SESSOR$MAP BOUNDARY .`r 1 y� ......._--.......__...:...__.__.:........._. [�� .._.... ..._..._s_-......._._........... ...'. O PoSIE O MHABPOU NKLES ....._,........_-_ __�...._.._. \ / rr 22 o SIGN m STORM DRAINS 2 2 m PoLF IA TOWER 22 ❑ 6 / \ 2 �4 UGNi O ElE(YROK ..... � APLE ' .... Ii SITE MAP : T.O.B.GEOGRAPHIC INFORMATION SYSTEMS UNIT 1 � I \ / t i SCALE:in feet 2 \ _._._. i 0 0 �___._- AP 30.7_r I F A 1„INCH 2O40 FEET MAP 4 1 I i r r ; i Y , 4"C� ,_--+-..i- CS r ., / ^^,_�1--^�� i „ '•• ,' ', //,, ^'/ NOTE:IN[PARCEL UNES AR F OIILY G0.NNIC REPRESENTATIONS OF 't \ , j PROPERTY BOUNDARIES,THEY ARE N0I TRDE LOCATIONS unh B-09d ' \ "'\ VFGF@iION ANBIOPoGAAPNY BATH IXIEAPREIED FROM 1989 AERIAL PN0105. i =BOO'.PLANIMEIRIC DATA INTERPRETED FROM 1"5 I PHOTOGRAPHY I•_ �._BOIXMAPPEOAII'- j AIR PNOfOS.PHOTOGRAPHY AT I'= DATA MAPPED All PRINTED_ 1 UW(Lf MAPS SOPS �'. _ t PAROL DATA OIGIIIIED IAOMI I N6 ASSES /MP51997. Y I = 1 ; , •.,,,• � �L /•\ � 00.A(CURA(YOF MAPS AT DIFFERENT __.^^_._.._ _..._.......__........._... ...._ - --. fAlF MAY DE(A[ASE S , I; Assessor's office (ist floor): Assessor's map and lot number .......... --.•/. .(�..••,••,,,• �Q�o�TMEto�o ...... ,,—ffoard of Health (3rd floor): -� . d Sewage Permit number ......... 7.....•r�•.•••••�'s�'{ Z IkUSTODLE, �.9 ....�......... 0 /71 Engineering Department (3rd floor): 039 O i639. \00� Housenumber ........................................................................ aMON Definitive Plan Approved by Planning Board ________________________________19-------- . d APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....Aa.A.... .......�..�?. .....5 PU �PCKYA.),r......G �veeZe ..... ...... TYPE OF CONSTRUCTION ..�-1 d....... '.!.O......5."?AU.(: e S..' "Cl................................. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Hy.......1`17JA��=........ .. .�L��'...............�.Y��`4.�L�.�..............�T.3 ......... ��-�4!�.L...Z�Z`�1 ProposedUse .... 9. T G�.:.......A9, A............................................................................................................... Zoning District ..........................................Fire District ... ........................t.........`. Name of Owner UMM1.R NC.!�......�).RNARP.....Address 4y......M.!'1-.-,'.......NVQ........WV\N Lis ` \nn 1(` \ �C1,,, 0 � (,��lc� `,, `n Name of Builder .!?. (��.. ...... !!.J ........1^...... ,...........Address \J °. n..... `� 4et..�1�!....�!t T' Nameof Architect ...... �.��. .�-,.............. �.........................Address .................................................................................... , G Number of Rooms ...01t.:...............................................Foundation .. ........ 0 . ?,�. ........�� S���y�j Exterior .... ..........1. a .�.........0. VRoofing ........ 5. .�c .........5. .�..��. .�,. .�?........ Floors .. .C).�a .......... ........................Interior ..... ,.2V .s................................................... Heating .......�\ � �.......................................................Plumbing ...........1A �� 4. .. ........................................................ Fireplace .......�. ��). �� ...........Approximate Cost ACC f Area __ a......... Diagram of Lot and Building with Dimensions Fee ✓......l v A - . I N w n •� — t3Ct�csF�� � g , 3 P Ra FU L L-170 - - i ------------- M-A n h-V2- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .1� .�. ) � .... Jlii ;(.1/ ..: ................. Construction Supervisor's License `\ t' BERNARD, LAWRENCE A=308-169 No Permit for ..ADD...J)D.RM R....... i ng .e...>i.amz.J.y...Drae11..i g.......... Location A.4-Maplie-Avenue.... .... ............. ...................Hy.annis.......................... ..:........... Owner ....Lawrence...Ber.nard.................... Type of Construction .........E.zaai e.................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ...September 13i..,19 88 Date of Inspection ....................................19 Date Completed I PROPERTY ADDRESS I I S ZONING DISTRICT CODE SP DISTS.IDATE PRINTED ISTATE CLASS IpCS INBHD KEY NO. 0048 NEWTON STREET 07 RB 400 07HY 7 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT 'ADJ'D.UNIT Lana By/Date size Dimens�w LOC./YR.SPEC.CLASS ADJ. COND. P -- PRICE PRICE ACRES/UNITS VALUE Description BERNA RD. LAWRENCE'W'TR• MAP- CD. FFDeth/Ages #LAND 1 21.300- F-- CARDSINACCOUNT - L 10:1810G.SIT. 1 . X .21 :=10C 290 34999.9S 101499.9 .21 213UD #SLDG(S)-CARD-1 1 133PI00 01 ` OF 01 A' #PL 0044 MAPLE AVE HYANNIS OST 154400 N )S 3.0 U X` C 100 10500.0 10500-0 ' 1.00 ' 10500 e #DL LOT 3 LC24291-A IARKET 116000 D 0 R€C, RM S X C= 100 . 11.25 2800 8 #RR 1080 0047 INCOME A FI3�EPLACE U X C 100 3100.0 3100.O 11.00 3100 8 USE D PPRAISED VALUE 'ID J I 154:400 bt PARCEL`SUMMARY r S ' AND 21300 4 S BLDGS r"133100 T IO-IMPS F E I I (TOTAL 154400 . �l CNST N I DEED REFERENCE]Type DATE Recorded 4P R I O R YEAR VALUE ,4 T ... I Book Page Inst. MO. Yr.D Sales r'r_ ' AND 21 300 T S I C132345 1,12/93 A . 1 , LDGS 133100 C110390 ; I;04/87 155000 TOTAL 154400 C110390 I;04/87 1550D0 BUILDING PERMIT Number Date Type Amount LAND LAND-ADJ I INCOME SE SP-BLDS FEATURES( B.LD-ADDS UNITS 21300 16400 832256 9/88 AD 5000 Class COnsl. Total Vear Buill Norm. Obev. 4ri Vnits UnilS Base Rate Atlj.Rate A 119 Aga Depr. DOnE. CND Lot %R G Few Cost New Ad, Rep] Value Stories Height Roonra R.. Baths a'Fi.. P r4-aN Fec. 000 110 ,110 - 57.50 63.25 21 .8014 87 100 87 : 152987 133100.2.0 11 6. 3.0 10.0 Description Rate Sgeare Feet Repl.Cost MKT.INDEX: . 1.00. IMP.BY/DATE: 'ME 4198 SCALE: 1/00.56 ELEMENTS CODE CONSTRUCTION DETAIL BAS; 100. 63.25 700 44275 GROSS,AREA 2038 ROOMING HOUSE' CNST. GP.00 FEP . 65 41.11 , 40 1644; *--11-*---13--*-* -r21----*----20-r--* : STYLE _______ _05COLONIAL_OLD ____ 0.0 1FB 130 82.23 170 13979 *=FOP-*, iSe 2SF ! ' FFG DES16N ADJMT 02 ESIGN ADJU8T � OP. -14 44 974 1 " - - -X--T-ER.-W-A-LL--- --- -O-OD-SHINL-ES----0 -0 1SB100 b325 90 5693 *-10-* 18 20 20. €AT/AC TYPE 4 L:=_ ___0..0 ------------- � 2S'F !15D 94.88 378 35865 ! 22 ! A ! " ! , INTER.FINLSH OS CASTER' ------_--__- p.Q FFG 30 18.98 400 7592 17 17 BASE 31! ! ' ! NTERLAT6UT _12 VER /NO_RMAL' _ 0.0 3 .820 60 37.95 700 26565 ! " ! *-*«---21----*----20----* INTER:pUAITT 02 AME -AS EXTER. D.D !1FB` ! ! FLOORSTRUCT 02 D JOIST/BEAM 0.0 W*-10-* ! E_FLOO _ R COVER-- -04 AR D PET ------------ .O E Total Areas Aux_ 484 .Base e 13.38 5 ! OOF TYPE Ol ABLE-A S_P_H___S_H____ 0.0 T BUILDING DIMENSIONS *=--)b-8-*-B--X' LEC7R.ICAL 61 . VERAGE ____ D.0 BAS W08 FEP .S05 W08 N05 E08 .. 5FEP5 _OwoATION___ 01 OURED CONC 99.9 A BASW16 N05. 1F8 W10 N17 E10 S17 *-8-* --- ---------------------- L .. . BAS N22 FOP N04 E)1 SO4:`W11 ; NEI&NHORHOOD 61AC HYANNIS -- BAS < E11 N04 E13 1SB E05-2SF LAND TOTAL MARKET E2ltFFG E20 S20 W20 N20 .. 2SF PARCEL 21300 154400 S18 W21 ; N18 .. ISB S18 W05 N18 AREA 2848 BAS: S31 ' .. VARIANCE *0 +5320 STANDARD 25 DEM- 4m; R R 0 P,-4 Z'S.-M.7M 04N' b4'1 -W4 .34 Z lk, i��!�T+4 1 T6 LAND,7 "4 69- I - ------ ..... ............... 'TRANS QK F- )F ;-U" t 3WO 4REMARKSi, OTAV� PNI -1 Oif to*w 41-1 8 n 6z thM.- T,4�2-la-,M&V:4 Z�l 7E;7 'G 66 Greene- 12� -c orm. M!i,M- -MA rt-A-;-�4r '-4- t.9 ".7. 'IT 'kT. RIM, --r'w' t "I'll ,., r �0 g. b 'VI,Nm '4i ial;w— iTOTAU �4 lilt— tcBLDG§.z -7t V�" - W 7 ABUTAL7 , N4ICF ,S I,INTERIOR 3. t. v br -7t"-\--ACfZgAGE-��COMPU COMPUTATIONS Z4 LDGS:�, LAND •-TYPE OF,ACRE DEPR., TA !!RICk Vk,L FUSEuyr�l N LAD EA"Ri 6-,FR6N'T'r, BLDG§ 9--- _4 n ,GOD FRONT V 'wrt, 'i.A ;4' RiAk 4�N A"tL "7OTAC" —4���'A Z" 4 71� 4- n7 'BLDGS; ? ..q qw TOTAL- 4;7 . n' B LOGS GTORS LOT'COMPLITATIONV ND CA ILL Y TOTAO,,14 4�TOTAL 'DEP :�,POR;ANFErr -'VALUE' R DEPTH REETIPRICE DEPTH T.FT;��RICE :ST FRON WWS T6 !MID R GH io U f6WWWX E t HH R��eU RE. R DIRT 4f�u 'Y I t�-TAMPY� fi -Amid .s.., ... a.: -a• :w...,:w.,.< .aF-r.. ..:.. .'„ik .....: .s ,r �,. .. ,. ��.<. ..>_ .. '� _ _ t'�' 777 _•• _ x._... : ,. 'i=' -�.t:<•-.-n-. .r.--'.. _ t at•, ...w.; b,'...,:L,r! - �">i MMA+!•Mii,^ �.::e$'n � •¢�- _ .;ijiAe ,W-"J,t•- :eMa r ? '.:.:: , , _ 3°'i .„r. m S"�'^5�'_ ':F°-`;.`s5..�.;!l .7,' .ter }'i •.= +P;•c? '„'.`�'. P`* .,f,r'.. _'i*"• ,,�,.,",`-`. 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RENCE BERNARD <> �� ... >: .''..fir MAPLE AV E. ::. ]HYANNIS N �ii�i;E:r••:��������E� ��� ti�S%�%::<t���:5: ``:::2:�:�:::�'�.•':.••::�::�s:::�:� ��:�:�: %:':%:;.';':':';� �':�% ::�:�:�� � ��:�:��: :''� ::!L :::�:�: ::`:: :.'::'::'�:2:`:r::::::5�:: ::: j%':?r:.:.:.irr:: :...............:..... ti:::;+<;;:;y:: %•`:a::{;:;titititi::ti_ti:;1:.'::: :11 Z.E.O._------B.H.A. .... .................... ............................ ..:.::.....::..........:::::::.:................................... .:.:...:::::.... ........... . ........... .... E AL ......:::::.::::::..:::.::...... ..::..:... ...................... .:.. .................. ... .1 p Pl:V w '•r 4•n: R TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATIO EPORT NAME (LAST IRST, MIDDLE) n DIVISI /DHPT -" 1YN-O_ - cpr NOTE DETAILS 6 OBS RVATZONS-ITEMIZE EVIDENCE, SERIAL IS ETC. a f pJ C4 74e� SUBMITTED BY PAGE # R308 169 . P P R A I S A L D A T• KEY 221389 BERNARD, LAWRENCE W TR LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 21, 300 133 , 100 1 A-COST 154 , 400 B-MKT 116, 000 BY 00/ BY ME 4/88 C-INCOME PCA=1211 PCS=00 SIZE= 2038 JUST-VAL 154, 400 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 213001 LAND-MEAN +Oo 1544001 74880 IMPROVED-MEAN +78% 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R308 169 . • P E R M I T [PMT] ACION [R] CARD [000] KEY 221389 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B32256] [09] [88] [AD] A 50001 [JM] [01] [89] [100] [NEW ] [HY DORMER ] [ ] [ ] [ ] [ J l [ ] [ ] [ ] [ ] [ ] [ ] [?] [ ] [R308 169 . ] LOC] 0048 NEWTON STR E'T CTY] 07 TDS] 400 IRY KEY] 221389 ----MAILING ADDRESS------- PCA] 1211 PCS] 00 YR] 00 PARENT] 0 BERNARD, LAWRENCE W TR MAP] AREA] 61AC JV] MTG] 0000 GLASE REALTY TRUST SP1] SP21 SP31 44 MAPLE AVE UT11 UT21 . 21 SQ FT] 2038 HYANNIS MA 02601 AYB11921 EYB11980 OBS] CONST] 0000 LAND 21300 IMP 133100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 154400 REA CLASSIFIED #LAND 1 21, 300 ASD LND 21300 ASD IMP 133100 ASD OTH #BLDG(S) -CARD-1 1 133 , 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 0044 MAPLE AVE HYANNIS TAX EXEMPT #DL LOT 3 LC24291-A RESIDENT'L 154400 154400 154400 #RR 1080 0047 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE112/93 PRICE] 1 ORBIC132345 AFD] I A LAST ACTIVITY] 02/16/94 PCR] Y