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0031 KEELA ROAD - Amnesty
� �J\..-U C-L-- / Q e ,� I '� J � .. �` `� . �. r � - �� �� 41 ,� a, I� Dw� ,�' C MSA PepT, �L�Illly 508 790•G2��Aaelton Pnrli and Marhtas only} �.J (L189 P ltlnncy's Lena, Ya O DATL*t PARICENG (367 mntn Stroel,Hynnals,5G8.662 4G78) DATI6t TOWN MAAIAGA)l (9bwn LLnil,3G7 Main is SG8-862-4GI0) Strcat,2 floor,Flytia77. u DIAL 1 AILI'.T)A��loNa p ANY pRRS(Ae datetnllned by Dopalmont'vSPE abovo) 1 " - -- ML Date: If Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work compl eted at: has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number:261 36 f (�- 2- Issue date: Sincerely, Francis n PresidentEa Frontier Energy Solutions, Inc. <j v Office: 774-237-0410 ', - Email- fssfrontierenrgy@gmail.com t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C6 Parcel r Application Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board -V7"lJ7 Historic- OKH _ Preservation / Hyannis Project Street Address i 31 �`� ' ( 01 FN CJ Village I 10+ ( 1' Owner C�Iy_ 1 S+m Address Telephone 9 Permit Request \501-c i ' , G L k CA, •i Square feet: 1 st floor: existing _proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation #100 Construction Type,-T b5U[w+t Lot Size ° �o a G'c S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure M a Historic House: ❑Yes �k No On Old King's Highway: ❑Yes -5l No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq:ft�1 %.J CD �- Number of Baths: Full: existing new Half: existing U1 ne Q Number of Bedrooms: existing _new vim, Total RAbom Count (not including baths): existing new First Floor Roory Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION f�.o ✓ Sj' (t,- BUILDER OR HOMEOWNER) Name Telephone Number t _)74 `o_)3_7 -®y 10 Address Harp (G�N Rd License # Home Improvement Contractor# _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ti FOR OFFICIAL USE ONLY s x - APPLICATION# , -,,:MAP/.PARCEL,NO. ' Y r e • ADDRESS VILLAGE c OWNER .r DATE OF INSPECTION: "FOUNDATION - t FRAME ;c : __--INSULATION'-:':' t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: r;, . ROUGH - ° n FINAL iFINAL,BUILD.ING' ' — -DATE CLOSED OUT ASSOCIATION PLAN NO. • The Commonwealth of Massachuseift y .Department of Industrial Accidents Office.ofinves4adons. 14 600 Washington Street Boston,MA 02111 www.mass gopli a Workers' Compensation Insurance Affidavit:.Bw7ders/ContractorsMectricians/Pinmbers Aaulicant Information Please Print Legibly Name Mwinesstorg onitndi&al)= �-aakl 0, 1�' 5A Aon Address: City/Statd i : �L` `��C .,1"A Oa(�3 Phone#: "7 y - r'� �} - 0q 'D Are you an employer?Cheek the appropriate box: Type of project(required): 1.15 I am a employer with 1 4. 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 T. Remodeling ship and have no .employees Tie sub-contractors have 8. ❑Demolition I working for me in any capacity. employees.and have workers' [No workers'comp.insurance comp.insurance.= 9. ❑Building addition required:] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11:Q Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance 1 t c. 152,§1(4),and we have no 3a.❑ I am a homeowner acting as a employees.[No workers' 13.1,2 Other VJ C. - `U 1 Z(:i[ -\ u general cons actarArefer to#4) comp.insurance -) •any apghcaut that c boat#1 mast also fM out the section below sheaving their wod=e compeasatiodooticy motion. t Homeowners who submit this affidavit indicating they ale doing all wort and then hire Outside contractors rumst submit a new affidavit indicating such. tconnactors that this box i ansched an additional sheet showing the name of the sub-contractors and stare whether ornot those entities have employee. If the sub-Oohs have employees,they oust provide thew wor`ne camp.policy number. I ain an employer that is providing workers'compensation insurance for my employees. Below is the policy nand job site inforntdom Insurance Company Name: Policy#or Self-ins.Lic.#: �L>� � �� �— Expiration Date: (W = o J Sob Site Address: 31 Ku]6\ Ron(: City/Star n', T. MM Attach a copy of the workers'compensation policy declaration page(showing the policy nnmher 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 ver y the pains and penalties ofperjrr>y dw the gforn adon provided above is true and correct i Date• I5 '3 Phone#: "7 :2q Q-3 - Z)q 10 0,8kid use only. Do not write in this area,to be completed by city or town o idat City or Town: PermWLlcense# Issuing Authority(circle one): 1.Board of Health L Building Department.3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 0/10/2012 3 :58 :44 PM 8740 ® 02/02 CERTIFICATE OF LIABILITY INSURANCE 010� THIS emirla►gs ss ISSUED as A SWISS or IIYORH men "M AID COIPERS ID emm"Upon THE m"Ifsem HasmNR. sass�iPIC7�E 8038 I4?A"IMMMLY OR I80MVESY MMD. MRAD OR MEER SM COVERAGE AFFORDED SY THE POLICIES MW- MS CUM x A?E OY allaneCE now IO!CoI84I m A CO MN= REMMS TEE ISSUING INWHBR(B). AUT mmm MPMBEBTWIU OR PHODUem, AND THE CBMPICAM HOLDER. nwoRrm. It the eartitieste balder is an aDD1TIONAL INSURED, the poUay(ies) Host ba endatsM. If SUaEOOATiOH I8 iH1rm, asb3eat to the tarns and aoaditiom of the policy, ae:tein polities may require an eadersement. A Statement on this aertitiaate does Hat coaEar rights to the cezWlicate bolder in lima at such ando=aeant(s). vane: - Roger8 6 gray InwA=cse Agency rddm Ina: lac.to.Eft). t-wa. 434 Route 134 South Dennis, HL 02660 - irn.to mmmmacmamsst Mae. mtma a.A.I.M. Mutual Insurance Cc 33158 Frontier anexgy HolutiOnS Inc aft, 502 HaXWLc 1 Road mo=h SreWter, MA 02631 mama at mac a, mem t. CO ER GES CEWIFICM HUHBER:' REVISION MOM !D�ZB So C=Mr WT WB MZM=OF XWWWUUN UMS SUM GAVE HE®MUCD Ta YRE 3=10 IdH®W=IUS ffi ROE=PERM ZKOZOURS. somm axo m AEY , ww OR comma or MY emn"m mr eats¢aedmaiar fm 120am"mmm an cmmnmm Halt HI ISSOIn an MY ems.wo xnmum xNamm BY we 0"Jens nmomm nun is sm mct o W&ORo mm.ac inam am cmmmmn or Sm sowm <4.zmmm 580E0f DAY MIR BVIR VlVam BY eAID CU=. . Rm=SUM= DOS=EYe RGIMM mm Effi,18 ae TYPE OF INSOWSCE easlaaOrn, aaRrl!!eU GEMU 1:LImII.2'17[ _ - srm ooasuct s Qoaseseaaa ssrasas saumaa msm ❑j�-_— rmasaspu.�ceuseaee) t Qaccas 1�t8 Uer m tay..1 s ❑ Frafarab6 AV loam t g]alaL liOLmarL t ®ra acasoza Hoar aesnam era ❑— �1____Elm mmtaas-catr/a iw- t lJawT+Q U� 9 . emim somas LOW t W aotLhaq. . 0.am name RXIM va V-4 s Qaaa eaaa Ham _ Qs®Strap aw-as tams:noarcw•�e� s asormr sane: a OEM AUM e,�. " O—meta s ❑ + aaassa sm 11Seem asex aeaas s Qtaam sm ❑tame Hare amcasg t oMCE"m s Qararaos t s oaasmaszzoa ort AND nO702018 L�fBII,HSf teams .s sss eEowesewv / t.L.ztmmnur s 1,000,000 FAECUMS QMCERS ARE A, 0 nc toexc.l 60JL5315012012 as.nrmrns ' t 1,OOQ,OOd 03jid/2012 03/I4/2013 , t.L-gums-u XKMUU a I,000,000 emms I usm"Um w waaauss OR aocmas, tPBANCIs SH " Is HOT COVE= BY THS LZdmmv Cmffi88amaw P=ff t CERTIFICATE HOLDER cmcuLATIOX HOUSING Assrr CS COBS. lam I Aw UP am mm MeasseD POLZaiE3 RE CANCEBW me=INS ZZOIRAmm Um 1022m,I04`ZCE em NE GM62mm IN 10009nam ate SHE 60 WEST MAIN ap eon=PEovssl�s. HZRMS, MA 02601 smaaarm Yximan wxrs 6094 `Massachusetts-Department of Public Safety (9Z. anwrro�rruecrll/ca Board of Building Regulations and Standards N. -Offce.ofContvmeirAffaira&BdessRegata&on t(instruction 5%pert-is(,r.Speaalt_�' IIAE:IMPROVEMENT CONTRACTOR . . -.=�: tstratlon. 160854 Type- - License C'SSIL 1056" hadon. 9fiMl4 LLC FBAPiCIS 5 NAN � FRO ek ENERGY MONS i 502 HARWI*RD Brevtster)I 07.631 _ r FRANCCIISWSHEEHAN r c 5tn H- ��� t�j�� is = BREWS TER,MA 02631 Underseerrtsry Expiration f Catnnnftoi rier 02/171Z016 Restricted To:CSSLdC-Insulation Contractor Uisense or registration valid for individul we only beforetheezpiration-date. If#otmdietnrn-to: _.._.. . Office of Consumer Affairs-and Business Regulation 10 Parkelaza-Suite 5170 _ Boston,MA 02116 ' Faflure to possess a current edition of the Mazachusetts State Building Code is cause for revocation of this Ikense. of slid- outsigoatnre For oPS I.Wenffth on visit wwwA4ass eov/oPs \J OWNER AUTHORIZATION FORM i (Owner's Name) n a�, owner'of the property located at (Property Address) J� C • (property Address) en,hereby a Monze (Subcontractor) an authorized subcontractor for RISE Engineering,to act on rgbehalf to obtain a bulging permit aW to perform work on my property. ' Owner's Signature Date ,� `oFINEA The Town of Barnstable BA LE.MASS. D` Department of Health Safety and Environmental Services MASS. 0 i67q. �0 A�FDMP+a Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection J-Ye)s;4,c F , Location 31 K"eEt-ft do h C-r, Permit Number Z.O C-) `Z-I Owner kEC,L Builder <W One notice to remain on job site,one notice on file in Building Department. z� The following items need correcting: o� V 15s et—�- o rt 1�4 5 Pr,4 0 Please call: 508-862-4 for re-inspection.N O7 N E c ��tp v Y N&w . Inspected by 'Z Date ) Amnesty Program Helping to Make Affordable Housing Possible Town ofBarnstab:le t, Certificate of Compliance This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty Program. Location 31 Keela Road, Cotuit, MA Unit Capacity Studio xo excee ne erson Inspector M/P No. 018 063: 1/17/2006 T .L. TOWN OF BARNSTABLE ®� BUILDING PERMIT - PARCEL ID 018 063 GEOBASE ID 529 ADDRESS 31 KEELA ROAD 6$. PHONE COTUIT ZIP . — LOT 1B 1D &: BLOCK LOT SIZE. DSA DEVELOPMENT DISTRICT CT PERMIT 87067 DESCRIPTION ADD DECK NEW PARTIONS FOR AMNESTY APARTMENT } PERMIT TYPE BAMNSTY TITLE AMNESTY APARTMENT CONTRACTORS: PROPERTY .OWNER De �artmerit of ARCHITECTS: P Regutitory Se vices TOTAL FEES: $80.00 BOND CONSTRUCTION COSTS. $3,000.00 i i 434 RESID ADD/ALT/CONV 1 PRIVATE 0 BAMSTABM MASK. I I � t BU I D IO E . a 7- DATE ISSUED .09/23/2005 EXPIRATION DATEY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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. M MINIMU OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. Men guej BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS s ELECTRICAL INSPECTION APPROVALS j rl 1 � 1 . 2 2 9 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OFHEAL H OTHER: r� SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECTOR HASROCEEDEDT IL STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS 'EOLNPHONE OR WRITTEN NOTIFICA TION. NOTED ABOVE. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 018 063 GEOBASE ID 529 ADDRESS 31 KEELA ROAD PHONE . COTUIT ZIP - LOT 1B 1D &. BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 89468 DESCRIPTION APARTMENT ABOVE DETACHED GARAGE #87067 PERMIT TYPE BAMNCO TITLE AMNESTY APT CERT. OF OCC. CONTRACTORS: PROPERTY OWNER Department Of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tHE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE +► NENSTABLE, MASS. 039. FD MIS A BUI DING DIVISION BY �1 �.�� DATE ISSUED 01/04/2006 EXPIRATION DATE Cl�r v '-' TOWN OF BARNS`TABL CERTIFICATE OF OCCUPANCY ; PARCEL ID-018 083 GEOBASE ID 529 .ADDRESS 31 kEgLA ROAD PHONE COTUIT ZIP LOT 1B 1:(D & BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 89468 DESCRIPTION APARTMENT ABOVE DETACHED GARAGE #87067 PERMIT TYPE BAMNCO TITLE AMNESTY APT CERT. OF OCC. CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS Regulatory Services TOTAL FEES $25.00 BOND $.0a " CONSTRUCTION COS'T� $.00 7a>3 CERTIFICATE OF OCCUPANCY 1 PRIVATE 1. 0", +► BABN9TABLE, MASS. ><6g9. 1 RFD BUI�I , G DIVISION DATE ISSUED 01/04/2006 EXPIRATION DATE, �;���`� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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 CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- ' (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. PO'STTHIS CARD SO ITISVISIBLE FROM STREET, BUILDING INSPECTION APPROVALS PLUMBING INSPECTIOW APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 !I 2 2 2 I I I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT '! 2 BOARD OF HEALTH' I. V OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGE'S OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I BUILDING PERMIT w=-•. TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 018 063 GEOBASE ID 529 ADDRESS 31 KEELA ROAD g�f�b� PHONE COTUIT ZIP — LOT 1B 1D & BLOCK LOT SIZE DBA ` DEVELOPMENT DISTRICT CT PERMIT 87067 DESCRIPTION ADD DECK NEW PARTIONS FOR AMNESTY APARTMENT PERMIT TYPE BAMNSTY TITLE AMNESTY APARTMENT CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services � TOTAL FEES: $80.00 BOND $_00 �tME CONSTRUCTION COSTS $3,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE * sAMSTABLE, • MASS. 039. FD MP'�A BUIL,PIN�DIVVS. ION� BY DATE ISSUED 09/23/2005 EXPIRATION DATE V' U( / +� i a e - z r: TOWN Or BARNSTABLE ' r BUILDING PERMIT .. .. a n1 PARCEL :ID-018 O6� � � G20BASE ID 52S � I-ADDRESS, 31 KE LA ROAD PHONE ' COTUIT R ` 9�Ib� ZIP — .LOT 1B ID BL(}G :_....w. LOT"SIZE DBA DEVELOPMENT DISTRICT CT PERMIT TYPE BAMNSTY TIT�IPTIOA AAMNESTY I�PAARTMMEN�TOI�S FOR AMNESTY ARARTI t1'� CONTRACTORS: PROPERTY OWNER Department of 'ARCHITECTS: Regi latory, Serves TOTAL FEES: $80.00 ff- BOLD ;' �'� $.00 �tNE CONSTRUCTION. COSTS. $3,000.00 434 RESID ADD,✓ALT/CON'V PRIVATE 'f .�0_ y �� STABLE, 34 MASS. ( z639. BUI • ING DIV ION, BY DATE, ISSUED 09/23/2065, EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY-PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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 CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. o ® N i Lim e ® O h il BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 10 ,01� ' o - � 2 2 2 z6)6_� — 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH T OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS - TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDI NG PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION s + Map Parcel ® Application# o Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee s J �Y Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Cv fv Owner cSv141 �� ey Address �� ee(� �- Telephone S—®a L( Wo Permit Request �Pli O0k G�� 41(�4 Ce r, �z ( cc i�(it', A, cam ..fi �,,c1�®4,v �� �� ���� cod. s y r ai cam' ti-5 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay i Project.Valuati 6 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 35 Historic House: ❑Yes Wo On Old King's Highway: ❑Yes ,XNo Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) p Basement Unfinished Area(sq.ft) Number of Baths: Full:existing ` new Half:existing _ new Number of Bedrooms: existing new Total Room Count(not including baths):existing -1 new First Floor Room Count Feat Type and Fuel: WGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes Pf No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes kNo Detached garage:Xexisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATION p /Name !�1� - � ��d�G Telephone Number s�® ��1� y Sl�/� LI2,7— Address [ 0U � �• License# Home Improvement Contractor# ` 0 //�� �. Worker's Compensation# se.( � Gvl Al/ o��� <fov ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )yf "4 / k-7 aC C SIGNATURE DATE OU' FOR OFFICIAL USE ONLY ' t PERMIT NO. DATE ISSUED MAP/PARCEL NO. :t ADDRESS VILLAGE OWNER s ' DATE OF INSPECTION: FOUNDATION ' r FRAME o to a dm INSULATION _c q FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. -{ 1 ne L ommonweacrn of Ivlussacnusecc� Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 y Y� www.mass.gov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Blectricians/Plu�abea-s Applicant Information Please Print LeLribly Name (Business/Organization/Individual): �(A/'e �(/� Address: M � �� '"� � /C� C6 ryAe City/State/Zip: - Phone #: �� o(e Are you an employer? Check the-appropriate boa: Type of project(required): I.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2tI am a sole proprietor or partner- listed on the attached sheet 7. El Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g. ❑ Budding addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] a officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. w c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.❑ Other "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Comp any Name: Policy#or Self-ins.Lie. #: 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. 15.2 can lead to the imposition of criminal penalties of a fine up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to.$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify untepdre dins and penalties of per' at the information provided above is true and correct. Signature: Date: A,1 Phone#. �v 05— 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 Realth 2.Building Department 3.City/Town Clerk e.Electrical inspector 5.Plumbing inspector � 6. Other Contact Person: -- Phone °FSME Tqs, ` Town of Barnstable Regulatory Services WANST"M ' Thomas F.Geiler,Director y M"ss. g' 39. % Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME 1WROVEMENT 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 th other requirements. A G e Estimated Cost��� �yCfe�✓P1 Type of Work: Address of Work: C1� �/(/( ! Owner's Name: C �(S �� " ' ffe Date of Application: I hereby certify that: Registration is no=required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING TEEIR 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 ALTIES OF PERJURY I hereby apply for a permit as the agent of the er: /�v P,,6 �f Date ontractor Signature Registration No. QR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 Table JS.Zlb(cautioned) prescriptive Packages for One and Two-Family Residential Buildings Heated with-FbmU Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab HcatiaglCooling Am'CA) U.value= R-vatucr R-value' R value Wall Paimeta Equipment Emciercy' Package R-value° R-valuer 5701 to 6500 Heating Degree Days' 12% 1 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Nomral S 12% 0.30 38 13 19 10 6 Its-AFJE T 15% 036 38 13 25 NIA N/A Normal U I5% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA NIA 35AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 23 N/A NIA Normal Y 18% 0.42 38 19 23 NIA NIA Normal t 18% 0.42 38 13 19 1a 6 90 AFUE AA Is% 0.50 30 19 19 10 6 90AFUE . 1. ADDRESS OF PROPERTY: Pt ✓� - �. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a Town of Barnstable Regulatory Services wag Thomas F.Geller,Director ' Building Division. Torn Perry, Building Commissioner 200 Main Street ljymmis,MA b2601 www.town.b arnstabl a;m a.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign TWs SCction. -If Using ABuilder I32�&�Cjp�� ,as,Owner of the subject property hereby authorize v to act on my behalf, in all mitten relative to work authorized by this bu.Uding permit application for. (Address of Job) Signature of Owner Date Print Name ' Q:FOgt+2S:0y1NERPERMISSIQN Pi f Board ofBai{dinb Regulations and Standards HOPAE IM ENT NTRAcCTOR egist :145819 E�rp {gam 3 2/2 007 k : SWECK BUiL ., 9HANE 1808 FALMOUTH RQ< z CtNTERVILLE,MA:02637. . c =:` rs ;' tor 1� � I ✓fie �anvnporuuealCli � � ,¢OARD OF,BUILDING R€'CULATIVNS` w Lrce�nse COST�RU,= =IONcS1UP€RsURI� OR:� r' N;umbher 9r��� I z red �/E2 l ©8 rro 27792 ! `� Rest-��ed•-`Q r"t Si i 18©8 FAL" 'uTH'�R�q� �.� r�•. ' CiENTERVI�L'L-,. �A�Q263�2"' Co�nmis`�sronef�° � r PHILBROOK ENGINEERING & 107 BEACH STREET DENNIS, MA 08638 CONSTRUCTION 1-508-385- 682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS 2 August 2006 To: Mr. Shane Sweck - Builder Subject: Town of Barnstable Building Department - Cathedral Roof Review Reference: CONSTRUCTION PLANS prepared by Sweck Bldg. & Remodeling KELLEY Residence, 31 Keela Road, Cotuit, MA Dear Shane: The following information addresses construction of the new cathedral roof for the Bldg. Dept. review. It details work directed to install a bearing ridge beam and roof rafter upgrade. The following loads were used IAW Tbl. 3608.2.4f from the Massachusetts State Building Code, 6th ed. Using this table provides for a stiffer (L/360) roof frame: Roof Live Loads - 25 lb/sq ft (6/12 Pitch in Zone 1) Roof Dead Loads - 15 lb/sq ft (cathedral w/ 1/2" GWB) The following information highlights sizes and connection requirements for you and the Bldg. Dept. Please refer to attached SK-1: #1 Sister Rafters & Ridge Connections 2"x 10" #2 SPF @ 24" o/c. OK for Cathedral Spans w/o 21'x 611. Fasten 211x 6"/10" built-up to ridge w/ Simpson LUS210-2 hangers and provide a flush seat cut at outside 21'x 6" box ceiling joist #2 Main Ridge & Installation 5.25"x 16" 2.0E ParalLaom PSL beam. Install w/ Crown up and prop center until all the rafter assemblies and the collar ties are firmly installed #3 Collar Ties 21'x 6" #2 SPF @ 24" o/c. Adjust down for trey ceiling height #4 Uplift Connections @ Outside Walls Fasten 211x 611/10" to top plate w/ Simpson H4 clips @ 48" o/c. Provide a minimum of 3 ea 16d toe-nails at every connection �6�26 #5 Posts & Post/Ridge Connections 5.25"x 5.25" 1.8E PSL beam. Install in tight contact w/ the OF ridge beam. Fasten posts to ridge beam w/ pairs of Simpson kV M LCE4 Post Caps at each end Q�� T. VARNUM PHILBROOK #6 Solid Sp9ports and Bearing MECHANICAL Run posts continuous. Sit thru to girt/foundation sill plate No. 30690 or install built-up solid blocking. Provide a dedicated pier �0 , fSTE4�` support consisting of a 10"x 24" square concrete footer pad , ,.•' and a 16" square CMU pier w/ all cores solid grouted Respectfully submitted, T. VARNUM PHILBROOK, P.E. 2 Encls; Design Layout Sheet & Sheets SK-1 & SK-2 extracts ` ENGINEER ROOK FIELD REPO RTIWORKSH EET Project No: �06"26 �`)--'1D,07NSCMA EET She_eJ vN • ( of -soe3eseeez GENERAL DESCRIPTION SWECR Bldg. 6 Remodeling 508-726-3605 Narrative_ Cathedral Framed 1 Story RANCH Alteration Vaulted Ceiling Roof on Existing Walls Location: KELLEY, 31 Reela Road, Cotuit, MA Construction: 2"x 4" Platform Frame w/ Vaulted Roof, Sloped ------------- Ceilings, Ridge Beam 6 NO Tie Beams SPECIAL CONSIDERATIONS Use Group(s) : R-4 (1 Family Residence) ------------- Construction Type: 5B (unprotected) aaa ------------------ °O° Misc or Comments: o Site Inspection, Alteration Layout Checks ... ----------------- o Design Review - Ridge Beam, Rafter Upgrade, Gable 6 Post Supports w/ Connections ooa o Certificate 6 Plan Sheet w/ Notes moo DESIGN CONSIDERATIONS NNNo I V VVF I Soil Data: - Site Plan or Boring Log available: NO i ------ Preparer of plan or log:Q° - Direct Observation: Nearby POO-12 i from CC Atlas - Medium-Coarse Sandy Soil Description: USCS = SP (SM/SC) SBC Class = _-8-_ Specifics: Br(allow) = 2,500 lb/sq ft w%1010% allowable width increase Fire Data: Standard 1/2" GWB or 3/4" Wood Boarding Loads SBC Location #/sq ft Dur Note r ------------- -------- --------- --------- ------------------------ 1st Floor 40 1.0 Residential Partitions: 2x4/6 12 1.0 Bear/Non-Bear Snow - m = 6/12 25 1.15 Zone - I Wind - Ref Pres = 21 Zone - 3 worst +/- _ -.7 -15 1.33 EXP - C Loadings 1st Floor Roof ------------- -------- --------- --------- ------------------------ LIVE LOAD 40 25 DEAD LOADS 1 12 14 Misc 12"x 6" Rafters w/ 2"x 10" Sisters, FG 6 GWB or T&G DESIGN TOTAL 1 55 40 w/ round w/ 5% on DL NET UPLIFT = (DL&W SCI ) ( ) - .67( ) = lb/sq ft 1.1Z x (-1_5) - .67 R((15) _ -7.0 lb/sq ft Ridge Beam; 5.25"x 16" 2.OE ParalLam PSL, Fb= 2,900 PSI, E= 2.Ox10(6) PSI g �06 Z Wul = 261/2 x (25+15) + 15 Span = 2716" c-c Wul = 545 lb/lf. Mmax = 51,520 ft-lb Savail = 224.0 in(3) f(b)req = 2,760 PSI OR ZN Of DELmax = 1.38" DELact = 1.81" Therefore install w/ Crown up and prop center until all rafters p� y and the new 2"x 6" collar ties @ 24" o/c are in-place OR T• VARNUM p Z PHILBROOK -' cj. MECHA.NICA y' Wall Posts; 5.25"x 5.25" 1.8E PSL Posts. Leff = 14' @ outside wall Np,°30690 Pmax @ Post = 7,490 lbs @ interior and outside wall OR Provide Tie-Down Anchorage @ Post Tops = 261/2 x 14 x -7 = -1,275 lb uplif• N�4 Therefore provide Simpson H2.5 clips at all rafter/trimmer tails OR Provide Tie-Down Anchorage @ Plate Tops = 131/2 x 2 x -7 = -91 lb uplift Therefore provide minimum 3 16d toe-nails each tail and a Simpson H4 Hurricane Clip @ 48" o/c OR P82-FRW-7 F;za.-'3.;<rx C ?b1 l fl oa a t7 *3r6t?i..t n .Ot.'.,C *'. al,U'rYT'" a r:7 :'QG J IT': P':7C. _ i.'r:Tcj 7 Trmdc u 1- �i.F.}S. ;T-1 {: :3:` #•z.."='3 'T• 0 _I.M _ Cl.� xz �. tu]_T I !1K +'. �X Jrr l i G't T..� Tar •F I�'31 � r `2I z. �� rrt: tDe a��' `� to -' e- t� �? j P\ rd F 4 ra-Z ec�T TQ • _ - �s. s roJ - - - - - Q a - j5k. r c au ;Tvt T - 4--3 •4 _',. .at•'J. d'�` .�\I y.1Cf B, f U L : b f211,A2 3C 1 Cl out -g• Gf trz-13: ;y" r{7 ix.Ca izt s ;"mz.IX ec. T �a aa. i t3� 3 _ T¢ ux G r. i'OL.'Ur: ^fi) ' 3zi<Yj fA) is �S '7.�rG: i~� Z 57 r7. ?�.r' 3v =".t y;,c•�,,;.3 o -rd 1 .:J& -,;• r4r rd. rm' t ;r :cr. .-)1,exSae wrS.G 7Z •'' 1.;Z.�9.: � O ?7y::eJ j:J:j3S3':' :LT- ;rc '7C '. jva-)rT; C'-4Gr8 fIrI.:IT_S •'ei! t„.Ul !'.l �'y �-�i::/J �1. jL•�JC.;:iJ}f..iilli �c•'r"� r,.�.t7e.u: ;, �.=' 's s�'. 9'r;07..m rc it`''+ P. f>":n]'.:vc ac QT' 4t 3,q-1 Ty Lmrj,C.' G}'O:',P. 'V't2 jTj raw rp'4?: '},,T Lon ?hr: :Ff s?c £` SE';.oy j trt: S' S kC1; �, f j r,;4-. T-^ ° .. K.� t:i .. -tJ:4rl�S att�"•;y t- _. j.,{;� .r 1 / Ile lo GD d Philbrook Eng. &Const. 4_ _ �^ ✓t w 1II7 Beach'Street cam' {,a°� � � ¢ Dennis,MA,_02638 y L 1 � 11 � 6 OC SK PhilbP ook En 9. $Con st. � 107 Beach Street Dennis, MA 02638 E V DO r , rro (DOO wr .. TOWN OF BARNSTABLE BUILDING PERMIT A LICATION 0 12 Map Ly Parcel3 - Application# 0?00& Health Division Conservation Division Permit# F Tax Collector 11A Date Issued 7 �4 Treasurer Application Fee a Planning Dept. Permit Fee 2� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 31 Village b Owner a Sf( n 6 Address � t 1(ee,14, Telephone �v / ® r / .17 Permit Reques �,c� � q / Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District it Flood Plain Groundwater Overlay Project Valuatio 2 0 6 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family -.21f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ,kNo Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) # Number of Baths: Full:existing 0 new Half:existing I new Number of Bedrooms: existing new s Total Room Count(not including baths):existing J new First Floor Roon Count Heat Type and Fuel: %Gas ❑Oil ❑Electric ❑Other r �xa Central Air: ❑Yes ONo Fireplaces: Existing New Existing wood/co II stove: dU Yesr_1_A No Detached garage: ❑new size Pool:❑existin ❑new size Barn:❑existin ❑new size 9 9 g 9 9 Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use ,('` BUILDER INFORMATION �i, �� � d �� Name S a, v C& Telephone Number �/ Address/.ro Fr_ 6' 0 6A X License# C-S d g l�l q �2�► �c/ls� l07 ✓1GI 3 �- Home Improvement Contractor# `fit) 0 1 9 Worker's Compensation# stile i ALL C gOSTRUCTION DEBRIS RE ULTING FROM THIS PROJECT WILL BE TAKEN TO 0 L,./-/-)-I( _141r1i In zl�_/ P SIGNATURE DATE FOR QFFICIA�L USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 1 OWNER DATE OF INSPECTION: Y FOUNDATIOg,N FRAME .w INSULATION p t IVS,old -712b�&/LMcic_- ; FIREPLACE f` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT- ASSOCIATION PLAN NO:- ` I1 'Department oflndusMd Accidents Office of Investigations 600 WaMiingion Street Boston, MA 01111 Nl v -massgovldia' Workers' Compensation Insurance Affidavit: Builders/Contractors/Elecfricians/?Iumbers Applicant Information Please Print Legibiy Nagle pusiaess/Oro T117ation/.k&Yidnq V an-ap-- a 1 Sw k Address: Ire 0x Ad city/state/zip: .0*Alvv,-& Aka, 0D G -,&One#: •(?1 -.7 3 i1 0 Are you an employer? Check the•appropriate box: Type of project'(regairee_d): 1,❑ I ani a employer with 4. ❑ I am a general contrmctor and I employees (fall and/or part time)* hayob red the sub-contractors d' El New construction 20 I sin a sole ptoprieto;or partner- listed on 8re attached sheet t 7. ❑ Remodeling ship and have no employees , These sub-contractors have 8; ❑ Demolition •- working for me in my capacity. workers' comp.msarance, 9. ❑ Building addition [No workers' Comp.insurance' S, El We are a corporation and its requiraL] officers have exercised their 10.11 Mectricalrepaas or additions 3.[� �I am a homeowner doing all work right of exemption per MGL 11.❑Pb=biag repairs or additions myself.[No workers' comp. e. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t ; employees.[No workers' 13,❑ Olen CrMV.msuraacc required.] *Any applicant that checlra box#1 mast also SU out the section below showing their wvrictal onvensatioa polieyisformation: t Homeowners who submit this a$davit indicating they no doing an work andihen hire outside aeatreatora IItast subatit anew aEfidavrt iadicctnag such tContrncta,.that¢heck TEds box mast attncbad an additional sheet shouting The name dthe sub•ceatractors end lbeir workae camp,policy teoraz4aa. I one an employer that is providing workers'compensation insurance for.my employees. Below is thepo7icy andjob site information. Ins rEco CompanyName: •policy;or .Lie.� P �a�: ' lob Site Address' City/StatePLip`: Attach a copy of the workers' compensation policy declara33on page(showing the policy number and expiration date). F2�we to secure•coyerage as reqi:ired Wade=Section 25A of MGL c. 152 tz lead to flee imposition of criminal penalties cf a fine up to$1,500.00 and/or one-year iaigriso=m4 as well w civil penalties in the.foren oi'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 invesliptians of the DIA for insurance coverage verification. I do hereby cent= u th p enaltie rjuay=taxi the information provided and a f9 a corre ain nct, Si tl>ra: Date: phone#: �' iot a,a56 . Be t M,Ift Ma,-to btcmwetel 4,ok.er .ofjlwi i City or Town: PermhMiceme# I,osuingg Authority(circle one); 1.Bozrd of Heslth 2 Building Department 3.City/Town Cleric E.Electrical inspector 5.Plumbing Iuspe-etor 6. Other Coact Person: Phone#: F!THE 1p Town of Barnstable Regulatory Services * BARNSTABLE, y MASS. Thomas F.Geiler,Director 039. ♦0 ATFD1.�s Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,aloVolt1herrequirements. Type of Work: PAA4 /&�4)� Estimated Cost Address of Work: Owner's Name: �!�/. f j✓! �e �Cl Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 E]Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER ENALTIES OF PERJURY I here y apply for a permit as the agent of th er: L9 Da e Contractor Signature Registration No. At ))�° Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 Town of Barnstable :Regulatory Services _ Thomas F.Geiler,Director ' E ar��,�� Building Division.' Tort Perry, Building Commissioner 200 Maier Street, 1jya=is,MA b2601 www.town.b arnstabl e.ma.us ce: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. •If Using A Builder Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. {Address of Job) v t, lam- � �� �� '�b • Signature of Owner Date Print Na= Q:F0RMS:0wNERP.MUVMs10N I So I-IcenseOF BUI� Nu ONSTRUC DI ryG REGU[ gl tuber . S C.10N SUP4 4- ',i O x 1dte 14g 1 r E prr 2971g�3 i _ SHANE PrRP�stri k720ps T 1868 F,qt. SWECK t �09 r no: 8414g CENTERVMOUTH'RD '�' r 1 �e:Tr�amnzo�zurea�,��` aJ� 777777 Board of BmidinOc-61ations and Standards HOME 1MP,RO.VEMENT CONTIUCTOR RegiY strattien-,•145819 . xIralsoB 24. ��2007 SWECKBUItDI�Q'C, 'MEMOI S'}1Ah�E �vdEC`C\ 1808 FALMOUTH RDA el - CENTERVIELE;MA 0263 r u Admitiistrator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 2 rb,-7 Health Division -I`7 cz� ebl j' `' �' 'F' `"'r j�' Date Issued 9 17-3/05 _ Conservation Division "5 A1 1 C, t 6 ,, ��' EXISTING SEPTIC SYSTEM ��,«� #fib,u Tax Collector U�� � .�/ LIMITED TO_.� #OF,BEDROOMS ._ Treasurer Vfi>l - Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By CO J'T Historic-OKH Preservation/Hyannis A, Project Street Address Village Owner Address �- Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 0" Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) , Age of Existing Structure v 5 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes SrNo Basement Type: ❑Full ❑Crawl ❑Walkout Other C6L-- 9,4ges o•Qr_- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing C new Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ) -Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes VNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes l Oo Detached garage:❑existing ❑new size Pool: Cl 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 Uso Proposed Use BUILDER INFORMATION 6� Name a c n Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR C� DATE ��` �� r • FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION S®ft C ®< /6 /�p—0 FRAME INSULATION 0 r.i FIREPLACE ., ELECTRICAL: c ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDINGi L2 Nips . . 4 DATE CLOSED OUT ASSOCIATION PLAN NO. r r Bk 19959 P019 —2-42t381 REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this �� day of )�„�_. ,2005,by and between Christina Kelley of 31 Keela Road,Cotuit,MA 02635 and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the "Municipality'),a political subdivision of the Commonwealth; W-MREAS 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 will be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN. A. The terms.of this Agreement and Covenant regulate the property located at 31 Keela Road,Cotuit, MA 02635 as further described in deed recorded herewith as Barnstable.County Registry of Deeds Book 09170,Page 0094. B. The Project.located at 31 Keela Road, Cotuit,MA 02635 will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2005-043 and any plans submitted therewith and all applicable state,federal and municipal laws and regal tions. Said e t is recorded herewith as Barnstable County Registry of Deeds Book t q 9 6'1 Page D. The Owner agrees to occupy the principal dwelling unit located on the property as,their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 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-Yarmouth 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 perpetuityto a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable-Yarmouth 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- - uy .�. .�..,.. 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 r not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a 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 perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable-Yarmouth 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. IV. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth 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-Yarmouth NSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. V. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to A _ � �,-s• �. � -- _ oe recoraea�1L�1 rn�i�g 1 cee'3a' iuY"t� lc" �.:�iuu� -,` �i.vj ..���- 'c '�'�. ....Y.��• _ .�:::: registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land ,court(collectively hereinafter the "Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediatelytransmit to the 2 Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. VI GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VHL NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a parry may from time to time designate by written notice. IX. 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,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. X. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties, and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe.affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other pemianent restriction held by a governmental body as that term is used in MGL Ga. 184, Section 26 which shall run with the land .described in deed recorded herewith as Barnstable County Registry of Deeds Book 09170, Page 0094 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 County Registry of Deeds Book 09170,Page 0094. XI: TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms.and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms . entered into between the Owner and Tenant occupying said unit and 2) notification bythe Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date saad�aoxice the a..rnsMWE -9f D� Paa=tabl linty _ S $ � � �� —T 2S P e,thl�.s render n_g s� inipre e-nsiVe�ermlt vo3L1. pOP_the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use per-nutted under zoning and the restrictive covenant shall be rendered void. 3 1 XII. SUCCESSORS AND ASSIGNS: A The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merelypersonal covenants of the Owner,and(iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XUL 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 a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien 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. XIV. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this 97day of �u�'— ,2005: _. OWNER BY: �� cSSCl�— si. Printed: Christina Kelley COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this d f 205before me,the undersigned notary public,personally appeared the Owners) ,proved to me through satisfactory evidence of identification,which we d46=2 ,to be the person(s) whose narne(s) is signed on the preceding or attar-bed document and acknowledged to be that he/she signed it volun or the stated purposes. ,� ' Notary Pu lic Printed: G/� � /, My Commission Expires: / 4 &. EL ZABETH ANN DILLEN Notary Public Comro malth.oWassachuset{s My Commission Expires October 27,2011 r TOWN STABLE BY: 7f: 1 Signature Printed: MANAGER COMMONWEALTrl OF MASSA=SETTS County of Barnstable,ss: On this day of �a tAm 20a5before me,the undersigned notary public,personally appeared hn C.k rn rn ,the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were ��7 1 F �����t?-/jp ,to be the person whose name is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. 6Notary Publii Printed:, ,Mee o ECu Odd My Commission Expires: 3 T OFFICIAL SEAL SHIRLEE MAY OAKLEY NOTARY PUBUC COMMONWEALTH OF WSSACHUSETTS My Comm Expires 3=2008 5 Uwe .. � ';N�Ei ;4 `,; ram,r r•• :e`,'/ e►xrisr�e>E. 'et- Y FE.i: E' t i t Fv L L i ea►es. .al�q �sg ty►uy► Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2005-043 —Kelley Decision- Chapter 40B Comprehensive Permit Applicant: Christina Kelley Property Address: 31 Keela Road, Cotuit MA Assessor's Map/Parcel: Map 018,Parcel 063 Zoning: Residential F Zoning District Applicants: The applicant is Christina Kelley,who resides at 31 Keela Road, Cotuit MA. Christina Kelley was granted title to the property by deed recorded in the Barnstable Registry of Deeds on April 29, 1994 as recorded in Book 09170,Page 0094. Relief Requested: The applicant has applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the town of Barnstable,more commonly termed the"Accessory Affordable Housing Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9-14 of the Code—Amnesty Program to permit an accessory apartment unit to a single-family owner-occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment unit over the detached garage. Locus and Background: The property at issue is a 0.62-acre lot located at 31 Keela Road in Cotuit. The lot was developed in 1952 with a single-family ranch style home. The effective living area of the main residence is 1,243 square feet. The accessory apartment is a studio unit located above the detached garage. The square footage of the rental area is approximately 553 square feet. The lot is served by public water and on-site septic, and is located within an Aquifer Protection Overlay District. On March 15,2005, the town of Barnstable's Public Health Division reviewed the septic and approved the property for a total of three(3)bedrooms. Procedural Summary: �'�".�'T..�•_-,..,. ' -'-;�.'�.:��'.�''. 8'` ,..�,...,+r.�:.=�� <�. ..� �.—�,g'""e�`=�' :.�- •-.�.r_:Y.,`-.mow-r-. ,s+ Development on April 4,2005, in accordance with MGL Chapter 40B and 760 CMR. Elizabeth Dillen, Program Coordinator, sent notice of the site approval letter to the Department of Housing and.Community Development in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals on April 4, 2005. r A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on April 8, 2005 and April 15, 2005, and notices were sent to all abutters in accordance with MGL Chapter 40B. On April 27,2005 Hearing Officer Gail Nightingale presided over the public hearing. The applicant, Christina Kelley, was present at the hearing. Elizabeth Dillen, Program Coordinator of the Office of Community and Economic Development was also present. Ms.Nightingale reviewed the file with the applicant to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on April 27,2005 the Hearing Officer made the following findings of fact: 1. The applicant is Christina Kelley who resides at 31 Keela Road, Cotuit MA. She is requesting a Comprehensive Permit to convert an existing studio apartment above the detached garage into an. affordable rental unit. The conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the"Accessory Affordable Housing Program." 2. Christina Kelley was granted title to the property by deed recorded in the Barnstable Registry of Deeds on April 29,1994 as recorded in Book 09170, Page 94. 3. A site approval letter was issued for the property by Kevin Shea, Director of the Office.of Community & Economic Development,on April 4,2005,in accordance with MGL Chapter 40B and 760 CMR. On that same day Elizabeth Dillen,Program Coordinator, sent notice of the site approval letter to the Department of Housing and Community Development in accordance with the requirements of CMR 760 and no issues were communicated from the Department of Housing and Community Development on this particular application. 4. The proposed accessory affordable unit is approximately 553 square feet, and is located above the detached garage. 5. 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. 6. The house is served by public water and private on-site septic and is in an identified Aquifer Protection Overlay District. The proposal has been reviewed by Thomas McKean, Health Director, and he has approved the use of the existing on-site septic system for a total number of three (3)bedrooms. 7. On March 3, 2005 the applicant signed an Accessory Affordable Housing Program Agreement Affidavit that commits,upon the receipt of a Comprehensive Permit,to the recording at the Barnstable Registry of Deeds, a Regulatory Agreement and Declaration of Restrictive Covenants. That document includes restricting the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as her year-round residence. I "¢.`i�"_',- as v t.t, . ......... ........ .,.... ..., a..,. _ s��_a_•. �.^�-�•xk-- ="fie - _--a—.=...r.,.-.-.-_-J�����x�..�=�. ._, _--.- 80%or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area (MSA) and further agrees that rent(including utilities) shall not exceed 30% of the monthly household income of a household earning 8.0% 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. 2 9. According to the Massachusetts Department of Housing and Community Development, as of April 27, 2005, 6.2% 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. Finding Summary: Based upon the findings,the Hearing Officer ruled that the applicant has standing to apply for an affordable housing Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is also 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: Based upon the findings,a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B to the applicant, Christina Kelley. It is issued to allow for the creation of a studio affordable housing unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed one person. 2. The property owner shall occupy the principal dwelling as her year-round residence. 3. This unit shall not be occupied by a family member of the owners. 4. The.total number of bedrooms on the property shall not exceed three(3), and the applicant shall comply with all Board of Health requirements as they apply to this property, including sections 353-4 and 353-5 of the Code of the Town of Barnstable. 5. All parking for the accessory apartment and the main dwelling shall be on-site. 6. To meet the requirements of affordability,the cost of housing(including utilities)shall not exceed 30% of 80%of the median income for a single individual for the Barnstable-Yarmouth 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. 8. The applicant must apply for a building permit for the accessory unit,whether the unit is new or pre- existing. Before securing an occupancy permit and certificate of compliance, the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. ssz-^.^.a�s--�cx^-..-ram ...,�.-.--�..g,.,....-�-a�• r-w...,F � -..r ,.. ,_. .F`_�" .�-ia-`"c-fig��-'-x�'^`' r z..- 9. The Office of Community and Economic Development shall serve as the monitoring agent for the accessory apartment. 10. The applicant may select her own tenant provided the tenant meets the requirements of the program as cited above and provided that person's income is reviewed and approved by the Office of Community 3 Ordered: Comprehensive Permit 2005-04.3 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 Part II,Section 4.02 and Part III, Section 3.72. If after fourteen(14) days from that transmittal 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.. 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 office of the Town Clerk. The applicant has-the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Part II, Section 4.02 and Part III, Section 3.72 of the Town of Barnstable Administrative Code, the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on April 27,2005. Fourteen(14) days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. f Gai ightingale, Baring Officer Date Signed I Linda Hutcheprider, 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 /iin the office of the Town Clerk. Signed and sealed this-,3- `' day of, under the pains and penalties of perjury_ 7C/r�—z Linda Hutchenrider,Town Clerk 5 r 7 • 0 (V . 2 SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING DEPT, DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING L/� I 2- 1 s 22�c` 2 oFtra,, Town of Barnstable BAMSrABLE.,* Regulatory Services v� 69• .0�p f Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 19, 2005 Christina Kelley 31 Keela Road Cotuit, MA 02601 Re: Proposed Accessory Affordable Apartment 31 Keela Road, Cotuit Dear Ms. Kelley: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment to be created at the above-referenced address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant 1040616a s f IKE tom, The Town of Barnstable BAMSTABM • ,. Office of Community and Economic Development 230 South Street Hyannis,MA 02601 Kevin Shea Office: 508-862-4678 Director Fax: 508-8624782 March 3, 2005 Mr.John C.Klimm,Town Manager GaryR.Brown,Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Jim Albrecht- 369 Mitchell's Way,Hyannis - a single-family accessory unit Christina Kelley-61:Keela Road;Cotuit- a single-family accessory unit Gentlemen: This letter is to inform you that the Accessory Affordable Housing (Amnesty) Program has received requests for project eligibility letters under the Community Development Block Grant (CDBG) Fund and under the General Ordinances of the Town of Barnstable,Article LXV- Pre-existing& Unpermitted Dwellings and the Criteria for the Local Chapter 40B Program The Program Coordinator is reviewing the requests. If the Town has any comments on the projects, please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the sites and the consistency of this development within the guidelines of CDBG. Sinc rely Kevin Shea,Director Community&Economic Development cc: Town Attorney's Office Building Department Public Health Department Engineering Dept.(3rd floor) Map Parcel Permit# C 0 House# to Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)_ 7`Z ee `/,.cam 0 wer 7- gem _3 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) l wo qpC� (� sla ert oo��Play ld B W g) ,°` 'O�w g Board 19 BARNSTABLE, - f MAM- t619- 6 �PS TOWN OF BARNSTABLE Building Permit Application Address :3 � Village Z- fib Owner �/ ��i=���/ Address Telephone ��j/� 4j j- D 1�1571/u� Permit Request L)f li ai- �1C/INT�fcr/S ,, ®t— /��z-- tcyl4' Sf First Floor (o j square feet Second Floor hry�) square feet Construction Type j b Estimated Project Cost $ &�00e') Zoning District Flood Plain Water Protection Lot Size Z±=tK� Grandfathered ❑Yes ❑No Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full aCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing r New TAal Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas N Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name t'l Telephone Number Address F© �©X /l2 �951 I4w,{ / �1 License# c-9 c Home Improvement Contractor# 1103 b L Worker's Compensation# ® L So NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL,AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO G ll�v PiG� SIGNATURE DATE //j�l- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERUIT NO. DATE ISSUED r l "M- !` ` MAP/PARCEL Nd ;' ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME, y INSULATION FIREPLACE ELECTRICAL:'-' ROUGH FINAL j PLUMBING:'- ROUGH FINAL ! GAS: ROUGH FINAL ' FINAL BUILDING �(� 7-/ Z ; DATE CLOSED OUT ASSOCIATION PLAN NO. s �;`--"- 7'he Commonwealth ofMarsa 144Setls Fho Department Of IM ustrialAcdAw& 600 Washington Street ... Saw-ft.Mass. 02111 worker$'CotRpetoatt)iort rnstMucv Affidavit inn• it 1 1 am a homeowner ptafortttiao all work,Uyself i am a sole Q Q;*tor and have no one working to any catptteiry I M an employer providing workers'coinpenyation for toy cmpiovM working on this job. � �;,�[ .,L�. �e-�r;"��'. -"'r•,�/��-,�—.zit—.,-,.—._ ,• • • city: 71. .,.� r _ D7 a?✓ [� I Z a sole proprietor,general contractor,or tiottseowaer(Cb+c1e one and have himli the convamn listed below who have tba f011owins workers'ootnpensatiotr pollees: iuyraare ca joijuran !pt„�tttanv narnr: . t•'aiittre to secure coverat t as rupired voider$when 25A o( t.t5s eaa latl to the im tioa ateenpipu lleauiges otv loit up to tt,61i0A0 aadfm Oft years'impHtotubent us wtif as grit penalties is the form era Sr'op WORK tyIDMI and a life Sf Uq A8 s day iSSIUM qte. 1 esder=tpgd that s eetry of this statement may be tarwarrled ie the Ufiee oruveloptlmy of lbev"ro►eoreren`t rerifleaelon. I do kathy eerttJy� - and snaMes of cry that the h1forwoffm ppp"d above is ears Rod Signature Datc Print nWnc—aETkL cne d amin71t not wnes is this area to be eompictot by,c"or caws an[" oty dw partoiiUtleease A n 131-iwMinx Board ftildift Q ebaespaaae is reglNeeri (3-ft seWs OMM e pgene o. DHesltih t3epatiatsft mpnmff of Mut SUM connucTiol 5QPilmoB LICBISB lua6er•• Bxpirea: BirtDdate: . cS A65638 87/15/1999 81/151196f �" 8eatricted lot iG IBM D fm ti COlQIl, BA 01635 NONE IMPROVEMENT CONTRACTOR." Registration 120362 r Type - INDIVIDUAL Expiration 11130/97 ,PETER FIELD � :PETER 0 FIELD '. ADMMSYPAMR 857 MAR ST Pd_BOx i'6l COTUIT MA 0263,E I o WE The Town of Barnstable • a�sHsr�►sr.E. • 9� °6;¢ � Department of Health Safety and Environmental Services 'OrEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost /D 1—ZT2) Address of Work: ex Owner's Name Date of Permit Application: / — I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of t e er> Date Contractor Name Registration No. OR Date Owner's Name UP 0 ® BATH 0 LIVING AREA r------------------- I I UPI I tt I I I I I � I I I I I I I I I I I I • I I I I I I I � I I I I I I I I I I I � I I I I I I I I I I I � I � I I I I I I I i I L------------------- r-------------------I I I I I I I I I � I I I I I I I I 1 1 I I F I I I I I I I I I I I � I I � I I I I I I I I � I I I I I I � I I I I 1 I I I I I I I I L------------------- LIVING AREA f2 615 sq ft �`2� The Town of Barnstable o� BARNSTABLE. Department of Health Safety and Environmental Services MASS. i63q. �0� �Eo►„�° Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location 71 t2 'a 01 Permit Number 6 3 Owner Builder y One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Q {{^^ Please call: 508-790-6227 for re-inspection. Inspected by e? _ Date Z �T Snrs srnicr 44. �t e To G1/9tcs Cicv�JF 2XA ero'/s 3& k tJi+cc -- %zxC7>r�3�/�r4Ys C 5^ Zxio i3�nn cAs ,3dS�a � � J Z_)(/ G" 4.a.co�z- 2-0"Ccofa+t. 7�Ud 9e,4S�/`h4+1s'PCS 'tiiC.� v ` 4 Q 5�X`f Lb//—a /o /�.rnd /L L�irn cir�cc � I /Z'� $cy7o'7'•�r V V . 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