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HomeMy WebLinkAbout0179 BRISTOL AVENUE - Amnesty Ave. i Mckechnie, Robert From: Mckechnie, Robert Sent: Tuesday, May 22, 201810:05 AM To: Cadrin,Arden Cc: Florence, Brian Subject: RE: 179 Bristol ave hyannis Yes,this is interesting. She called our department and Brian was not available (schedule mix up) and so Debi called out to the inspectors to get someone out to inspect. I responded to Debi's request, Debi reached out to the property owner to alert her of my arrival,and I performed the site inspection.The property owner walked thru the house with myself and her contractor and later with Lt. Rex. Incidentally,there are 14 pictures in view permit attached to that property that prove I was there on that date and at that time. Thanks, Bob Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 From: Cadrin, Arden Sent: Tuesday, May 22, 2018 9:20 AM To: Mckechnie, Robert Subject: RE: 179 Bristol ave hyannis Now I am as confused as you are. The homeowner told me that she had scheduled a meeting with her contractors;the contractors were present,waiting to meet with the Building Inspector in order to be clear on the work needed to be done however, no one from the building department showed up; she called the building department and was told there was a mix up in scheduling and that was why no one from the building department arrived. Arden Arden Russell Cadrin Housing Coordinator Planning and Development Department �w Town of Barnstable 1367 Main Street I Hyannis,Ma 02601 arden.cadrin@town.barnstable.ma.us p 508 862 4683 1 Website I Business Barnstable I HyArts I Barnstable Worum From: Mckechnie, Robert Sent: Tuesday, May 22, 2018 8:31 AM 1 To: Cadrin, Arden Subject: RE: 179 Bristol ave hyannis Hi, Perhaps the homeowner is forgetful. I could not have formatted this report without a site visit with the property owner, the heating contactor and the contractor present. I also requested Lt. Rex of the Hyannis Fire Department to meet me while I was there. I am puzzled by your inquiry. Thank you, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 I From: Cadrin, Arden Sent: Monday, May 21, 2018 2:26 PM To: Mckechnie, Robert Subject: FW: 179 Bristol ave hyannis HI, The homeowner is telling me you never inspected this unit—this aap unit at 179 Bristol Ave. How did you develop this report? Arden Arden Russell Cadrin Housing Coordinator Planning and Development Department 'Of, Town of Barnstable 1367 Main Street I Hyannis,Ma 02601 arden.cadrin@town.barnstable.ma.us p 508 862 4683 1 Website I Business Barnstable HvArts I Barnstable iForum Oil From: Cadrin, Arden Sent: Thursday, April 26, 2018 12:38 PM To: Mckechnie, Robert Subject: RE: 179 Bristol ave hyannis Thanks. Has this been provided to the Homeowner? Arden Arden Russell Cadrin 2 Housing Coordinator Planning and Development Department aYx� Town of Barnstable 1367 Main Street[Hyannis,Ma 02601 arden.cadrin@town.barnstable.ma.us p 508 862 4683 1 Website I Business Barnstable I HYArts I Barnstable iForum v From: Mckechnie, Robert Sent: Thursday, April 26, 2018 8:18 AM To: Cadrin, Arden Subject: RE: 179 Bristol ave hyannis Good Morning, The report is attached. Bob Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 From: Cadrin, Arden Sent: Wednesday, April 25, 2018 4:34 PM To: Mckechnie, Robert Subject: RE: 179 Bristol ave hyannis Thanks Bob Arden Russell Cadrin Housing Coordinator �» Planning and Development Department Town of Barnstable 1 367 Main Street I Hyannis,Ma 02601 arden.cadrin@town.barnstable.ma.us p 508 862 4683 1 Website I Business Barnstable I HyArts( Barnstable iForum From: Mckechnie, Robert Sent: Wednesday, April 25, 2018 4:34 PM To: Cadrin, Arden Subject: RE: 179 Bristol ave hyannis Hi, I will forward it tomorrow morning. 3 f Bob Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 From: Cadrin, Arden Sent: Wednesday, April 25, 2018 11:30 AM To: Mckechnie, Robert Subject: 179 Bristol ave hyannis Hi, I am following up on your inspection of the accessory affordable apartment at 179 Bristol Ave. The owner is attempting to get direction from the Building Dept on the health and safety code requirements so that she can pull a building permit and complete the work so that the unit can be occupied. Can you please provide me with a copy of your report regarding this property. Thanks, Arden Arden Russell Cadrin Housing Coordinator ,� f�" Planning and Development Department f2vTown of Barnstable 1367 Main Street I Hyannis,Ma 02601 �? arden.cadrin@town.barnstable.ma.us p 508 862 4683 1 website I Business Barnstable I HyArts 1 Barnstable iForum 4 . _� _.1.b :._. .,, �. I r r L% w" lrl '� P n- � �A.r: ' u:, :1: ,P �' ,, �� << ;;��� �.h� �.,� <,;' Vv',j�� �7l.� 7 fl 5��i`�'i 1 » 4 �1{ �'� .�: `�. ,r:� {� i 0 ,�', �; i d �� �� I _ � — — ZO :01 I'lu 319vis a J0 Nmoi �� �� ef Town of Barnstable J �1HE Building Department Services Brian Florence, CBO Building CommissionerNSTA BARNSTABI,E +' BA MASSSLF., # M—TM 9PPn.Q`JR Y-4 "� 200 Main Street> Hyannis> MA 02601M .�,n..,�tinF��aLL s639 1639-2014 '°tEorA www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 AAAP Report To: Arden Russell Cadrin, Housing Coordinator From: Brian Florence, Building Commissioner Date: 4/4/2018 Re: 179 Bristol Avenue, Hyannis Building Official: Bob McKechnie, Local Inspector Inspection Date: 4/3/2018 Bedrooms(Unit): 1 Minimum Size: Pass Emergency Egress Windows: Fail Window Height: Fail Number of Egress Doors: Pass Conditionally-See Below Smoke/CO/Heat Detectors: Fail Tenant Separation: Fail Egress Component(s): Doors Pass Conditionally-See Below Stairs/Deck/Landing/Balcony: Pass Guard Rails/Hand Rails: Fail Egress Path to Area of Refuge:Choose Pass/Fail. Notes and Other Compliance Requirements: 1)Oil burner in bedroom and clearances not met. 2.)Handrail needed front and rear steps. 3.) No tenant separation front entry. 4.)Rear exit door swings in over steps. 5.)Door into garage not fire rated. 6.)Smoke upgrade required for whole house. 7.)Bedroom egress window less than 20"x 24"clear opening and >44"off floor. 8.)Fire separation not complete in garage. 9.) No permits pending or issued for this project. ........ 1 Page t The building components listed above do not represent the totality of 780 CMR,the Massachusetts State building codes requirements. Other Code related matters may be listed as Notes and Other Compliance Requirements(above)and may be included on a separate page where needed by the code official. ...................._.... ......... .......................................................................... ............. . . ......_ .......... 2 Page f rfl3l�)-7 BARI45TAPLE l-AND CI]UR`T REGISTRY Town of Barnstable BARi+iSTA9LE 10'ti'�isCLER�;. Zoning Board of Appeals01? IUS 29 Pm'12 Comprehensive Permit:Declsion and Notice Accessory AMordable Apartment Program Comprehensive Permit Na:z07 023»Howard Summary: Approved with-Condl#ions Applicant: P,atrlcia A.Howard property Andress: 179 Bristol Avenue,Hyannis;MA Map/Parcei 291/107 Zoning: RB—Residence B.Zoning District, Summary: Allow a one-bedroom studioaccessory affordable apartment located within the principal- dwelling pursuant to the Code of the Town of Barnstable,Chapter 9,Article Il Deed Reference: Certificate No.93140 ` 'Applicant/SiteControl The Applicant is Patricia Howard,owner and.occupant of property addressed 179 Bristol Avenue,Hyannis,Ma The Applicant has been the owner the property since 1983,asevidenced by a deed recorded at the: Barnstable County Registry of Deeds on August 23,1983 Certificate No.014t}. A signed Affidavit dated June 1,2016, declares,that 179 Bristol Avenue Is the primary residence of Patricia:Howard C.ocus: The subject property is a 28 acre lot created by a 1961 Plan No.14034E recorded at the Barnstabie County "`Registry of Deeds as Book 132 Page 26 with Certification of Title No.17926. The lot fronts onto Bristol Avenue., The property is improved with a 2,990 gross square foot three-bedroom single family dwelling(1,423 living area) constructed in 1981. The property also contains an accessory above-ground-swimming pool acid a detached accessory building. It Is served by public water and anon-site septic system Background Ms.Howard seeks to convert 600 square feet of;a'rea in her basement of the existing dwelling,to a one bedroom Accessory Affordable Apartment by a Comprehensive Permit pursuant to Chapter,408 of the General Laws ofthe .Commonwealth of Massachusetts,and in accordance with'§9-15 of the Code of"the Town of Barnstable,"more common_ lly termed the"Accessory Affordable Apartment Program"'., 'Procedural&Hearing Summary June,1,2016;Patricia Howard submitted an application for a SlteApproval Letter as prescribed in the Code of Massach0setts.Regulatlons'760 Section 56.00 and provided for within the Accessory Affordable Apartment Program of the Taws of Barnstable. The application was submitted as'a local initiated Chapter 40B. Notification btth6 application was submitted to the Department of housing and Community Development.. A Site Approval Letter was issued to the Applicant far the subject property by Town Manager,Mark Ells on September 23,,2016 Notice of the Site Approval Letter was sent to,the Department of Housing and Community.Development In 1 ttotdante with the requirements of CMR 760 56 00; An applicatlon for a Comprehensive Perm t;was filed at the Town Clerk's Office on April 3,2017, A public hearing 'before,the zoning Board ofAppeals-Hearing afhcer was duly advertised in the Barnstable Patriot'on Apr117,'2017 and April 14,2017 and notices were sentto all.abutters.in accordance with Section 11 of MGLChapter 40A, .- i Town of Barnstable Zoning Board of Appeals., Oecislon&Notice.—Comprehensive Permit No..2017-023-�Howard Findings of Fact At the hearing on June 14;2017,'the Hearing Officer made the following findings of fact. Concerning standing,the right of the applicant to`seek a comprehensive:permit,the.Hearing Officer found:' 10 The Applicant,Patricia H.oward,'t the owner and occupant of°the property iocated at 179 Bristol,Avenue; Hyannis,MA,as.evidenced by a;deed recorded at the:Barnstable County Registry of Deeds;on August-23,;�,983' Certificate No..93140. A signed Affidavit dated June 1,2016 declares that 179 Bristol Avenue,Hyannis is the primary residence of Patricia Howard. 2 The application for a comprehensive permit was made in.accorda"nce".with the Town of Barnstable`s,Accessory Affordable Apartment Program,"Chapter 9 Article II of theCode of the Town;of Barnstable:. That:program`'is ;:structured as a self-regulating income4imiting local Initiated housing program,a qualifed#unding;program accepted under the.Code of Massachusetts Regulations 76.0 Section 560.that governs grant of` comprehensive permits. 3. In accordance with MGL Chapter 408 and 760.CMR 56:04(4) aSite Approval Letter was issued"to the Applicant for the-subject property by Towh Manager; Mar k"Ells"ori.September 23,2016. Notice"of the.site Approval-Letter was sent to the Department of Housingand Community Development,in accordance"with the requirements of 760 CMR 56.04(2),and no issues were communicated from the Departmentonthis application. :Regarding consistency with local needs,the Hearing,Officer found: 4 The Applicant is proposi n:g to convert,600 square feet of areaan the basement to a.one,bedroom accessory . apartment within the pdricipa[dwellin& To permit the apartment'as an accessory affordabie unit;under Chapter 9 Article if of theCode would represent no perceivable change in the neighborhood. E 5. The Building:Commissioner performed an Initial review of the property And:determined that an.accessory apartment unit can be created•ln conformance with applicable state building codes. Prior to occupancy,"a building permit shall•be required and.hardwired smoke 4etectors,and carbon;monoxide detectors shall be.", upgraded/installed and the unit shall meet ali requirements of the Building Code, 6 The property Is-served by anon-site septic sy stem.adequate to accommodate the addition of a one-bedroom unit on the property; 7 The Applicant has been Informed that building and occupancy permits,shall be.obtained prior to occupancy of the accessary apartment. This step is,required to assure final approval that the'.apartment unit conforms fully. to`,pt"applicable building,fire;and health codes and this decision: 8 can The Applit.has been Informed that upon certificatlQn ofthis Comprehensive Permit by the Town Clerk,a Regulatory.Agreement and Declaration of Restrictive Covenants,restricting the accessory apartMent unit in perpetuity as an affordable rental unit.shail•be executed. Thereafterboth the Comprehensive Permlt.and the, Agreement shall be recoded at the Registry of Deeds as binding covenants onthe property. The documents limit the apartment to that of an affordable unit rented to a person or family whose income is 80%or less:of . the Area Median income(AMI)of the Barnstable Metropolitan,Statistical Area(MSA)and cap the mpnthly -rental Income(including utilities)to not exceed 30%of the monthly,household income of a household earning, 8OVo 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 fromTent level.so calculated;. 9. According to the Massachusetts Departmentaf Housingand Community Development,Subsidized Housing Imrentory,the Town of Barnstable has.6k of is year round,housing stook qualified as•affordable housing; units. The town has not"reached the 10%statutory minimum affordable housing requi"redan MGl Chapter 40,8 or met any of the Statutory-Minima' rovided foran 760 CMR 56.03(3)., 2 Town of Barnstable Zoning Board of Appeais: becision'&Notice—Comprehensive Permit No,2017�023—Howard' 10. The Town of Barnstable's Comprehensive Plan encoufages the adapttve.use:of existing housing stock to create affordable units and the dispersal of these unitsthroughout Barnstable. This application and the location of the unit conform to thatobjective. Based Upon the findings,the Hearing Officer ruled that the Application of Patricia Howard 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,certain conditions are imposed: Decision&Co,nditions: The Hearing Officer ruled to grant Comprehensive Permit No.2017-023 to Patric Howard for 179,Bristol Avenue, Hyannis toallow the;creation of a.one-bedroom studio affordable apartment unit within the existing dwelling as provided for in Chapter 9,Article it of the Code of the Town of Barnstable and In conforrimity�to;the following conditions and restrictions; 1. Occupancy of the affordable Unit shall not exceed two(2)persons: 2 The number of bedrooms in the Accessory Affordabie Apartment shall be.11mited to,ohe(2)1 3: amliy members of the applica"nts/owners shall no at any time occupy the accessory snit: A: All leases shall have a minimum term of one year and have provisions that require.the tenant to provide any: and afl information necessary to verify eligibility with,the AccessoryAffordafle Apartment'Program including f ..income information of.the tenant and rent and utility payments: S. All parking for the accessory apartrnent:and the principaildweliing.shali be oh site:: ':Overnight on=street parking is expressty prohibited: 6. Accessory lodging or renting.of rooms is prohibited for the duration of this C prehensive Permit. 7 The.applicants shall,after certi f icatlonof this Comprehensive`Permitby the Town Clerk: a. execute a Regulatory Agreement and Deciarationof Restrictive Covenants,.:as approved by the Town; Attorrey's Office,and b. :make application for a'building permit with the Buildng,Divlsion forth accessory>apartment. Work required to,bring tfie unit rnto'compliance with present'day code standards shall'be completed prior''. to`issuance of a Certifffcate of Occupancy for the accessory apartment, 8., :it is the expiicitintentthatthe:applicant secure an occupancy permitand the unit be occupied by-qualified: tenant(s)-as restricted by this comprehensive permitw.Min one=year ofthe certification of'the permit. The: Building Commissloner and/or manitortng agent may extend°this time for good.cause 9. Ta meet.affordaoility requirements;the rent charged(including utilities)shall not exceed0%of 80%of the median income for the,Barnstable MSA,adjusted for family.size,as calculated and published annually by the: Town of Barnstable.in the event that utillties are separatelymetered,the;utility allowance established by the: town of Barnstable sha11 be deducted from rent level so calculated; t.0 .The applicant shall engage In open and,falr marketing of the unit and provide documentation of the activity to the Housing Coordinator/Monitoring Agent: 11 information,regarding the income level of any'prospective tenant shall first'be submitted'to and approved by the Housing Caordinator/Monitoring Agent before any lease is signed':, 12. Annually,the applicant`shall work with the Housing Coordinator/Monitoring Agentto provide necessary' Information and documentation'of tenant income eligibility and conformance withahe AceessoryAffordable Apartment Program. 3` Town 0f`6arnstabie Zoning"Board of Appeals Decislon&Notice-Comprehensive Permit No.2017.013-Howard` 13. Who never.a vacancy occurs,notice shall be given to the Housing Coordinator/Monitoring Agent before reengaging the tenant selection process previously cited. S4 Annual Income,to determine program.eligibiliity,will be calculated per 24 C7111 P6rt•5: 15:The Housing Coordinator of the Growth Management Departmentshall be the monitoring agent for the accessory aparrtment.Annual monItoringshail'include verification oftenancy,aIffordabilityo and compliance;.. with Comprehensive Permit.The homeowner shall be respon.Bible for thefee for Housing Quality'SUR 'a rds (HQS)inspections. 16. Every twelve months.the:applicant shall`review the income eligibility of the tenant,:of the Accessory Affordable Apar..tment unit. No later than a year from the date.of issuance of this Co mprehensive:Permit th.e applicant shall file with the Housing Coordinator/Mdnitorl'' ent'an annual affidavit stating the rent charged and Income of1he unit tenant alongwith all required,supporting.documentation. The property, owners and/or tenant shall provide any.additional information deemed necessary.to verify the information; provided in the affidavit and annual monitoring documents. 7.'Upon any report frorri the Housing Coordinator/Monitoring Agent that the terms"and conditions of this permit are not being upheld,the Hearing officer of the Zoning Board of Appeals may hoid a hearing to revoke this permit or cause enforcement action to be taken for'cornp.D nce., � . tThisDecision,the Regulatory Agreement and Declaration of Restrictive Covenants-and'all other.necessary ; . _,:,.documents shall be recorded at the Barnstable County Registry of Deeds prior to appiicaxonfor a,-,building ' permit. �9 Should ownership of the subject property transfer,the permit Mider identified herein shall-nbtifythe:Housirig Coordinator/Monitoring Agent and provide,within 60 days of the date of transfer, he name and 1current contact Information for the new owner of the,subject`property.. 24: This Comprehensive Permit shall be.exercised'as conditioned herein:or itshail expire. Ordered Comprehensive Permit No.2017=023 is granted with conditions to Patricia Howard for the property addressed as 179;Bristol Avenue.Hyannis MA:This permit is not transferable without prior permission of the:Headng officer: The zoning relief issued in this Comprehensive Permit Is that of a"variance to Section,240-11(A)&2a043(A) Principal permitted uses In the RF Zoning Districts;to permit a one-bedroom accessory affordable tpart-meht;0hit.- within the principal'dwelling. A written copy of this'decision will be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241,Section 11i if after fourteen(14)'days from that transmittal and provided that:the.,members ofthe Zoning Board of Appeals take rto acfiion to reverse the-decision,this decision shall be.filed with the Town Clerk's Offiee, It shall then become final only after-20 days has expired and certified by the.Town Clerk that no appeal was filed on the decision. Appeals"of this decision,if any,shall be made to the Barnstable:'Superior:Caurt.pursuant to MGL Chapter 40A, ;Section i7,within twenty(20)days after the date of thefiiing of this decision in the office of the Town Clerk, The appli t has the right to appeal this decision:as outlined in MGi,Chapter 408,_Section',22`. Brian-Florence,H ;adh Officer Date Signed 4 i 1 Town of Barnstable Zoning Board of Appeals 1)ecislon&Notice—Comprehensive Permit No..2017.02.3--Howard 11 nn.Quirk;Clerk of the Town of Barnstable,Barnstable Cp anty,Massaeh.usetts hereby certifyahat twenty(20) days have elapsed since the Zoning l5oard of Appealss filed'this decision:and thatno appeal of the deelslon has . beenfiled in'the.office ofthe�T�own Clerk. Signed and Baled this .0 day or under the pains and penalties of'perjwy, Ann Quirk,Town Clerk i i i sco • .c� r '�C•�" Thj * s; QD DARNSTABLE REGISTRY OF DEEDS ''f900•. John F. Meade, Register flit,,�, Mr% DoclAr. 26Y525 07-31-- a17 4-=37 BAgNS'TABLE LAND' COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS GULATO Y AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,"is made' this: day of [_ ,20f ,,by and between Patricia Howard 6f.179 BnstolAvenue, Hyannis;MA and"its.successors and assigns(hereinafter the"Owner',and the TOWN OF Bt1RNSTABLE (the"municipality'),a political subdivision of the Commonwealth;. WHEREAS"the Owner has been granted a Comprehensive Permit underM'ssach'' is General Law Chapter 40B and local.regulations:by the Zoning Board of Appeals to permit.the creation of an.accessory apaitrr ent in An owner occupied dwelling which will lie 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 heirein,and other ,good and valtiable consideration,the receipt"and suffid.et c of which is hereby aelenowledied,the parties agree; as follows: PRQMCT SCOPE ANP.DE IQM! A: The teims of this Agreement and Covenantregulate"the.property located at 179 Bristol Avenue, Hyannis,MA,as further described in a,deed recorded herewith as Barnstable.County Registry of Deeds Certificate"93140. ` B, The Project located"at 179 Bristol Avenue,Hyannis,MA will`consist of one accessary apartmentunit. which will be rented to an eligible'low or moderate income individual or family(the"Designated Affordable ...Unit"or the`.`Unit'.'). Tlie Owner agrees to construct the Project,in accord"ance:wiih;the:terms of comprehensive permit �.. Appeal No, 2017.023 and.any plans submitted therewith and all applicable state,federal and Municipal laws and 4* regulations, Said permit is recorded hetewith as Barnstable Coutt "Registry of DeedsSeelr"�a�.L'�&�5�. Ct' ��. p � g ,ty Page. 0 : . The Owner agrees to,occupy the principal dwelling unit''located on,the property as their principal residence in accordance with the terms.of the comprehensive permit. II: 'THE 4NER!9:L'QMAly L,9AND:RESI'ONSIBII.ITIES:: & THE OWNER HEREBY REPRESENTS,COVENANTS AND'WARRANTS AS'FOLLOW 1 Tn receiving the comprehensive permit°to create'the Designated Affordable unit,the Owner agreed that the:Designated Affordable Unit shall be set asde:.in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 800/6 of the area median income ofBarnstable:Metropolitan Statistical Area(MSA)and'that.the Designated Affordable Unit shall be deemed to be`impressed with a"public trust. 2, The Oesignated Affordable Unit shall be rented'in perpetuity to:,a household with a ma*m0t*income: of 80%of the Area Median Income(Alvil}o!`B.arnstable 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 uahty allowance established bathe Darnstable Housing, uthoriity salt be deducted from the sent level. I i I 3. The Designated Affordable Unit will be retained as"a permanent,year-round.rental dwelling unit wtth: least a one-year lease. 4."_ The Owner has 4he.full'leg 1 tight;poweeand authority to execute and deliver'this Agreement.: 5. The'execution'and performance of this Agreement by the Owner will not violate or;as appticat le,has not'.violated any provision'of law,rule or regulation,or any order of any:coutt or other agency or governmental body,and will hoc vialate.or,as,applicable,Ias not violated any provision of any indenture,agreement,mortgage; mortgage note,or other instrument to which the Owner is a party or by'which it or the Owner is bound,will.not result in the creation or tmpasition of any prohibited encurribiance of:anynature. G The Owner,arthe rime of execudon and delivery of this<Agreement,has goad,clear<.marketable`ride to. the ptemises, , 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,ot,,to the knowledge of the Owner,threatened Against or affecting: it,or Anyof its properties cr rights,which,if adversely determined,would materially impair its.iighi to carryon business substantially as now conducted(and as.now contemplated by this Agreement)or would materially adversely affect its financ;d condition. B. COMPLIANCE The Owner hereby agrees that any and:all requirements of the laws of the Commonwealth of Massachusetts to be sa.i4icd 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"O.wner agrees to limit his/her profit by renting the Designated Affordable.Unit Mn perpetuity to a -household with a maximum income of 80%or.less of the Area Median Income,(AM>),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 thesnedian'incoime of Barnstable MSA. E,the event that "utilities axe:separatelymetered.a utility allowance:established by':the Barnstable Housing Authority"shall be ,deducted from thexent.: 1 The Owner shall"annuallvAeliver to the`hfunidpality and to the Monitoring Agent,as designated by the. j "Town Manager,proof that the.Designated Affordable Unit"is re»red,the tenant's income verificadon,;a copy of the,lease,agreementand'theient.charged for die'urdt or`units Such info' don.shall also be.forwarded to"the Monitoring Agenrwithin30 days of the occupation of the dwelling unit or"units by a new tenant. The Owner_ shall ratify the Ivtonitoring Agent,As.designated by the TownManager within thirty(30)days:of the date that a tenant has vacated the Designated Affordable Unit. jII blUNICIP"ALIvTY COV15NANTS AND RESPONSII3ILITLES 1., The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform:the duties of verifying that the Designated Affordable Un'tis 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 aniount.that is affordable to a"household whose income-is 80%o..of-the. median income af.Barnstable MSA.Tn the event'thatutilsties are separately metered,a utility allowance established by the:Barnstable Housing Authority shall be,deducted froth the r04 2 IV, RECORT)I Ngi QF 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 ar,if theProject consists in>whoIe or in part of registered land, file this Agreement and any amendents'hretothRegst Dis Btam u Registry ble: 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 l7wner.shall immediately transmit to the Municipality:evidence of such recording or filing including:the date and iristrumenf,book.,and page,or -registration number of the Agreement V. GOVERNING QF;A.QR EMENTi This Agreement shall be governed by the l 1.aws 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 of provision.of this Agreement shall not affect the validity of the remaining portions hereof. W. NOTICE: All notices to be given pursuant,to this Agreement shall be in writing and shall be deemed given when. deliye.red by hand or when mailed'by certified'or;registered mail,postage prepaid,return'receipt requested,toahe parties hereto at the addresses set.forth below,or to such other plaO.os a party.`inay froni,tiine to tirge_desigriate by written notice: )7II. EULD HARMLESS; The Owner hereby agrees to indemriifyand hold harmless the Ivturiicpality ,ar►d/or.its delegate froth any and.aU actions o'r inactions by the Owner,its agents,servants or'etnployees which result'in Claims made against "Municipality and/or.its delegate,:including but not limited.to awards,judgments,out-of-pocket:expenses and attorney's fees necessitated by such actions. VIII. NTIRE;UNDER T NDING; A. This Agreement shall constitute the entire understanding between the parries and.any amendments or F thariges hereto must bem.w.ndng,cxccuted bythe pat e appe nd ended to this document. D., This Agreement And all of tlhe 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; Pr .by granted by the Owner to run in perpetut y in favor of and be held the Municipahty:as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall 1 run with the land described in a.deed recorded herewith:as Barnstable County Registry of'Deeds Certificate, 93140 and shall be binding upon the Owner and all successors:in title: This Agreement is.tnade"for:the benefit of the Municipality and the lvfutucipality shall be deemed to be the;holder:of the.restriction created by this Agreement. TheMunicipality hAs determined that the acquiring of such a restriction is in the-public interest. . The Municipality."shaIl not be subject to.the defense,o-,I,ck of'privItT a"state. The covenants and:restrictions contained in this.Agreement shall be deemed'to affect the title to the,property described in a deed recorded herewith is Barnstable:County Registty of Deeds Certificate 93140. IX. TERM OF AGREE MM The term of this Agreement shall be perpetual,.provided,however,that the:Owner of a Designated 3 Affordable;Unit or Un is may voluntarily tancef the granted Comprehensive Permit and.the terms and restrictions imposed herein. Such cancellation shall only take effect after;, I)expiration of the lease terms entered into between the Owner and Tenant occupying>said unlit and 2)notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upona date: certain and the recording o'f said notice at the Barnstable County Registry of.Deedsl or Barnstable County' Registry of the land Court as the case may be,thus rendering said Comprehensive Permit void.. Upon the cancellation of the comprehensive permit,the property which is.the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant sWi be rendered void: Xx SUCCE UjIa,&`ID SS�kS; A The Parties to this Agreement intend,declare,and covenant on behalf'of themselves and any successors: and assigna:their rights and duties.as.defined in.this Regulatory Agreement and°,the attached comprehensive: pertri�t„" B. The Owner intends,declares,and;covenants on behalf o£itself and its successors and assigns(i)that this' Agreement.and,the covenants,agreements and restrictions contained herein shall be andare covenants running: with the land,encumbering the Project;for the term of'this Agreement,<and are binding upon the Owner's successor$in titre,;(a)are not nerely personal covenants of the Owner;and(iu7 shaTbind the Owner,its successors and assigns and inure:to the.benefit of the Municipality and its successors and assigns for the terra of the Agreement: x.1;. DEPAIJL'T' !(-any default,violation or'breach by the',Owner o£this Agreement is,not cured'to the satisfaction duthe Monitoring:Agerit'mhin thirty 00)days after.notnce to.ahe Owner thereof,-then the Monitoring Agent may send notiftcauon'to the Municipality that the Owner is'is 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;, ncurred,by the Monitoring Agent in,enforcing this Agreerrment and.the Owner hereby agrees,that the Municipality and the Monitoring Agent will have alien on the Projectao.secure;paymeni of such costs and expenses.: The Monitoring Agent may perfect such.a lien on the:Project by recording a-certificate setting forth tiiecnount of the costs and expensedue and owing in the Registry of Reeds or the Registry of the District Iand: 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 io the purchaser's acquisition of the Project or.portion thereof. XII. MORTGAGEE CONS EN 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 acid to the terms'and conditions hereof and that all such; rn'ortgagees have executed consent to this:Agreement. IN WITNESS VH.EREOF,we hereunto set our hands:and,seals this, day of lov 2017 OWNER) BY. attire r Printed Name:. rS 4 COMMONWEALTH OF MASSACHUSEM .County of:Barnstable,ssi On is day of 20 L a before me,:the undersigned notary public.;personally appeared: the Owner(s);;proved tome through satisfactory evidence of identiFcatiob,which were JrSbAiLp to be the persons) whose namc(s)is signed on the"piece ` g�or.attached document and a owI dged to be that he/shesigned it voluntarily for°the stated puTp ,S. Notatg 1' c: Printedi My.Commission Expires:" % Alr� ,Amy ,t���t��n1F��ur���lt Mt►Convnfalon Ervlrp► � •t:,. �a w e. ;n TOWN OF BARNSTABLE .f0.� BYi WN NAGEk C MMONWEALTH OF MASSACHUSEM. County of Barnstable;ssi On this 2 a,K of 20�; before the the uridetsigned.notary public;person, y appeared th@ Town Manager for the Town of Barnstable,proved tome through satisfactory evidence of identification,which were ,to be the person whose mime is signed on the preceding or attached document and atknoJIedPA fo be that he/she signed it voluntarily for the stated: purposes. AV Not-aryPublic Printedsl 2 1 My Commission Expires: $H1RlEE MAY OAKLEY ; f` Notory Pubk =r , % X t toMHONWKM ais F D. 1S {WUi ,t ' �022 ti}I�� y , �/f�ILtl111 SARNSTABLE R4GISTRY`'OF DEEDS' Jahn:F.Me,ade,"Rejister Page 1 of 1 Coyle, Brenda From: Cadrin, Arden Sent: Wednesday, August 17, 2016 9:38 AM To: Roma, Paul Cc: Buntich, JoAnne; Anderson, Robin; Coyle, Brenda Subject: 179 Bristol Ave Hi Paul, Now that you have met with the homeowner and inspected 179 Bristol Ave Hyannis, could you please provide me with a statement similar to the one I've attached so the homeowner can proceed to the AAAP site eligibility application process. Thank you. Arden Arden.R.. Ca.drin. Housing Coordinator. ` GROWTH N9;ANA4EMEOT DFAARMWf Town.of Barnstable 367 Main StTeet Hyannis,MA.02601. arden..cadi-i.n.Cwtown.barnstoble.m a.us (508)862-4683 8/17/20 L6 AWE Town of Barnstable Regulatory Services w sa[uvsrABLE. + Richard V. Scali,Director Building Division prFp��a Paul Roma Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: 179 Bristol Avenue Hyannis Date August 17, 2016 After reviewing the street file of the above named property, I verify to the best of my knowledge that the apartment was in existence before January 1, 2000. This property is now eligible to apply for the Amnesty Program Paul Roma Building Commissioner q:forms/amnestyaptverification l Roma, Paul From: Samantha Hindle <slsicili@gmail.com> Sent: Thursday, August 04, 201610:59 AM To: Roma, Paul Subject: Patricia Howard 179 Bristol ave apt ---------- Forwarded message---------- From: "Charles Bess" <seabess2gaol.com> Date: Aug 3, 2016 7:07 PM Subject: To: <slsicili@gmail.com> Cc: To whom it may concern, I have known Patricia Howard for over thirty years. I consider her a personal friend. Back in the early eighties I moved in to Patricias apartment in her Home. It was a very welcoming and organized space. I lived there for almost a year and felt very much at home. As a land lord, Patricia went out of her way to make me feel comfortable and safe at,her residence. I knew that my living there was only temporary considering I was looking for a larger dwelling. Although, I could not have asked for a more gracious host. I would recommend this apartment to any one in need. Patricia was and continues to be a very responsible Owner. Thank you for your time, Sincerely Maria Bess 1 -4�3 { Sdar0ty May 12, 2016 k - fa Town of Barnstable ? _ , ATTENTION: BUILDING DEPARTMENT } 200 Main Street --, , Hyannis, MA 02601 '' "4 RE: 179 Bristol Avenue, Hyannis Permit No.: 201509051 Our Job No.: JB-0262439 NOTICE OF CANCELLATION This letter is to certify that our proposal to install Solar(PV)at the above- referenced property has been moved into a cancellation status. SolarCity Corporation and Patricia Howard will not be moving forward with the proposed installation at this time. If you have any questions or concerns,please don't hesitate to contact me. Thank you for your attention to this matter. 1 Sincerely, ��. Chery(Gruenstern �l " Cheryl Gruenstern S� ` Permit Coordinator Direct Line: (508) 640-5397 e�� cgruenstem@solarcity.com n - o) sue, 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 243771/ROC 245450.CA CSLB 888104.CO EC8041.CT HIC 0632118/ELC 0125305.DC 410 514 0 0 0 0 8 0/ECO902585.DE 2 01112 0 3 8 6/T1-6032.FL EC13006226.HI CT-29770.IL 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 12894 8/1 8 05.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34EB01732700.NM EE98-379590.NV NV20121135172/C2-0078648/B2-0079719.OH EL.47707.OR CB180498/C562.PA HICPA077343.RI AC004714/Reg 38313.TXTECL27006.UT 8726950-5501.VA ELE2705153278.Vr EM-05829,WA SOLARC`91901/SOLARM05P7.Albany 439.Greene A-486.Nassau H2409710000.Putnam PC6041.Rockland 1-1-11864-40-00-00.Suffolk 52057-H.Westchester WC-26088-H73.N.Y.0#2001384-0CA SCENYC:N.Y.C.Licensed Electrician.#12610.#004485.155 Water SL 6th FI.,Unit 10.Brooklyn.NY 11201#2013966-0CA All loans provided by SolarCity Finance Company.I.I.C. CA Finance Lenders License 6054796.SolarCity Finance Company,LLC Is licensed by the Delaware State Bank Commissioner to engage In business in Delaware under license number 019422.MD Consumer Loan License 2241.NV Installment Loan License IL11023/IL71024.RI Licensed Lender#20153103LL.TX Registered Creditor 1400050963-202404.Vr Lender License#6766 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . a r Map OR k Parcel Application # Health Division Date Issued 1` y- 4 r ttle Conservation Division Application Fee nn Planning Dept. Permit Fee I DI) 0 U Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ND BUILDING DEPT. Project Street Address �1� -�5rto 1 A vc.v\�k c DIEG3 Villages rS TOWN OF BARNSTABLE Owner fir L6. A 4f x Address n9 �- Telephone aqL0 ►)15 * &d Permit Request r_k5XU u�tr \� l���lrt S �i�eta `�. �✓► 5� --� r� v�'Ga 1�1 her e��cfir.c S 5y�l kuJ Square feet: 1 st floor: existing proposed 2nd floor: existing oroposed — Total new Zoning District b Flood Plain Groundwater Overlay tic._ Project Valuation '�OD, Ub Construction Type `J Lot Size Grandfathered: ❑Yes Flo If yes, attach supporting documentation. Dwelling Type: Single Family - Two Family ❑ Multi-Family (# units) Age of Existing Structure ' �� Historic House: ❑Yes ;Y-No Or Old King's Highway: ❑Yes gl'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count HQat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other KA- Central Air: ❑Yes ❑ No Fireplaces: Existingt-New Ex sting wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sie Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new sizeAO- Attached garage: ❑existing ❑ new size 1 Shed: ❑ existing ❑ new sized Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ANo � If yes, site plan review # Current Use ,­�I he_(rh Proposed Use APPLICANT INFORMATION ��//� (BUILDER OR HOMEOWNER) Name LkA (� ar d)Q-T7� Telephone Number Address 1 h c)&j License# iS64- 11a(ob Cj Home Improvement Contractor# 1 7� Email -GYl /44,,C� ° C Worker's Compensation # IA-Cf71 01,S�'l� ALL CON UCTION DEBRIS RESU ING F OM THIS PROJECT WILL E TAKEN TO aAAtY06Je� SIGNATURE n DATE �r6��m b is U Y FOR OFFICIAL USE ONLY APPLICATION # ' -DATE ISSUED MAP/ PARCEL NO. j ADDRESS VILLAGE w OWNER L DATE OF INSPECTION: = FOUNDATION FRAME 1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING t { DATE CLOSED OUT 7 ASSOCIATION PLAN NO. s ;SolarGt . _: y OWNER AUTHORIZATION . Job#: a— 0Z 6-11 3 q -dd Property Address: (7 `l -7 5*7 6L' AVE, � ((YA�/.C/�S� Pn+C'1 , I �1�'il as Owner of the subject property hereby authorize SOLARCITY CORPORATION to act on my behalf, in all matt relativ to-,work authorized by this building permit application. i ture of Owner: Date: SOLARCITY.COM AZ RUC2A3777P�OC'2454'' 271ayg,pALICi86d't06,COECBo•?1,GTHfC063277&EtC0425306,UGif1110146&ECW02595.HIC-241F(],MAHK:168572>MAEL-i136MR,?,IDMHr012t9d8, NJ WNIC*I3W0S160600134E90I7V760,OR C918049IM5621PB1102,PAHJCPA017343.T,(TECL27006.WASOIkRC'91901/SG�ARCVM0 02014 SCLARCITY CORPORATION.ALL R`WTS RESERVED. -i3 IF CAPECOD INSULATION QGrr `�' PIMQkA55 $KAMlf55 S..I OAM W111 OEO /y qqq BARS oo R"' I"'-VON Cf MO* 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 w Date: � i3 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address_ ) Village Pun, rG, AI..k'AL j-7 1 &/s v/ he- Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) O ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) (X) , . (Iq Sincerely HeJ�y E"CyasJr, President Cape Coon, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _30(,e��� Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Rii7 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner , �� � �8&-id-L� Address Telephone d o , e, Permit Request .X l4 1a4p zye o Square feet: 1st floor: existing proposed 2nd floor: existing propos9ed a".otal raw Zoning District Flood Plain Groundwater Overlay ? c Project Valuation /iv00 el Construction Type AZ,,Z-r, `i� -r-1,AAJ _ L� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach si pportiniRocunlentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 4No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)" Name s�('�e gr/ 4&9 Telephone Number Address 61,0, IPA ise # Home Improvement Contractor# ,/.5 � 5-2; Worker's Compensation # GUC�.���g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i" DATE FOR OFFICIAL USE ONLY APPLICATION# j. DATE ISSUED E'. MAP/PARCEL NO. L - ADDRESS VILLAGE i" OWNER i DATE OF INSPECTION: i tr-_FQUNDATION u,-,*r--,-,twN a sew r..•. *s, rev.....Mr rn•. t " FRAME INSULATION.,4.!,1= FIREPLACE ELECTRICAL: , ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. � i. Dcparoncitt of Public t T . Boaf-rl of 13ui1'dinq I:c�ulation.� :Intl �lantlar(Ls Qonstru.ptiorl Supervisor License , Llcen�:'0-C3M 100988 HENRY CASSIDY 8 SHED ROW t WESjF YARMOUTH, MA 02673 -- Expiration: 11/11/2013 c ..uuuis.i uicr Trr,: 7620 tti -� c �c-jir litIc c-r0(?(_:l4/- (2 C��t�a:1 <rel��je��`�1 �. Office of Consumer Affairs and Business Regulatlorl 10 Park Ptaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: '153567 Type: Private Corporation Expiration: 12/15/Zbl4 Tr# 23383l CAPE COD INSULATION, INC HENRY CASSIDY -----_.-._...---. 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Marls reason far change, l� Address [-I Renewal 1:_1 h;mployment I Lost Card uftiee of Consumer Affairs& Business Regulatiou License or registration i,alid for individul use only + 1)}OME IMPROVEMENT CONTRACTOR hefure the expiration date, if found return to: t eyistration: 153567 Type: office of Consumer Affairs and Business Regulation ;expiration: 12/-15/2014 Private Corporaticli 10 Park Plaza-Suite 5170 r„ Bos(un,MA 02 116 ..:U i i;t;IWA)LAfION,;INC. I,i kLARQI)N CIRCLE ;ii) Y;1RN10lJl f1. MA 02664 T �� -------. __. . __. _ .... .. __-._......__.---_.._......_.. .. 1.lndersecretary of Val wltho l ' nat I-e CAPECOD-27 MYOUNG CERTIFICATE OF LIABILITY INSURANCE DAT 7/8/2 DYIYY) _ 7/812013 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 License#PC-514062 CONTACT Margaret Young Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 Arc o E t: t.c No): South Dennis,MA 02660 E-MAIL Dun ro com m ADDRESS: y 9 ers ra g y• INSURERS AFFORDING COVERAGE NAIC# INSURER A:PEERLESS INSURANCE COMPANY INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation,Inc. INSURERC:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED"OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF S.NSURANCE A R POLICY EFF POLICY EXP LIMITS _ LTR POLICY NUMBER MM/DD/YYYY MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8263063 4/1/2013 4/1/2014 PREMISE TO S Ea occurrence) $ _100,000 CLAIMS-MADE 1XIOCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICYM PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ B _ ANY AUTO 13MMBCKVMK 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS X HIRED AUTOS X NON-OWNED PER ACCIDENT) $ AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAS CLAIMS-MADE XONJ453512 4/1/2013 4/1/2014 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION Tp SLT.AMIU9 OER- AND EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNER/EXECUTIVE Y 1 N WCA00525904 6/30/2013 6/30/2014 E.L.EACH ACCIDENT $ 1'0D0'000 OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 Eyes,describe under 1,000,00Q DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers Compensation includes Officers or Proprietors. Addtional Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©9988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ; www.mass.gov/dia Workers' Colmpeusation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizabon/Individual): Address:/,V- /2�'d�Ag-�/�,c� City/State/Zi c ov %� 141,1d `'hone#: .:521 Are you an emplo er? Check the appropriate box: ❑ I am a general contractor and I Type of project(required): !.❑ I am a employer with_ 4.. 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. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition i working for me in any capacity, employees and have workers' [No workers' comp. insurance comp, insurance.t 9• ❑ Building addition required:] 5. � We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] t e. 152, §1(4),and we have no 3a.❑ I am a homeowner acting as a employees. [No workers' 13.❑ Other U/ general contractor(refer to#4) comp insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compwsatiodi olicy 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. tConttactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those eatitiea have employees. If the sub-conaactors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. ielow is the policy and job site information. Insurance Company Name:�Q ��� �'���i�7�a Policy#or Self-ins. Lic.#: 2 AV j ;�f ` 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 Pure up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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 un er the pains and penalties of perjury that the information provided above is true and correct O,�ciad 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): fl.Board'of Health 2, Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.other Contact Person: Phone#: OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at l 7 (Property Address) c GihAI j S e� (Property Address) hereby authorize ( / {nS' cL (Subco ctor) an authorized subcontractor RISE Engineering,to act on my behalf to obtain a.building permit and to perform work on my p e s ignature Date Town of Barnstable Regulatory Services OF THE Tp� ti. Thomas F. Geiler,Director BARNSTABLE Building Division x . y MASS. g Tom Perry,Building Commissioner T i639�A�0 200 Main Street, Hyannis,MA 02601 A FD MA www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: f __ Fee: Permit#: 'ZG DOME OCCUPATION REGISTRATION Date: ,D ��7 Name: �o F Phone#: L 50' —/7r6—wq6 G Address: 1i�q Village: Name of Business: �„�,1� C6 0ACW5A Type of Business: ~\\k Map/Lot: �9'0 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1'.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors, electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above r strictions for my home occupation I am registering. Applicant: aa ate: 7 ®� Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$3.0.00 for 4_years). A business certificate ONLY REGISTERS YOUR NAME in town which yni, must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1" FL., 367 Main Street, Hyannis, MA.02601 [Town Hall) [ asri nxrr cxNN Bct4l9 Yt4'a',�"— OATE:� V V C Fill in ple s �Y 1 APPLIGANT*S YOUR NAME_ V`��I` / C� yv FEW YO R HOME ADDRESS: TELEPHONE # Home Telepho e Number p NAME OF NEW BIf�FNESS'G 15 THIS A HOME OCCUPATION? �. TYPE OF BUSINESS: ; No . ave provfrbm=t vt51 ' ADDRESS OF BUSINESS h V) .Gk CIL MAP/PARCEL NU.MBE When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations of the Town of m Barnstable. This form is intended to assist you in obtaining the information.you ay need'. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street). to make sure you have the appropriate permits and licenses-required to legally operate your business in this town. �. 1. BUILDING COM NER'S OFFICE rjk�/ %�� (� This individ al h e n iflf r_ • f any permit requirer�nts that pertain to,this type of bus Hess. MUST 2� ,�,,���� COMPLY WITH HOME OCCUPATION % Authorized g ature'* (Pwl� RULEPS AND REGULATI NS. FAILURE TO COMMENTS. , PINES. 2. BOARD OF HEALTH ��4((AL (U, ( This ind ividual ivi r has be en informed � .�•- � � dual med of the permit requirements that pertain to this e of busi b1��'ZJ type Hess. Authorized Signature** COMMENTS: . 3: CONSUMER AFFAIRS 1 ENSING AUT HORITY) This individual ha in or of the lice �i r q it rnents that pertain to this type of business. )� Authorized Signature.- **, 12, j,, LC.� COMMENTS: /fib vyJ���© — 8/8/3/95 Tricia Howard - 778-0346 Has been working on this project since 1988. Does a little each year with her tax return. p Y the insulation, electricity, heat (oil hot water) are in. Sheet rock is scheduled for Monday. She needs insulation inspection. Is permit still valid? K OIL I Assessor's office (1st floor): Assessor's map and lot number .... ............n "�cC SFFMC SYSTEM M T��f Board of Health 3rd floor F Sewage Permit" number ......... 4—a r'� .c7N S_ BABd9TODLE, Engineering Department (3rd floor): 163 House number ............. ..I....................1.7.1..qC� .................... s T d 'oo " f �Uv>��� iiE�iU�11'1 gar Definitive Plan Approved by Planning Board •_______________________________19____',:_ . APPLICATIONS PROCESSED 8:30'-9:30 A.M. and 1:00-2:00 P.M. .only TOWN a OF BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TOR ....: .o...� 1/Y 5.7................................................... r - � TYPE OF CONSTRUCTION :... ..t'1�'AM..t?`t' � t�r..� b.b`'� ..... .................................... ST..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .1.7 k S..I...M.. .. (_47 .. �............................... Proposed Use .... 1) ..: : .�Q ` . ...���� !`. �..� ................. Zoning District t 1 ............ ......... ............:....Fire District .................................................... Name of OwnerY..!4�.G .... :.d.. .� .. .....Address � .:` r..�se�.l.......r .V .... 1. Name of Builder". µ . ..:................. ...:.................:.............Address f,� �,...�,,� • Name- of. Architect ...°.:........:...... -.- ......,.:.,:....:.:.....:..Address ..................:............................................ ..................... Number of Rooms .. ...�:`�..L................`.,.:'.........Foundation ..............:C .6 Cr e i :...............:...:............. .... Exterior ........ Roofing .. ................. s , ��.4 7- ..... rN..G�.... ..�� o!a r Floors c!'�J wooG.. .................:...:.............Interior .......................✓'fit„e .. .� -........... .Heating / g /U 'P ,a.G-f.....�/�............... _.............................Plumbin ........ 4 Fireplace .... ..:...............::...............................................:...Approximate Cost ....� f., Q,,.,.. ..... ......................... Area .......................................... Diagram of Lot and Building with Dimensions Fee .................. 15.0 k-- l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of a Ta n of Barnstable rega�ding the a ove construction. Name ...............................!/..... ... Construction Supervisor's£ License .... . r......... ; HOWARD, PATRICIA 5J 1, • .. - _ . �'?.25rpermit for Addition No . Sin le Famil dwellin g. Y................ing........... Avenue - Location -...179 Bristol Avenue ' Hyannis . ` ..............................: ..... ............ ......... Owner4 P.a•tricia Howard Type of�Con_struction ... Frame...........:.......... - Plot....... Lot. .:. ........................... if` Y Permit Granted .....Seg.tQMJl e.r.`12.,.-.19 8 8 Date of Inspection .. ............ ........:..........19 �. D''ie it .......... ...:.... : ....:l q _ t t - ���,Sv �, .� *, .." -..j -r � - •rr'' r• � mot_ +� - ° � ° +'t .. T u TJWN�tC�r9XkNSTk9LE iuiASSACHUSE.— �` "r * � I '!. I, I+. 4 r a x ifet l"+¢'1 6 'r t 4. '� 1 C' l{At*' �} ''" ' t fr!T ' , �A" - rtr p f i DATE , .:S@ptP. bL'E' '.11. 4g°I S7.' a �a-;RERMt.T WQ� �� f': 7d+ i -1, r ^' - - APPLICANT OF11Se1' ADDRESS " >( OWIl@r ' ,' INO ) (STREET) f ;t ILQNTR S LICENSE) - t < , t ..:. :PERMIT-TO Add t0. dwelling .(, 1 STORY JiIIg1.e .f8IDi1y ,.dWe11iF1g OWEBLLRNG UNITS ; f .: ,_(TYPE OF'IM PROVEME9T1. NO _ ".1':P,ROPOSED USE) , . , r d , P ... ,ZONING - - AT!ILACATION); 1.79:..Bri (-1 AV@Illl@�,'�y$1113�5',. �' DISTRICT (NO./ ; .:'. __ .(STREET) - R. . ,.:. , .:-.- :.,, .. BETWEEN .:'.:° ANp' r"" ' - - .,CROSS STREET( - .. (CRO55ST BEET) SUBDIVISION COT BLOCK 'S:OZE . . .-. . • ~.. .BUILDING IS.TO;BE " FT.. WIDE BY FT. LONG-'BY FT IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIOf TO TYPE USE GROUP 'BASEMENT WALLS'OR,FOUNDAT,ION . . ,.. -_� -Y :f.ivPEl - ..,. ,: :, r ::REM4RKs. No:'sewage .., , . r .. •; : A .. AREA OR Add, 330 a ft Y0,000 PERMIT 50.00-:. '.VOLUME �I. ESTIMATED COST FEE:_„ -1C.UBIQ/SOUARE FEET) ' `, OWNER. Patrieia Howard 179 'Bristol'Av®nue,. Hyannis, MA DING DE PT G ADDRESS BY. . , .• . ..'. ... - y 1. S 4 'i jt-j / f IT�. f y* t '? _ ` R .{ ! N f 4 t r - f .5, .,, X"� -R,."', i„Y trf .t, J+y t•.' _ ,r 1 I,.I'....1.0r. . I , \ I, i 1 M11 , 1 t\ 1 .. t �% -:,4,.�.,,1..;,,,.-.��",.',,..-�.T;i.Z,,.,.�..1. . I t . - t fi 1 r ! , \ r r r f !r t \r t r, _, r f \ I . ) , t r .. f .. I l rf, t • t i._II. i q '.''4 , ". 1 'jt.• / 'I' I r r vs ;. J: �. 'tt �. t :},. f . .. '' I - ' t i + . I I '; . .� , . . . ' . . , . t .. • , , ' TOWN 01" BARNSTABLL BUILDING DEPARTMENT HOMEOWNER, LICENSE EXEMPTION i Please print. DATE JO6.LOCATION /7q. C r� t #a ' um er St eta r� 'r "HOMEOWNER" �/? Tess. / ect 'ono town` \ ome p one or PRESENT MAILING ADDRESS J p one '- • ,i � r } �d tf�t ,,t tAt ��- . Y It town tate ,• ''�c�C°.' �=ir , j The current exemption for "homeowners" was extend 1p co e dweI l ings. of six. units or ess 'an to allow ¢ ' j } : 1 ~ ed to include owner-occupied' ' ivi ua for hire. who does not possess a license, r such homeowners to engage,as su ervisOr, icense, provided that the owner p (State BuildingCode Section :DEFINITION OF HOMEOWNER: __._ •° "` . Person(s) who owns a parcel of land on which - 'side, on -which there is he/she resides or intends. to re- . .side, or detached stru�turs intndedto be A person who constructs more than a one to six family dwell-i,no, accessory to such use and/or farm structures. considered a homeowner, one home in a two-year period shall not b on•a. form' acceptable-to the Building e shall submit to .the Building Official, x for all such work 9 Official , that he/she shall be re �� performed under the building permi ection ponsib,_ :the underCogned "homeowner" ' Building de and other a assumes responsibility applicable codes b for compliance with the State 'The Undersigned " by-laws, rules and regulations. BarpstabieBu9ldin homeowner" <. certifies that he/she unde-rstands the Town of 'anti that 9 Department minimum inspection procedures ds he/she will co m with said proceduresandand re e requirements irements:• .HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,'" or lar , p y with State Building Code Section 127 ' ger, will be required . •O, Construction Control . • t .............. HOME OWNER 'S EXEMPTI ON ON The Code state that : "Any Home Owner permit Is required performin (Section y09 y shall be exempt from g work for which a buildin Home Owner ` Licensing the 9 of provisions S«perviso�slsl.ons of .this sect'lon: shall engages a persons) for hire to do such...: ) act as supervisor . ,, Rrovlded that" f .a ,. .. work, that such;,Home,Owners> Many Home Owners who use this exemption are _. _ the responsibilities unaware that the for• Llcensln of a supervisor (see A Y are assumlrig'#' ` otteh c g Construction Supervisors ppendix p, y result, in , Section 2,y5 RUlesiand Regulations Unlicensed serious problems, This lack of ' Persons. particularly when awareness,, Y unlicensedIn' t t this he s ?. H s Person as It w e our Board , ,Owner hires -as,su ervlso Quid with Ilcensed Supervlsor,nnoThe Home Ownar a a � ___P.•._..vI .r. is ultimate) proceetl a ainst •:the �. y responsible To ensure ct..ing t, that the Home COMMUnitles. re Owner Is fully aware certify quire, as part. of the °f his/her res F Y that he permit applscatlon, ponslbl;IIvies:; many,';.", last understands the res that ,the:;Nome' ' page of this ISSUe is ponsibllltles of Owner care to amend a form current ) a ,supervIs6r and adopt such a form/certlflcateonbf several On `the t,. towns . ° You _...may or use In' Your comrmtn l ty pp ` i r• ;;• �:, �fir,M° M 41 21� x iC • i. e_ �w e 777777 yoatxc r�o TO� OF BA.RNSTABLF-!rt- ca"r►; 17,.,r►a+ ors as Y saaasr ' . '� 6 MASSACHUSEWS W c311 w h c`e S 1 7f'r Solid Fuel Stove Permit.. 77j- aa� DATE OF I TION e _. FIRE DEPT. ;ISSUING PERMIT. _. _ ._ � __� _ NAME (owner ... ;NAME. (Installer) �S' r��11�? Ls ADDRESS _? ADDRESS STOVE"TYPE: __...... _._ _w...._ : .... . CHIMNEY, NEW EgISTIN(I. _ _..... Manufacturer "CHIMNEY: Masonry. Mass. Approval ................. _ __..M:_ _._... CHIDZTEY. Metal This is.to certify tbat'the above installer has permission to install.a solid fuel burning appliance at the,`listed address in accordance",with an application on file with the Fire Department, and subject to the provisions.of the`Commonwealth of Massachusetts State Building Code and regulations:made. under the authority thereof: , Issued:By 74_ �siti.: Title Permit.to install expires 60'days after issue date Stove Stove Clearance ...._.._ _....:: Floor Smoke Pipeod Smoke'Pipe'Clearance= Chimney Smoke Detector The undersigned hereby certifies that the installation of,solid fuel burning stove and equipment made under an , thority ;of,permit dated _..._.W m_.�; __ has been made in accordance-with provisions of" the Common*ealth of Massachusetts'State Building Code nowcurrently m 'effect and pe41, rtammg.thereto Installer INSTALLATION APPROVED . $y. � Title .."....ate. date' i WHITE FIRE'.DEPARTMENT — CANARY: BUILDING W5PECTOR'= PINKiAPPLICANT e _ _ ---�-- - --- — . 4E .TIFIAItJN OF; COMPLETION - To: Head of.Fire Department Subject Certiificate of Completion Installat' or Alteration of Fuel Oil Bu ning a Equipment The underslgned-hereby certifies that .she installation .(or alters,ion) Mof fuel oil.: burning equipment made under ;authority of permit_No N i sued .by yqu _and applying to he mstaliation for Name ' sue --- --- ILName (Owner .or Occup ) (Installer) f Address " - __-. -_ .__._- __-- Address �70 rIk� -- �" Phone77 No. (BIIR,NER) (STORAGE) ' _ Narne f-- � ----- --- --- __---=-- Type o Tank" � .. �:. Manufacturer ' __--- - - — _ _Capacitygals. (or) Size 4f lg Model No. , or Size _ _ Location _ r x Mass Approval No ----= ------- --_--' of Carbon Dioxide------ ------__-_ Draft- ke Density _ Stack Temp i Nozzle Size----= Fee ------------ � �,`� C.3 .:! 6/1 Fire Department) + Appl Reed t 'Issued By. C3D B - - - -- - -- - ---- y --- - 9 4 �+.a.w� .»� -—...,sa..ns ....,...+.—w.+.-art ..",.Pr•r.�$r%.�.....�...v.,vwwmer._.. ..i.. ..r _..ar.r..._...,..-..,.. w...- .- .«.. r .,_.._-._..ws....w.�-..� .+-.nu...mw.v.....rrr...e.._.ra,m.n._.,..wea ....d HYANNIS AFIRE APPLICATION FOR PERMIT DISTRICT TO INSTALL Y.._ALTER FUEL OIL BURNING EQUIPMENT To the Read of the Fire Department: Application is hereby made in accordance with the provisions of Chap. 148, G.L., and Regulations made under authority thereof by the undersigned for permit to install alter, for the person or persons and at the location named herein, certain equipment for the keeping, storage or use of fuel or other inflammable liquid products used for fuel as described below. Patric ' - - _1 -- 3�T ,.alvLd__w-_--_Name SCUddE? Name .__ --_---____-_ _-- - ----_ _�._.�____t.a,__1��---�..____�_ � (Owner or Occup.) (Installer Address ----17_9--Bx StR1.-� ---------- Address Hy:c1nn i-Si_-- .--=------- ----- - -=-- Certif. Comp 23200 Phone No. �7Z --Q- -��-8�-�-�- Phone No:: -9 Q47A_��------- (BURNER) (STORAGE)` . Name .---..--Type of Tank 5 : .03I l Manufacturer gals. (or) Size Model No. or Size _Location Outside and deck' - 6,71 86 Type_ Mass. Approval No.=- -------- Permit Issued-_. of Carbon Dioxide—_-_.— Draft.__.-_.-_,-.�---_-__-- Smoke Density___ Stack Temp.._ Nozzle Sizes RI CHI Re FRRNK4Pk' Appl., Ree'd 5/1-7 (Head of Fire Department) Issued By: �_._ :a SQ � By Note: If this application involves alterations to existing equipment, R describe fully on reverse side; ,ort 4-r Tanumm" L,- D,- PARTh►ENT OF PUBLIC SAFETY DIVIc-ION OF FIRE PREVENTION 1010 COMMONWEALTH Avr-rwc. DOSTON 07-3 19 (City or Town) (Date) APP.L.I CATION FOR CERTIFICATE OF COMPLIANCE CHAPTER I48, SECTION 26F, M , G , L, NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS Application is hereby made to install approved smoke detectors as required by Massachusetts General Law, Chapter 148, Section 26F. Location of Property Owner of Property d s Number of Dwelling Units Signature of Applicanfi>( G Inspection/Testing Completed on 19_ By: ector Fee (148 Sec. 10A) Fire .Chie (Fire Department' s Copy) CERTIFICATION OF COMPLETION Date To: Head of Fire Department Subject: Certificate of Completion--Installation or Alteration of Fuel on Burning Equipment The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment made under authority of permit No. , dated 3 issued by you and applying to the installation for V`i—L-/&� � at /T Z2/ — .' If _ has been made in accordance with provisions of Chapter 148, G.L., and regulations made under authority thereof now currently in effect and pertaining thereto. Furthermore, this installation has been tested in accordance with such require- ments, is now in proper operating condition and complete instructions as to its use and maintenance have been furnished to the person (or persons) for whom the installa- tion was made. The following data applying to such installation is submitted for record: Name . BURNER ,��� �4 Mfg. by --I ��ls� Type — 4 y Model No. or Size �__.if To use not heavier than fuel oil S���� STORAGE TANK Type Capacity �2 gals. (or) Size Location G U_'�.�/ CONTROL Type (automatic or manual) Automatic shut-off valves at burner & tank Installed by Manual shut-off valve at tank M(additional safety devices) Solenoid—Inreomatic. By _,(,� HYANNIS ,FIRE - APPLICATION FOR . PERMIT DISTRICT TO INSTALL ALTER FUEL OIL BURNING'EQUIPMENT To the Head of the Fire Department: Application is hereby made,in accordance with the provisions of Chap. 148, G.L., and Regulations made under authority thereof by.the undersigned for permit to install- alter, for the person or persons and at the location named herein, certain equipment for the keeping, storage or use of fuel or other inflammable liquid products, used for fuel as described belowf . NAME— � �.��_�`~� 716 ADDRESS- / za '/:zS ZEZ -� Description-- Name �____�_ ��r Manufacture, -- =' _- __ �:--- :-----------___ r- Burner: _:_�---�__-_ �._;�--�___�_w Model or Size ` Type _. �'_ ___ Location Mass. Approved No. Storage Tank: Type __ _:��:e_- Capacity gals. (or) Sfze °' Location Amount of fuel required for testing purpose____ t _ gals. This application is made with full knowledge.of the current requirements of the . regulations governing such installation, which will be made in compliance therewith. Note: If this application involves alterations to existing equipment, . describe fully on reverse side.- y Appl. Reed Signature of Applicant Permit Issued ._._ By Permit No. Address — Certificate of Competency No: TOWN OF BARNSTABLE - - Permit No. --------,.--------- Building Inspector '°1"& Cash .6SV. °""Y�` OCCUPANCY PERMIT Bond -- — Issued to iI.Ll ilaFosa Address I<�* 10 , 179 Bri.gtol z'.vp.nut-, Hyannis Wiring Inspector ,S` Inspection date Plumbing Inspector � Inspection date R Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. /.. .�._ _. Building Inspector u Assessor's map and lot num er ' —�C/ �FTNETO Sewage Permit number ...��......` .o.�................ :......... 1�SEPTIC SYSTEM MUST Q o� � III! CONIPLIAAt B6SH9T11DLE, .Z. . i House number ..........�. ...... .:......°.........:........................ WITH .5 ENVIRONMENTAL CODE AN 'X. C i6�q 00 �a war a` TOWN OF ' BARNg ' 'ONS BUILDING - INSPECTOR t �' APPLICATION FOR PERMIT TO �L 0, OAJE S7U2y --f-Z9RE . ....................................... ................................................................ SI AIGL � f'ffivlI QI..../�v C TYPE OF CONSTRUCTION .............................................................,.............................. ........................................ 41. / � g� i,, TO THE INSPECTOR OF BUILDINGS: + The undersigned hereby applies for a permit ac rding to. th following information: Location ......Z�Z�...... ........1........... ...&Z.L.L.I.AJ � Proposed Use , ... . . ...... ....... ..... ....pAJ/S Zoning District ......... !.�... ................................................Fire District ...... YI N :................ Name of Owner .... f�.... n. 0.. ..........................Address ... ... ,!.. Gcf .. ..r.- LN Nameof Builder .......� (/�/V ......................................Address .......,............................................................................ Nameof Architect ................� ..^.........................................Address .............�. .................................................................. Number of Rooms ........... ..............................................Foundation .....1.. 0................................................... Exterior .VV„ Od... /!�? JO / ...9`� .. �?T%NC� t�ofing ....... SH!q� ............................................. Floors /e ^........................... ......................Interior .......... /: ............................................... crry.. fi-.� .:.!.. Heating ........................................! .. ..............................Plumbing....... �./....: s...................................... Fireplace ...................................................................................Approximate Cost ..........:... `.�J.QQ. .................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......1. . .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH M f i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �._ Name .c ... .. ..�������v....................... RAPOSA, GIL �3099..... Permit for .......... 0 Single Family Dwellin 9............. n-c'e L}bt #10 179 Bris" Location .............................................. .1..Av.� Hyannis ► .......................................... 0' Gi-1 Raposa Owner .................................................................... Type of Construction ..F.r.ame............................. .. ....... ........... .............................................................. Plot ............................. Lot ................................ -M ay 12, Permit Granted ....7, ............. 19 81 ............. . Date of Inspecti8Q' t-',.--.. .. ....... t Date Completed . . ...2,s3...............19O-� % 4� 0 PERMIT REFUSED ...... 0.2.................................. 19 ................... ....................o....... ............................................... ............................................... C-' ..... . ..................... ... CIO Approved ................................................ 19 .......................................................................... .............. ............................................................... a -�- � as.3y 1,C./yC?v-c ck ? VA a tl � t WE 2Y. G � r� 3? R = vp -- P CERTIFIED PLOT PLAN Q fiPIS C f &we, NEW'- CONSTRUCTION ONLY _ s`'' Ks No.842.3 IN TOP OF FOUNDATION IS FEE Isr ��aP `ABOVE LOW POINT OF . ADJACENT ROAD. SCALE: / p 30 DATE t/V),, DQE ENG/NEER/NQ COIN I CERTIFY THAT THE �'► CLIEN76-.A - a SHOWN ON THIS PLAN IS LOCATED E813TER10 REGISTERED JOB NO. /o yG ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAWS tN©INEER SURVEYOR DR.BY, � OF BARNS ABLE MASS. 712 MAIN CH.BYt Q ° ST. HYANNIS, MASS. SHEET_.—OF DATE REG. LAND SURVEYOR