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0083 PINE AVENUE - Amnesty & MULTI-FAMILY
83�PINE AVENUE 4� 'r r �y t Y• { Amnesty Program possib le.. oss r Helping to make affordable : housing, p . Town of Barnstable r _ 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. V v Owners Calvin Wiggins Location 83 Pine Avenue, Hyannis Unit Capacity WVfiedwQn, not to.exceed four people .• Inspector M/P No. 308/215 11/21/2014 Town of Barnstable Building Department - 200 Main Street ELA_MST"LE. # Hyannis, MA 02601 9 MASS 16g9. , (508 a ) 862-4038 Certificate of Occupancy Application Number: 201408071 CO Number: 20140154 Parcel ID: 308215 CO Issue Date: 11/19/14 Location: 83 PINE AVENUE Zoning Classification: RESIDENCE B DISTRICT Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT FIRST FLOOR 2 BEDROOMS Building Department Signature Date Signed �tNE TOWN OF BARNSTABLE Building 201408071 Permit BARNSTABLE, Issue Date: 11/18/14 y MASS. i639• Applicant: WIGGINS CALVIN �FG MAC a Permit Number: B 20143169 Proposed Use: SINGLE FAMILY HOME Expiration Date: 05/18/15 Location 83 PINE AVENUE Zoning District RB Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 308215 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num OWNER Est Construction Cost$ 100 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND AMNESTY APT.FIRST FLOOR KIT,2 BEDROOM,LIVINGROOM THIS CARD MUST BE KEPT POSTED UNTIL FINAL BATHROOM INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WIGGINS,CALVIN BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: .83 PINE AVE INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PF Building Permit Issued By: p .THIS PERMIT CONVEYS NO RIGHT TO OCCUPYANY STREET,'ALLEY OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY.`ENCROACHMENTS ON fUBLIC PROPERTY;NO 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`MAYBE:" •- OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT`RELEASE-THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION�r RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION_. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). x t BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /l—j — 1q. 1 1. 2 2 2 3 1 Heating Inspection Approvals Engineering Dept YrAe_Lien ON$ U"A � A.� Board of Health N1V� P PARTM FINS I f 3- 14 HYN Fl SCE75 MY Ftle t Edit Tbols Help o Application a � x i Detl N HtWn r , pp 201407843 +1 a - owner x= � ,.� �7 t Collect Status 4 COMPLETE w Department' 5300-'Bi!DId�IG DEPr �hEUT aClose,JDenyr _ r $' sroltJActQvrty 800„ELECTRICS,tD rAit, ` �y tractor -• ve _ n Busrness �•� t iarkflora DEsrnpton i REVERSE POIARITti BRING$UTCHEN BATH!UP T-`CbDE: z istatus code ACTV$ Arm 77 Descnpt�on`2 AO[7 MALL HEA 'IN BA7HROOM,l t '. 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'• # — _. (�;Pnor History j��"Inspections 1 C Yiola#rans -4 �,I�Board RiWeu s �[��OPeri Items ai Z a , ► , Ir ,AttachmentsTol. 1 - �� , 5 tt ro" -n �= Maim-inn pfqject/dctiity detmil for the currentappjjcafion �., At ., i " My File Edit Tools Help l f r k �S T e Re nested Scheduled,yp q Tme Inspec#�r Perf6rmed Resul#s Bt Field.Sfieet Contract;r '� ..a �ks,' ", M _ ro, SP GER,DAVID Wy w6===4 - rt ' y W 1 75, - ____- -� - E .. . A .. _ r � f e f b .r I r 4Vtd Sc}3 edu e a:„ A 3 a V �% _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel t Application Health Division Date Issued o Conservation Division ✓ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address L) Village / N L It, Y1i1 -6 1 Owner 4�20(u 1 G'k u C` Address O.Ve w H i4 MA ea A Telephone 9d,-6 Permit Request A.. - � pke-g Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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 ❑ 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 C�t .�.s Telephone Number Address d'.3 f~i:ge foe- License# /W ®26vf Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / /I� i ? f s ' FOR OFFICIAL USE ONLY APPLICATION# ti DATE ISSUED —.MAP,/PARCEL NO. 3 ADDRESS, VILLAGE I} OWNER DATE OF INSPECTION: u FOUNDATION. = s : = FRAME LL INSULATION.`a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH r FINAL y GAS:: i ROUGH t-� FINAL +jFlNAL BUILDING'ttri; ' t ,DATE CLOSED OUT. ` ASSOCIATION PLAN NO. d first fluor t 2nd fly OF F7T7 i t/f S l t:'k 28344 Pw 126 -38211 08-26-2014 c'li 48 z 53a I R rase. Town of Barnstable �014 127 PMI2,,23 Zoning Board of Appeals Comprehensive Permit Decision and Notice BAIdSTELE TOWN CLEF! Comprehensive Permit No.2013-080 Wiggins Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: May 14,2014 Applicants: Calvin Wiggins Property Address: 83 Pine Avenue Hyannis, MA Assessor's Map/Parcel: Map 308 Parcel 215 Zoning: R8 Zoning District Recording Information: Deed Reference: Book 19607 Page 314 Date Application Filed April 30, 2014 Date Hearing Opened May 14,2014 Date of Decision(Closed): May 14,2014 Property Ownership: The applicant is Calvin Wiggins,the owner and occupant of 83 Pine Avenue Hyannis as evidenced by a deed recorded in the Barnstable County Registry of Deeds on March 11, 2005 as Book 1.9607 and Page 314. A copy of which has been submitted for the record. Relief Requested: Mr. Wiggins has applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly.termed the"Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to,Section 240-11 (A) Principal permitted uses in a RB Zoning District to permit an accessory apartment unit within the lower level of the owner occupied home.The issuance of this Comprehensive Permit would allow for a separate,approximately 650 square feet—two bedroom accessory affordable apartment. �N f Bk 28344 Pg127 #38211 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.20]3.080-Wiggins Locus: The property is a.18 acre lot that is developed with a 5-bedroom, 3-bathroom— 1,384 square foot, raised ranch.style family dwelling with an attached garage that sits to the left of the home. The locus is in the Residential B zoning district. Site Conditions The lot is served by public water and public sewer. The Town of Barnstable's Health Director Thomas McKean reviewed the application on March 22,2014, and has no objections to a total of four(4) bedrooms for the entire property. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on April 15, 2014 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on April 30, 2014. A public hearing before the Zoning Board of Appeals.Hearing Officer was duly advertised in the Barnstable Patriot on April 18,2014 and April 25, 2014; Notices were sent to all abutters in accordance with MGL Chapter 408. The Public Hearing was opened on May 14, 2014 at 6:00 p.m. by the Hearing Officer Craig G. Larson. The applicant Calvin Wiggins was present at the hearing. Cindy L. Dabkowski,Accessory Affordable Apartment Program Coordinator was also present. Mr. Larson read the proposed conditions to the applicant. Mr.Wiggins consented to the conditions. Mr.Wiggins gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The May 14,2014 public comment period was closed by the hearing officer at 6:30 p.m. On May 14, 2014 the hearing officer granted comprehensive permit No. 2013-080 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section.11. 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. Findings of Fact: At the hearing on May 14, 2014 the Hearing Officer made the following findings of fact: 1. The applicant is Calvin Wiggins who is the owner-occupant of the property located at 83 Pine Avenue Hyannis, MA. 2. Calvin Wiggins was granted title to the property by deed recorded in the Barnstable County Registry of Deeds on March 11, 2005 Book 19607 and Page 314. 3. On April 15, 2014 a site approval letter was issued for the property by Town Manager.Thomas K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04(4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2),and no issues were communicated from the Department on this particular application. 2 f Bk 28344 Pg128 #38211 Town of Barnstable,Zoning Board of Appeals Dccision and Notice,Compmhcwive Permit No.2013.080-'Wiggins 4. The accessory affordable unit is approximately 650 square feet in Iiving area and is to be located within the lower level of the home. 5. The applicant has been informed that the AAAP unit shall meet all applicable health and 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 public sewer. The proposal has been reviewed by Thomas McKean, Health Director; he stated no objections to a total of four(4)bedrooms for the entire. 7. On March 4, 2014 Calvin Wiggins signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicant is aware that the affordable unit shall be 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 agrees that rent(including utilities)shall not exceed 3090' of the monthly household income of a household earning 80%of the median income,adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development,as of February 6,2014 6.63% 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 408 Section 20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicant Calvin Wiggins has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is deemed consistent with focal 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. Conditions. Hearing Officer Craig G. Larson ruled to grant Comprehensive Permit No. 2013-080 with conditions in accordance with MGL Chapter 40B and Article 11 of Chapter Nine of the Code of the town of Barnstable, more commonly termed the"Accessory Affordable Apartment Program"to the applicant, Calvin Wiggins who is the owner and occupant of the property located at 83 Pine Avenue Hyannis: As seen on Map 308 as Parcel 215. This Comprehensive Permit allows for a two bedroom apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed four(4) people. 2. The total number of bedrooms on the property shall not exceed four(4). 3. The accessory unit shall NOT at any time be occupied by a family member of the owner. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 3 Bk 28344 Pg129 #38211 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013.080—Wiggins 5. On March 17, 2014,the applicant was sent written copy.of the inspection findings,submitted for record, that the unit must meet all applicable health and 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. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements,the rent charged (including utilities)shall not exceed 30% of 80%of the median income for a household for the Barnstable MSA(adjusted for family 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. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy,affordability,and compliance with Housing Quality Standards(HQS).The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shal I-be the same as the Health Department fee for the rental registration program. Currently that fee is$90.00 per unit. 10.The applicant shall apply for a building permit for the accessory unit,whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance,the Building. Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes.The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11.The applicant may select his own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice.shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit,the applicant may select the tenant after open and fair marketing, providing that documentation of.the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13.Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator.The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this.Comprehensive Permit,the applicants shall file with the AAAP Coordinator, as Monitoring Agent,an annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 4 Bk 28344 Pg130 #38211 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Pemut Na 2013-M-Wiggins 15. Upon any report from the Monitoring Agent that.the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16.This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board.of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide,within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property. 18.This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve(12) months of its issuance or it shall expire. Ordered: Comprehensive Permit number 2013-080 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241,section 11 of the Town of Barnstable Administrative code. 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 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 408,Sectio P Craig G. Larson, Hearing Officer Date Signed I Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Shr: /Signed and sealed this `day of k- e_ , 201 under the pains and penalties of perjury. Ann Quirk,Town CI rk _ cif• NW es: * — BARNSTABLE REGISTRY OF DEEDS °'�TED4 e',, Bk 28344 Ps 1.31 38212 09-26-2014 a'i O$ a 53u REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 9/ S} day of Td/ ,by and between Calvin Wiggins of 83 Pine Avenue Hyannis,MA 02601 and its successors and ass' s (hereinafter the"Owner'),and the TOWN OF BARNSTABLE(the "Municipality',a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which 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 83 Pine Avenue Hyannis, MA 02601 as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 1%07&Page 314. B: The Project located at 83 Pine Avenue Hyannis,MA 02601 will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the"Designated Affordable Unit"or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2013- and any plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book &Page D. 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 T E OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan Statistical Area(MSA)and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80%of the Area Median Income (AMI)of Barnstable MSA and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, Bk 28344 Pg132 #38212 mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. 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 Metropolitan Statistical Area(MSA)and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III MUNICIPALITY COVENANTS AND RESPONSIBILTTIES 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(AMD of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry of Deeds',,and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 Bk 28344 Pg133 #38212 V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. V1. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorney's fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING. A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 19607 &Page 314 and shall be binding upon the Owner and all successors in title. This Agreement is made for the benefit of the Municipality and the Municipalityshall be deemed to be the holder of the restriction created P t9 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 19607&Page 314. IX. TERM OF AGREEMENT, The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1)expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2)notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 Bk 28344 Pg134 #38212 X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns(1) 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 merely personal 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. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30)days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. 3� si 1 IN WITNESS WHEREOF,we hereunto set our hands and seal this day of OWNER BY: Signature r h Printed: f i, COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this Iki r ,jv) before me,the undersigned notary public,personally appeared Calvin Wiggins,ths),proved to me through satisfactory evidence of identification,which was to be a person(s ose name(s)is signed on the preceding or attached documen nd cknowledged to a at he/s igned it voluntarily for the stated purposes. Notary Pub'c Printed: My Commission Expires: CXL �/r.TTr 4 JAYlS i1111iK NUUdoft otWraNW Eon Jos 25,2021 Bk 28344 Pg135 #38212 TOWN OF BARNSTABLE BY: TOWN MAN ER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this .�16day of 2014 before me,the undersigned notary public,personally appeared '(hpm6c� {��,LYX►(:H ,the Town Manager for the o of B table,proved to me through satisfactory evidence of identification,which were l r ,to be the person whose name is signed on the preceding or attached document and ackAowledf ed to be that he/she signed it voluntarily for the stated purposes. n Notary Public Printed: atiY so LuG14,y-- My Commission Expires: 00t Y "s Ao)i Z�y „ �a = ��M/NIIIN 5 BARNSTABLE REGISTRY OF DEEDS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. Parcel v Pp 1 Application # bN 0 /R lIJ Health Division Date Issued ��1 ?-/ 4 Conservation Division Application Fe-" G Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 43 Village Owner 64%7 Address cf3 Telephone Permit Request /G'�%'tee a�a e i oto Ciio>�rfio' ell C/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !P�r-1©-1-1-I°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 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑:No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other _ Basement Finished Area (sq.ft.) Basement Unfinished Area (e& L21 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new cam» Total Room Count (not including baths): existing new First Floor Ro m Count' M 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 Z;11""a Telephone Number Address d-5 Alle License # /wQ Oaso/ Home Improvement Contractor# mail: Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C%'✓�I " DATE I i FOR OFFICIAL USE ONLY if - I ` APPLICATION# P' DATEASSUED �aF 1; ,,. MAP/PARCEL NO. a B k I. f ADDRESS VILLAGE h, OWNER DATE OF INSPECTION: �' ��jFOUNDATIONata;��� a�,�-�a <,���.:t�•�:��._ _ �x " FRAME INSULATION FIREPLACE y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i3,•:" DATE CLOSED OUT ASSOCIATION PLAN NO. i 27ze Cominoxweafth of Ma suckradts .DeRartmeTit ofIirdk ial Acddbw& '? Dce o�Ir gatia. .S00 Washiwaff Street Bwfaa,MA 021.f wnrn:nrmxgos�� Wcwlae& Compensafian llasn-mce Affidavit BMId.-MCD s4%mbers Amfficant Ilf'ormafim Pleme prmd 1A III CiiydStafacfTp: /�aon,s , /yam 026'0/ Phmw#: . Arc you an e . Check the alq rap iafe box: Type dproject (r r�= 1.ElI am a employer with 4. ❑I area gener l contactor and I employees(fall=&crpwt-tme)_* haQe hired theG_ ❑New won sub-conhwtom i❑ I am a sole proprietor orpartne. listed cathe attached sheet 7- ❑RrmDdeliug ship and bane uo employees Ibm mb-c mtracims have g- ❑Demolition w forme is employees and have wow' � � St. Building addition u INo m&='comp-insurance . camp.iusuranml ❑ � aired] 5. ❑ We area corporation and its 1{}❑Electdcai repairs or additiom 3_ I am a homeowner doing all work officers have esrscised fheir 114❑pig repairs or additions ruyset£ [No worl=e comp sight of exemption per MGL Rtaaf repaim insurance required.]i c-152,11(4�and we have no � employees-[No worlo'ss' 13_❑Other comp.insurance required.] WAXYWXcurtBxt clip dabox#/Must-lsoilloutthesectionbeIawsbmriugtheawa&ers'o mpr=d=13alicyin nna iML T Ek m =nem vdw sabmit this xTubwk indicating they azE doing ale�tmit-nd then h¢E oamde caatucmts nmst submit iaetiv affidavit iadicetiao sari. ZCmmzeMas l6st check this boot mast attached ao[additional sheet shaxiag the mute of t5e sob-c�actacs aocl state xhether orncet these evrities�e employees. Iftbe sub•cmtwazshase emplas w.%Iheym=stpmvide their warkeW camp.policy mmiber I mn rut etnpIvyer tltrrtis pmvidirtg nrorkers'cart ptrzsrrlian irisrrratrc8 far m,�enrpluyees, �e}or�is tlis polic�T rurrl,job srtg it fotYnafu+r1 Insurance Company N=z: Policy 4 or Self-ins.Ile.# ExpirationDrate: Job Site Address: MV/StateZo: Attach a copy of the workers'compensation policy declaration page(shvwkg the policy number and expiration date). Failure to secure coverage as required undt'r Section.25A of M-GI.c.152.can lead to the imposition of criminal penalties Ufa fine up to$.1,50Q.00 and/or one-gear impdsomnent,as well as civil penalties in the fuml of a STOP'VORR;ORDER and a fine of up to 0-}0 a.day against the violator- Be advised That a copy of this statement maybe fnawarded to the OfE a of Iavestigatiow of dte DIA for insurance coverage verificatiaa- I do hereby certify ur thepains arrdpe aiYies a.f erktrY fliettLa inforatarmi pravixW abvvz is bare and correct Date: // Phone Sad-d d2- AS-0-9 Fd use onljx Igo uotF writs in f,Ftis areas,to bra cartrplstrad by city arimm of zc&l Chly or Town: rarmitaIceilse-9 /swing Aaf ulrity{chcde one): L Board of Hcd& 2.lRt€mg Department 3.Qtyf ewe CIKrk 4.I]eetrieal Inspector 5.MumebmghVectar 6.Other Cont;xct Pftsoa: mane 6: 6 Town of BarnstaDlei Regulatory Services �t Richard V.Scali,Interim Director Building Division Tom Perry,Building Commissioner ' LE' anms,MA 02601 200 Main Street, Hy 63 �� www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-403 8 HOMEOWNER LICENSE EXEMPTION Please Print DATE.-�11A v. sJJAQ. village JOB LQCATIOI�1 " street ` number LJI1 � work `HOMEOWNER"> S home phone# phone# CLJRREN_T.MAILING'ADDRESS: ew 1 p state zip code cI ty/town or and to gs Of six The current exemp lion for"home_owners' was extended to include owner-occu oievd provided thatmthe owner acts as sus r allow homeowners to engage an individual for hire who d DE nF>MTION OF HOMEOWNER or is intended to own a parcel of land on which he/she resides or intends to reside, on hich thes. re Person who constructs moreethan Done person(s)who o p family dwelling,attached or detached structures accessory to such use and/or Building a two-year period shall not be considered a homeowner. S fochah smehown k'shall submit de th bui dm Oegrmitl (Secti on a on e m 'ble home Y acceptable to the Building Official,that he/she shall be rem oust - 109.1.1) i e with the State Building Code and other applicable codes, The undersigned"homeowner"assumes responsibility for complianc bylaws,rules and regulations. The undersign e "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc d d requirem d that he/she will comply with said procedures and requirements. Signature.ofHomeowner'' • Appioval of Building Official _ dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Note. Three family d g Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION ruction Supervisors);provided that if the homeowner The Code states that: "Any homeowner.performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of con engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." he ilities-of A supervisor Many home owners who use-this exemption are unaware that they are r case tt n 2t15) This lack of awareness often (see Appendix Q,Rules&Regulations for Licensing Construction Supern , ,our Board ca erious problems,particularly when the homeowner hires unlicensed The homeowner actingacting as Supervi oris t results m.s P proceed against the unlicensed person as it would with a licensedp ultimately responsible. homeowner is fully aware of his/her i`esponsibilities,many f a1ties require,as part of the Supervisor. On the last page To ensure that the hom that he/she understands the responsibilities permit application,that the homeowner certify of this issue is a form currently used by,several towns. You may care t amend and adopt such aform/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS:doc g. ke.vised 061313 ` Town of Barnstable Regulatory Services R ; II Richard V.Scali,Interim Director Ep 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 P operty Owner Must Comple a and Sign This Section I Usin A Builder as Owner of the subject property hereby authorize to act on my behalf, in all mattets relative to work authorized b this building permit. (Address of Jo ) **Pool fences and alarms are the respo sibility of the applicant. Pools are not to be filled or utilized before fenc is installed and all final inspections are performed and accepted. Signature of Owner Signature of A licant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 10/13 "TOAM OF BARNSTABLE first floorr� , .I 1s d G�Uiq ILOQ�I y 2nd floor 4Ae- 1171 r K c, j S T'e nd n " �m�E OFTHE lqy, Town, of Barnstable yg' ti� Regulatory Services Richard V. Scali, Director Regulatory Service 1639. � Building Division Town Perry, Building Commissioner 200 Main.Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230. November 4, 2014 Calvin Wiggins 83 Pine Ave Hyannis,MA 02601 Re: Property Inspection Locus: 83 Pine Ave,Hyannis Dear Mr. Wiggins: I am informed that Patrick Franey,Local Inspector and Deputy Wiring Inspector Gene Fournier inspected your property on Friday Oct. 31"with Lt.Norman Sylvester of the Hyannis Fire Dept. This effort was coordinated to ensure that the proper number of detectors were installed and were operable in accordance with the state building and electrical codes. Placement and unit numbers were to be determined by the intended and obvious useswithin the structure. Asia result of the aforementioned inspection,a number of other concerns were identified. You have been informed on site regarding the nature of the issues. Subsequently,you were directed to obtain the services of a licensed electrician and licensed plumber to assess, repair or replace all un-permitted work through out the entire dwelling. You must address.the following in order to resolve this matter and continue with the Affordable Accessory Program. i You must apply for and obtain a building permit to create the subject Amnesty unit. - - o You must obtain the services of professionals to assess all electrical, plumbing and gas work. o. All un-permitted work must be updated(with permits)to the current code throughout the entire house and inspected accordingly. 0 No Certificate of Occupancy will be issued until a building permit is granted and all work. - approved in accordance with the governing state codes. I am confident that you will take immediate measures to correct the violations and concerns cited above. I am available directly at 508-862-4027 in the event that you require clarification or have any other questions. Sincerely; Robin C. Anderson Zoning Enforcement Officer Town of Barnstable *Permit o Expires 6 months from issue date �7 Regulatory Services Fee � MAS& 8 Richard V.Scali, Director 16;q. ArE�MAC A _ Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 Og Z, Property Address e:�1>` QULWtb/\(\1 S MA- Q 1 E Residential Value of Work$ SOCO Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address W y r\ V+i.ge�r n� U J Y 1'k 6M., 6 Contractor's Name J c C e fl Telephone Number �$ 3f4y O 0. JP Home Improvement Contractor License#(if applicable)Z\\76A \V `6Email: 5 P 6'i nqZ Z I Z �CCn-KA,P t,net Construction Supervisor's License#(if applicable) [' Vorkman's Compensation Insurance C ne: ' am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 'l G W E(o L.X 311S Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: �moke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. f 'Note: Property Owner must sign Property Owner Letter of Permission. f A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Z \ Q:\WPFILES\FORMSUilding permit IAPRESS.doc Revised 061313 �o 2 Town of Barnstable *Permit 4�OLU? j Expires 6 m s frame date Regulatory Services Fee Richard V.Scali, Director prEp ,l A 2 Building Division towl, 8 ?U14 Tom Perry,CBO,Building Commissioner Qf,U,q,qjVST 200 Main Street,Hyannis,MA 02601 'V www.town.bamstable.ma.us Office: 508-862--4038 BCE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �UQ ` 5 Not Valid without Red X-Press Imprint Map/parcel Number O Property Address g3 Pl`ne Qyt N�!mv�> ❑Residential, Value of Work$1 70 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Ca l0 i t� �Q �A vv z l V7d Contractor's Name Ci 3Z3Ci Tele hone Number P � 5 Home Improvement Contractor License#(if applicable) Email: S Pf'�nt�Z Construction Supervisor's License#(if applicable) Worlanan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy W CG L X ?J,�j Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. - -------- --- A copy of the Home Improvement Contractors License&Construction Supervisors License is l� re uired. _._. ... ....._. __...... .... . ... ...... SIGNATURE: QAWPFILES\FORMS\building perrr it forLEXPRESS.doc Revised 061313 �r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street = Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): � v - Address: City/State/Zip: hM(t(,3 PAA d2fwO t Phone#: SO 0\11 Are u an employer? eck the appropriate box: Type of project(required): 1.7 .LJ I am a employer with Z 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. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.: 9• El 'lding addition required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp:insurance required.]- *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such: $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: L Ci L X 35- 1 Expiration Date: g�3 I �S Job Site Address: 3 [ In 2 AaX City/State/Zip: Naf,n 6 0 4d k Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ify under the pains and penalties of perjury that the information provided above is true and correct Si afore: � Date: (6 z3 /Iti Phone#: 56% 344 0 l3ck Official use only. Do not write in this area,to be completed by city or town of Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6, Other Contact.Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill.out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should.enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact.you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,-MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 wwwmass.gov/dia + BARN6TABLE, s —.i679� Town of Barnstable ��e� Ep" Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,-MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder l 6 v� , as 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) Signature of Owner Date -�- fC6 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:IWPHLESTORWbuilding permit formslsmokecarbondetectois.doo. Revised 050412 'i'own of Barnstable ` Regulatory Services . p+F b Richard V.Scali, Director .Building Division `* s�tetvsrns� Tom Perry,Building Commissioner MAM 1639. 200 Main Street, Hyannis,MA 02601 ED MA'1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print: DATE: JOB LOCATION: number street village "HOMEOWNER": r . name home phone# work phone# CURRENT MAILING ADDRESS: city/town: state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the.Building Official,that he/she shall be responsible for all such work performed under the building mut. (Section 109.1.1) . The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require ents Z Signature of Homeowner Approval of g Buildin Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required i. shall be exempt from the provisions of this section(Section 109.1.17 Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." ' Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness-often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. my . i Edit oIs- Help : s .. arrre. �, - rTrade meri Name on-d -SP.YRI�iGERr DA�ID f+�� a �# � � 34�467 A6&e [ " �_- v a — n � r Mk- El Telephone 5t18-3640139 `" GAE-l�ai .. ,. r _ e. t >` �.- `-. # _ I2� n.tracbr _ :7.Y i x w Ir st ranae;Pa icy .g Insurance Type bast ranc'e Co npw Exp Dd e ` ruaixred + Fr~t�3T SIDLE' - l 02/2012015"r r rrr�rivamtrry f": ,� i? ' ?"'t%i� LX3593 khtC TiARTF ��IRE II�JSt3 ©8�0312015: N °C_rtactKEsa©x� ©Q /� 4 ( s� - :P .'. w�' 'eta. C�Ilpinr�fS. r EE" b �icense'palt r -£ hsY r ' Subject to'6mlt� _ Ile � " q , = PI ,tom xIt 4-4 F � ; 2 $ _ a` V16i -he trkesmen for the:ikr_rltcontr6doi f, £ 144,111 v` t s �A ,k , ,.may: .e .: * «^ :.�,r. YOU WISH TO OPEN A BUSINESS? For Your Information: _Business certificates (cost$40.00 for 4 years). A business certificate.ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1st fl., 36.7 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: "141 Fill in lease: 2Oko a; � F j APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: ., TELEPHONE # Home Telephone Number Sad'_ "2 -oSy3 NAME(]F CORPORATION ',NAME OF NEW BUSI / /n��•;or.r TYPE OF'gUSINE55 �a�stlai eEc IS TH15 A HOME OCCUPl:X.1C ✓ �(E5 BU5I,IVE ' MAP/PARCEL VUVBERAI70SS OE (Assessing) When starting a new business there are several things you must do in order to he in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may 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 COMMISSIONER'S OFFICE C—kP 'Jn V d0 10L�on's This individual has been informed of any t requirements that pertain to this type of business. Au Signature** M its a �v COMMENTS: ` 2. BOARD OF HEALTH This individual.has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: - B. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: _Coyle, Brenda From: Dabkowski, Cindy Sent: Tuesday, May 27, 20.4 2:32 PM To: Coyle, Brenda Subject: RE: 83 Pine Avenue Hyannis I spoke with Mr. Wiggins he is aware that he does not have a finalized decision. attached is a copy of the decision that was clocked in with the town clerk. As I mentioned earlier this is not a finalized copy. -----Original Message----- From: Coyle, Brenda Sent: Tuesday, May 27, 2014 2:20 PM To: iDabkowski, Cindy Subject: RE: 83 Pine Avenue Hyannis Can I get a copy of the decision?There is no need to contact Mr.. Wiggins. -----Original Message----- From: Dabkowski, Cindy Sent: Tuesday, May 27, 2014 12:31 PM To: Coyle, Brenda Subject: RE: 83 Pine Avenue Hyannis Hello Brenda 83 Pine Avenue decision was clocked in with the Town Clerk today. We are in a 20 day appeal period. I will contact Mr. Wiggins and explain the process. Cindy -----Original Message----- From: Coyle, Brenda Sent: Thursday, May 22, 2014 11:41 AM To: Dabkowski, Cindy Subject: 83 Pine Avenue Hyannis Cindy, Could you please send me a copy of the Decision for the above address. Appeal No. 2013- 079 Wiggins. Thank you, Brenda Coyle 5/27/2014 ELARNST"LE. i MAN. a6J9. � Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2013-080 Wiggins Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: May 14, 2014 Applicants: Calvin Wiggins Property Address: 83 Pine Avenue Hyannis, MA Assessor's Map/Parcel: Map 308 Parcel 215 Zoning: RB Zoning District Recording Information: - Deed Reference: Book 19607 Page 314 Date Application Filed April 30, 2014 Date Hearing Opened May 14, 2014 Date of Decision.(Closed): May 14, 2014 Property Ownership: The applicant is Calvin Wiggins, the owner and occupant of 83 Pine Avenue Hyannis as evidenced by a deed recorded in the Barnstable County Registry of Deeds on March 11, 2005 as Book 19607 and Page 314. A copy of which has been submitted for the record. Relief Requested: Mr. Wiggins has applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) Principal permitted uses in a RB Zoning District to permit an accessory apartment unit within the lower level of the owner occupied home. The issuance of this Comprehensive Permit would allow for a separate, approximately 650 square feet—two bedroom accessory affordable apartment. Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-080—Wiggins Locus: The property is a .18 acre lot that is developed with a 5-bedroom, 3-bathroom — 1,384 square foot, raised ranch style family dwelling with an attached garage that sits to the left of the home. The locus is in the Residential B zoning district. Site Conditions The lot is served by public water and public sewer. The Town of Barnstable's Health Director Thomas McKean reviewed the application on March 22, 2014, and has no objections to a total of four (4) bedrooms for the entire property. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on April 15, 2014 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was.sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on April 30, 2014. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on April 18, 2014 and April 25, 2014; Notices were sent to all abutters in accordance with MGL Chapter 40B. The Public-Hearing was opened on May 14, 2014 at 6:00 p.m. by the Hearing Officer Craig G. Larson. The applicant Calvin Wiggins was present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Mr. Larson read the proposed conditions to the applicant. Mr. Wiggins consented to the conditions. Mr. Wiggins gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The May 14, 2014 public comment period was closed by the hearing officer at 6:30 p.m. On May 14, 2014 the hearing officer granted comprehensive permit No. 2013-080 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 11. 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. Findings of Fact: At the hearing on May 14, 2014 the Hearing Officer made the following findings of fact: 1. The applicant is Calvin Wiggins who is the owner-occupant of the property located at 83 Pine Avenue Hyannis, MA. 2. Calvin Wiggins was granted title.to the property by deed recorded in the Barnstable County Registry of Deeds on March 11, 2005 Book 19607 and Page 314. 3. On April 15, 2014 a site approval letter was issued for the property by.Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application. 2 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-080—Wiggins n 4. The accessory affordable unit is approximately 650 square feet in living area and is to be located within the lower level of the home. 5. The applicant has been informed that the AAAP unit shall meet all applicable health and 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 public sewer. The proposal has been reviewed by Thomas McKean, Health Director; he stated no objections to a total of four (4) bedrooms for the entire. 7. On March 4, 2014 Calvin Wiggins signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicant is aware that the affordable unit shall be 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 agrees that rent (including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of February 6, 2014 6.63% 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. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing . housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicant Calvin Wiggins has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Conditions: Hearing Officer Craig G. Larson ruled to grant Comprehensive Permit No. 2013-080 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program"to the applicant, Calvin Wiggins who is the owner and occupant of the property located at 83 Pine Avenue Hyannis. As seen on Map 308 as Parcel 215. This Comprehensive Permit allows for a two bedroom apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed four(4) people. 2. The total number of bedrooms on the property shall not exceed four (4). 3. The accessory unit shall NOT at any time be occupied by a family member of the owner. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 3 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.20137080—Wiggins 5. On March 17, 2014, the applicant was sent written copy of the inspection findings, submitted for record, that the unit must meet all applicable health and 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. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA(adjusted for family 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. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit. 10. The applicant shall apply for building permit for the accessory unit, whether the unit is new or pre-existing. :Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11. The applicant may select his own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and fair marketing, providing that.documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13. Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this.Comprehensive Permit, the applicants shall file with the AAAP Coordinator, as Monitoring Agent, an annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 4 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-080—Wiggins 15. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16. This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide, within 60 days of the date of transfer,the name and current contact information for the new owner of the subject property. 18. This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve (12) months of its issuance or it shall expire. Ordered: Comprehensive Permit number 2013-080 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. 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 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. Craig G. Larson, Hearing Officer Date Signed I Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have.elapsed since the Zoning Board of Appeals filed this decision and that no appeal . of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of 201_under the pains and penalties of Pedury. Ann Quirk, Town Clerk 5 Town of Barnstable rp DIME, � Regulatory Services Richard V. Scali,Director ' . MMSTML& 9 MASS, Building Division , 16g9. Tom Perry,Building Commissioner RFD MA'S A 200 Main Street, Hyannis,MA 02601 :, www.town.barnstable.ma.us { � Office: 508-862-4038 ���1�(�a I Fax: 508-790-6230 PERMIT# FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village Property owner's nanW Telephone number 12_ ub Size of Shed <Map/Par el# A ��✓�t'�cy0/'1/ Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway r� Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 S Town of Barnstable Geographic Information System April 30,2014 L"308 076 308217 r #71 308147 #341 308216 Zs #79 4 s5� 0 R C 308245 #94 3 .� �t 08222 k �� �#24 308215 #83 3 3082�7 08223 � #87 #30 308268 #104 308214 i 308266 # #38 '. 326001 ID DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:308 Parcel:215 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected w+ Parcel 1°=100'may not meet established map accuracy standards. The parcel lines on this map Owner:WIGGINS,CALVIN Total Assessed Value:$306400 are only graphic representations of Assessor's tax parcels. They are not true property Co-owner: Acreage:0.18 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:83 PINE AVENUE ,�r f such as building locations. Buffer `� -- - - �s Q�ac Je4i � IT TOWN OF BA STABLE i NOTICE OF MEETINGS OF TOWN DEPARTMENT AND ALL TOWN BOARDS As Required by Chapter 28 of the Acts of 2009 which amends MGL Chapter 30 A Accessory Affordable Apartment Program ZONING BOARD OF APPEALS DATE OF MEETING: May 14,2014 Check below which one applies i The Clerk's office has this meeting date already posted X This is a special meeting which has not been posted TIME: 6:00 PM PLACE: Barnstable Town Hall 367 Main Street Hyannis,MA Hearine Room,2"d Floor. TOPICS TO BE DISCUSSED: i Appeal No.2013-079-Carey Chapter 40B Comprehensive Permit Susan Carey has applied to the Zoning Board of Appeals for a Comprehensive Permit pursuant to MGL Chapter 40B andl n accordance with Section 9-15 of the Code of the Town of Barnstable,the"Accessory Affordable Apartment Program."Tlie applicant is seeking to utilize a one bedroom apartment to be located within the lower level of the home as an Accessory Affordable Apartment. The property is addressed 78 Barnicle Drive Marston Mills,MA 02648 and is shown on Assessor s Map 076, as Parcel 051. It is in RF-Zoning District. Appeal No. 2013-079-Wi ms PP gg� ' Chapter 40B Comprehensive Permit Calvin Wiggins has applied to the Zoning Board of Appeals for a Comprehensive Permit pursuant to MGL Chapter 40B a! d in accordance with Section 9-15 of the Code of the Town of Barnstable,the"Accessory Affordable Apartment Program."T applicant is seeking to utilize a two bedroom apartment located within the lower level of the home as an Accessory Afford' ble Apartment. The property is addressed 83 Pine Avenue Hyannis,MA 02601 and is shown on Assessor's Map 308, as Parc�l 215. It is in RB-Zoning District. I Approval of Minutes from April 23,2014 Upcoming Meetings June 11,2014,July 9, 2014,August 13,2014 PERSONS INTERESTED ARE ADVISED THAT, IN THE EVENT ANY MATTER TAKEN UP AT THE MEETING REMAINS UNFINISHED AT THE CLOSE OF THE MEETING,IT MAY BE PUT OFF TO A CONTINUED SESSION OF THIS MEETING, WITH PROPER POSTING. For your information the section of the M.G.L.that pertains to postings of meetings is as follows: Except in an emergency,in additio to. any notice otherwise required by law,a public body shall post notice of every meeting at least 48 hours prior to such meeting,excludi Saturdays,Sundays and legal holidays. In an emergency,a public body shall post notice as soon as reasonably possible prior to such meeting. Notice shall be printed in a legible,easily understandable format and shall contain: the date,time and place of such meeting tnd a listing of topics that the chair reasonably anticipates will be discussed at the meeting. For meetings of a local public body,notice shall be filed with the municipal clerk and posted in a manner conspicuously visible to the public at all hours in or on the municipal building irk;which the clerk's office is located. r '� F� t( 1 CAPE C iNSULATIO53 CIRCR GLASS SCAMICSS SPRATCOAM SUSPCNOCO SATTS OUTTSRS INSULATION CSUINOS 1-800-696-6611 DIVISION Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 r Date: 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 e-Wlram �,��l�.u.1 �3 ��•�.� 04vc Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) 45�iv-e ro?y Gvo r Sincerely 2Hry E ssration, sident Insc. I , CAPE COD INSULATION Fq N F q NOR OUSE St MUSS SPRATEOAM .SUSPENDED RATTS GUTTERS INSUE *N CLIUNOS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St <.► Hyannis, MA 02601 == Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. per ormed&� 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 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) /4�r tseu Lr� Sincerely e E Ca dy Jr s' ent C Cod ulati , In TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION `q O 2Z:-S_ . �: a , Map Parcel Application # AM Health Division ' ` " J f fiD WIssued < �/ Conservation Division Application Fee Planning Dept. DI VI - Permit Fee 14 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address _ vze ✓ Village Owner e line.& IA4d Address Lill Telephone Permit Request Rd f e IAXY Zye GC Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ! 7-/0..v Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a`� Two Family ❑ Multi-Family (# units) Age of Existing Structure _ Historic House: ❑Yes Olo On Old King's Highway: ❑Yes ®-PQo 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 bath.): 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 1,4:rldA�e Telephone Number 4--f Address License # /1010 f oyt? Home Improvement Contractor# .104'_Lf Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z. FOR OFFICIAL USE ONLY A APPLICATION# _DATE ISSUED U - ; MAP/PARCEL NO. ADDRESS VILLAGE • r , i ": OWNER E A DATE OF INSPECTION: ;`FOUNDATIO.N: FRAME ' INSULATION. FIREPLACE J t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: V ROUGHr> FINAL rE<FINAL BU1L-DING��- �:�' 'Y= �z�� � • Y +:L -DATE CLOSED OUT, f k; ASSOCIATION PLAN NO. ti I , ` OWNER AUTHORIZATION FORM 1,�5� (Owner's e) owner of the property located at 3 Al,e?e- v , (Property Address) Y 571? / Oz 6a (Pro erty Address) hereby authorize C , (Subcontd ctor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date I C C E0vE M AY 3 2012 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 w Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC NIZI HENRY CASSIDY 455 YARMOUTH RD. i �- HYANNIS, MA 02601 K 7jj i [Jpdate Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment ❑ Lost Card DPS-CA1 Co 50M-04/04-G101216 Office o mer Affairs us ne Regul•tion License or registration valid for individu! se en-!y H, 9k6 tXZAi� before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SOD INSULATION,ZINC,__ HENRY CASSIDY 455 YARMOUTH RD T_#_•t'_. HYANNIS, MA 0260:1` -p Undersecretary It ith t si tune !JAN""ichusetts-department of Puhlic Safet Board of Bfiltiin�g Re,,ulations and Standards'- Construction Supervisor License 0• License: CS 100988 HENRY CASSIDYs 8 SHED ROW WEST�ARMOUTH,-MA'02673 Expiration: 11/11/2013 ('rrnmrissi'n�r Tr#: 7620 r I ' y The Commonwealth of Massachusetts Department of*Industrial Accidents Office of Investigations 600 Washington Street F „a Boston, MA 02111 www.lnass.gov/dia Worker's compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C6 P e Cold G .Y Address: City/State/Zip:__4al2P? (S_ WA as 6,1",I Phone#: SO9 Z76 ^ f�f Are you an employer? Check the appropriate box: Type of project(required): 1. fvf�1 I am a employer with 4 ❑ I am a general contractor and I have 6. ❑ New construction employees(full and/or part-time).;' hired the sub-contractors listed on 7• ❑ Remodeling the attached sheet.$ 2. ❑ I am a sole proprietor or partnership These sub-contractors have 8• ❑ Demolition and have no employees working for employees and have workers' comp. 9. ❑ Building addition me in any capacity. [No workers' insurance._[ 10. ❑ Electrical repairs or additions comp insurance required.] 5.❑ We are a corporation and its officers have exercised their right of 11. ❑ Plumbing repairs or additions 3. ❑ 1 am a homeowner doing all work exemption per MGL c. 152§ (4),and 12. Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. Other ,i insurance required.] t comp.insurance required.] '"' erg z *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is toe policy and job site information. Insurance Company Name: A f Q l-62�4C_f C © Policy#or Self-ins. Lie.#: —qq CA d 1 5!20 Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of this statement ma e forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here c under the ins and penalties of perjury that the information provided above is trt a and correct. Signature: Date: z Phone#: Official use only.Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): .Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Date: 4/19/2012 Time: 10:13 AM To: Cape Cod Insulation, Inc @ 1508-778-5735 Rogers & Gray Ins. Page: 002 a " Client#:4597 CCINSUL ACORD. CERTIFICATE OF LIABILITY INSURANCE [74ATE H912012YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 NAMEA Margaret Young Rogers&Gray Ins. So.Dennis PA"Ic00,"N EXt:508-760-4602 MAX No:508-258 2102 434 Route 134 ADDRESS: youngma@rogersgray.com P.0.Box 1601 PR DU ER CUSTOMER ID#: South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A,Peerless Insurance 18333 Cape Cod Insulation Inc INSURER B:Ohio Casualty Insurance Company 455 Yarmouth Road INSURER C:Atlantic Charter Insurance Hyannis, MA 02601 .INSURER D,Commerce Insurance Company 34754 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. IN SR TYPE OF INSURANCE DDL UBR POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY CBP8263063 04/01/2011 04/0112012 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAET RENTED PREMISES Ea ocwrrence $100,000 CLAIMS-MADE I X1 OCCUR MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- LOC $ D AUTOMOBILE LIABILITY ' 11MMBCKVMK 04/01/2011 04/01/201 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS - PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X.NON-OWNED AUTOS $ $ B UMBRELLA LAB 7CLAIMS-MADE. 00CUR 0001254514645 04/01/2011 04/01/201 EACH OCCURRENCE $1000000 EXCESS LIAB AGGREGATE $1,000,000 DEDUCTIBLE $ X RETENTION 10000 $ C WORKERS COMPENSATION WCA00525902 6/30/2011 06/30/201 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN IFR ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? ❑N FNIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE G 1988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80552IM68179 M EE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'a Map Par c I Permit# 4-Health Division Date Issued xa A-Conservation Division Application Fee V Tax Collector Permit Fee S-R• Treasurer Planning Dept. CONNEMP SEWER ACCOUNT Date Definitive Plan Approved b Planning Board G -- pP Y 9 Historic-OKH Preservation/Hyannis Project Street Address3 Village Owner r�(e,i..� .L/r r c ,'&A '% Address 3 eo R ti4e-9- K!X 0.%_A o,r w+A 6264 Telephone 56'2v 962 p-S J Permit Request &11 -e— Square feet: 1st.floor: existing 61 proposed Skoo 2nd floor: existing proposed Total new Iq 6® ! Zoning District f�e_-.i'de Flood Plain Groundwater Overlay Project'Valuation IS ereo a o Construction Type AlAe.Lij+ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0" Two Family ❑ Multi-Family(#units) Age of Existing Structure I "ad Historic House: Cl Yes 3-1466 On Old King's Highway: ❑Yes 3-No Basement Type: ZAII ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing fit® new Number of Bedrooms: existing C. new Total Room Count(not including baths): existing new First Floor Room Count (4- Heat Type and Fuel: C94as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ©'I l�o Fireplaces: Existing e-.5 New Existing wood/coal stover W- es ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �� 9 l'�-t S Telephone Number S+� 6�2 0 Address'9 License# c7 Home Improvement Contractor# Worker's Compensation# I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / DATE .4 r FOR OFFICIAL USE ONLY PERMIT NO. ^ - r DATE ISSUED 1 MAP/PARCEL NO. 1, r ' ADDRESS =' VILLAGE - V OWNER DATE OF INSPECTION: FOUNDATION /0.0 A FRAME (' - I -0 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r' O Q PLUMBING: ROUGH FINAL RI_ - GAS: ROUGH" _ FINAL FINAL BUILDING -'DATE CLOSED OUT - ASSOCIATION PLAN NO. i L t�` Town of Barnstable . oF ram_ b °-� Regulatory Services s Thomas F.Geiler,Director Mass. . p 161 A�� Building Division TfD MA'f Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 . 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 - requisements. Type of Work: ��� °�'' 1.G�VO'� Estimated Cost 5 (000, 0 0 Address of Work: `�� r T . . � 6wner's Name: Date of Application'. ®� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law nJob Under$1,000 []Building not owner-occupied �w er 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 UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date . Contractor Name Registration No. OR Date Owners Name Q:famis:homeaffiidav The Commonwealth of Massachusefts L - Department of Industrial Accidents' 600'Washington Street Boston,Mass. .02111 Workers', Co ensation.Insurancedavlt-General Businesses name. . . r- state: Gk, l zi 02e m hone# work site oeation(full address)• • ❑ I am•a sole proprietor and have no one )Business Type: ❑Retail❑Restaurantltar/Eating Establishment ' working in any capacity. ❑ Office Q Sales(including Real Estate,Autos etc.) ❑I am an em to with etn-lo es full& art time.% [C].0iher p Ply/ =11 e �����y� ��� I am an•employer providing vtiprkers', compensation for my employees working on this job., company IIantes - - ' fldUre33:! + :+i. ice'' _ :1''.• r.:':* city% o°hone:.#.:: 's. ,: - . . �i",• ..�:�; ,ems A, . I am a sole proprietor and have hired the independent contractors listed below who have the following workers' - :- compensation polices: con an' 'a'a'riiec "9' address:. :°:`•� :::. ''�� . eifi'• r• lII3nr8nCe'CO. 'p. :t; rt:• ;it S•-?'• i X. "•an. name. con _ address:. • �''` • ci y' -.01 a#i insuranee-co; :::'s', .:.. :°'•.:::•...... :: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that 0 copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ee de iepains and penalt' s of perjury that the information provided above is true a d eorre Signature l' `' S Date � 6 Print names /r� /v� NN r Vi S Phone# 6-z official use only do not write in this area to be completed by city or town official city or town permidlicense# -[]Building Department ❑Licensing Board ❑-check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) ,,co Information and Instructions' Massachusetts General Laws,ch4 pter�152 section 25•requires all employers .to provide workers' compensation for their.. employees. As quoted from the law', an employee is.defined as every person in the service another under airy contract of hire; express or implied; oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint enferprise, and including the legal.representatives of a deceased,employer, or the receiver or trustee of an individual,partnership,,association or other legal entity, employing employees. 'However the owner of a dwelling house having-not more than three apartments and who resides therein, or the.occupant_of the dwelling house of another who,employs-persons to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such,employment.be deemed to be an employer. MGL chapter 152 section 25 also states that every. state'or local licensing agency.shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidene.e.of compliance with the insurance coverage required: Additionally, neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of°Industrial Accideits. Should you have any questions regarding-the"law"or if you are required to obtain a;workers''compensation policy,please call the Department at the number listed.below. , II City or Towns . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event•the Office of Investigations has to contact you regarding the applicant. Please be sure to fillin the permit/license number.which will be used as a reference number. The.affidavits.mr y be.returned to the Department by mail or FAX,unless other'arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. . The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts- Department of Industrial Accidents 8fnc®o(�sn�atleto� 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext:406 7$0 CUR Appendis J i . . Table JS.ZIh(eontinaed) prescriptive Packages for One and Two•Fawdy Residential Buildings Hated with Fossil Fuels MAXIMUM MINIMUM Wall Floor Basement 31ab 'Heating/Cooling Glazing GIazing Ceiling perimeter Equipment Efficiency Area'(%) U•valuer R-value' R•vaiue' R-velue3 Rw� s ��= Package 5701 to 6500 Hating Degrre Days' 6 Normal Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 t0 6 85 AFUE g 12% 0.50 38 13 19 10 N/A Normal 38 13 25 NIA ..--- -- - -- - - Normal- --- --- -...- U 15% 0.46 38 19 19 10 6�-------- N/A 85 AFUE V IS% 0.44 38 13 25 N/A 6 85 AFUE W 15% 0.52 30 19 19 10 Normal X 18% 0.32 38 13 ZS N/A N/A N/A Normal y 18% 0.42 38 19 ZS N/A 6 90 AFUE Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 ADDRESS OF PROPERTY: `^ '�— " -� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY 92): 5. SELECT PACKAGE(Q--AA-see chart above): n - h 17 ce/�-tt", NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J }. Footnotes to Table J8.2.Ib: , -glass doors, skylights, and Glazing area is the ratio of the area of the glazing assemblies (including sliding basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 If of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be-substituted for R-49 insulation: Ceiling R-values-represent the-sum of cavity ---- --- insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned cmwlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements, must be included with the other glazing. Basement doors must meet the door U-value requirement d::scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package.. For Heating Degree Day requirements of the closest city or town see Table J5.2.Ia NOTES: Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U v alue in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the your windows an d use the opaque door U-value to determine compliance of the door. glass area of the door with yo have a U-value eater than 0.35). ha this requirement i.e. may greater One door maybe excluded from q ( � Y c)If a ceiling,wall, floor,basement wall,slab-edge,or ab-ed a crawl space wall compo nent includes two or more areas with - P different insulation levels the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 �QfTHE lti 'Town of Barnstable Regulatory Services YARNsrABLE; MASS. 1639• ��� . . . -.,-Building Division lFD MA't A .. . - . Perry;'B-iulduig-C-otnmissioner • -- • ' • 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-4038 "= Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: L4 C,-4Z2 number street village 1 "HOMEOWNER': �G�- i ul S sP' ®S -!�'Q Z- s 2 L name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall ilot be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that-he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Tovy.of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requiren e . r Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required-to comply with the State Building Code Section•127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building pemut is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot,proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor: On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt -0jzC C--YL "� 1n� C�1O n ticanx': Wr iws 1.ocattom of vroperty: awrt�s n# Dal y 85.o 7 FTo dleck G �OtS a s 2 Sforq (n9 4* 83 h y 1,0 tl Row t , ref._Lg&7 Mood panel: 250 001 000&-V Mood zone C)_ VA OF i� PAUL J h t* cz ttfy,*at this mortgage inspection wwas-pmpared,-or a GROVER A)Vnx and Wynn, ?C.and OM7'-ons Mlye. Corp No No t H ate cWxU rte showm hereon, does notcfaU in cu spedca FF,*f,00d TO � ham am, with an of Festive daze of 7-2-q2 and the lombbt , op � th,e dwelling does conform,rno th.e local f"ng 6y-laws in.C*W, w time t-the oFcnutnxtwn with, respec t;to hori�orLtul dimQrtSiorlal. Scale: 1^ - -¢0, -- setback tveq, or is ex�errtpt�r+nm V1AlatYotl ert ot�Cet1tiert�' Date: dCcftom unAler Alass. General laws Chapter4o A-.SeCtLoi tv 7. File No. &-(3 929 PLEASE NOTE. The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist. either wav across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not he used to locate property lines. Verification of building locations, property line dimensions. fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what I is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". . COLONIAL LAND SURVEYING CC)l.�I'Ai Y ) i1� a. ,TC. Y. 269 Hanover Street Hanover, Mass. 02339 • Phone: 781-826-7186 - Fax: 781-826-4823 �? RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE , New Buildings $1 00.00 Residentia Addition $50.00 <�® - d 1 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$641sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) Q square feet x$32/sq.ft._ 29-Q 4 x.0041= ` o ACCESSORY STRUCTURE>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= ' (number) . Inground Swimming Pool $60.00 -- — - Above Ground Swimming Pool $25,00. Relocation/Moving $150.00 (plus above if applicable) �'. Permit Fee �r Prolcost Rev:063004 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town which. you must do by M.G.L.-it does not give you perm ission*to ope.rate.) Business Certificates Main Street, Hyannis, MA..02601 [Town Hall) are available at the Town Clerk's Office, 1�` FL.[367 OATE- : �" � Fill in please: 1 M APPLICANT'S YOUR NAME: HUCINECS �. YOUR HOME ADDRESS0� TELEPHONE # Home lephon Number C'O55 ` 4 n 1 1, NAME OF NEW BUSINESS K IS THIS A HOME OCCUPATION?. Ci YE5 Np., TYPE O.F BUSINESS ,' Have you been given ap rovai rb buildln'g:diya;,iar?�Y ADDRESS OF BUSINESS n DC Go C 1VlAP/PARCEL NUMBER 3O g a `J 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 Barnstable. This form is intended to assist you in obtaining the information you may 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 OFFI E This individ al h s en iryf r e - ny ermit requir ments--Ithat pertain to,this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Author" d ature**COMMENTS COMPLY MAY RESULT IN FINES. (' . 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: . 3: CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature.* COMMENTS: I Town of Barnstable SHE Regulatory Services OF �p� P� o Thomas F.Geiler,Director Building Division BAMSfABLE. y MAC g Tom Perry,Building Commissioner i63q. �0 iDlfo Mpg a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 8-790-6230 Approved. Fee: Permit#: ` o of HOME OCCUPATION REGISTRATIO Date: Name: u 4 Phone#: O Scl Address:_3 )01 to 11_ Village: ma 0-2- Name of Business:�/\f�()YVl1 bDgS Blyduc-��dNS Type of Business: M V3 l e. a0JUc.-1-0LA Map/Lot: '�D 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 Hcme 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 undersigne , a e r nd agree with t ove restrictions for my home occupation I am registering. . Applicant: '' Date:O / B Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you 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) DATE: Fill in please: APPUCAI\MS YOUR NAIVE: 1 C� 4 BUSINESS YOUR HONE ADDRESS: a? F3, lay, e s'eQ 2;(eI-wgn3 L t 0 d3 TELEPHONE # Home 11blephone Number 56!K jr 6,7 n Ste- NAME OF NEW BUSINESS ;�fC 062 TYPE OF BUSINESS IS THIS A HOME OCCUPATION? C/ YES -NO . Have you been given approval from the buildin,�9 division? YES NO ADDRESS OF BUSINESS `� M e- 1qu-1 Nr r)► MAP/PARCEL NUMBER 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 Barnstable. This form is intended to assist you in obtaining the information you may 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 opertpy�r�iu� M�,j (s� Qy►p.000UPATION 1. BUILDING COMMI ER'S OFFI�CE RULES ANDREGULATIONS. FAILURE TO This individual a b inforrd�bf permit requirements that ertain to this type of business. COMPLY MAY RESULT IN FINES. A nzed Signer e* COMMENTS: 2. BOARD OF HEALTH This individual has bee ' rm th ermit requirements that pertain to this type of business. Authorized ' nature* COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHORIT)Q This individual h en inforqQed of the ligf dsi it ments that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Building Department - 200 Main Street STALE. * Hyannis, MA 02601 MAC (508) 862-4038 9� 16gq. Certificate of Occupancy Application Number: 20063586 CO Number: 20070000 Parcel ID: 308215 CO Issue Date: 01/03/07 Location: 83 PINE AVENUE Zoning Classification: RESIDENCE B DISTRICT Proposed Use: RESIDENTIAL Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO CALVIN WIGGINS Building Department Signature D to Signed A. v F TOWN OF BARNSTABLE Building Application Ref: 20063586 i STABBLE. Issue Date: 11/27/06 Perm t y MASS 1639. ��� Applicant: WIGGINS CALVIN MAS A Permit Number: B 20061834 Proposed Use: RESIDENTIAL Expiration Date: 05/27/07 Location 83 PINE AVENUE Zoning District RB Permit Type: FAMILY APT W/NO CONST Map Parcel 308215 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND MAKE FAMILY APARTMENT LEGAL-GARFIELD FLEMING,NEICE" THIS CARD MUST BE KEPT POSTED UNTIL FINAL FATHER,&CLAUDETTE WHITE-SISTER INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WIGG'INS, CALVIN BUILDING SHALL NOT BE OCCUPI D UNTIL A FINAL Address: 83 PINE AVE INSPECTION HAS BEEN M HYANNIS, MA 02601 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARI R PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVE B'I THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION,OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTME1W OF;PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE-APPLICANT FROM THE.CONDITIONS OF'ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2:ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 % /� n 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health f } ��-���' � ecebegm r8200Ff 4 y F and 20 k F rg n r � k� � -s 8192Q�^2 �22 23 � 21x22 23 24 25 26 27 ' x24 75 26 27 28 29 30 �z 285s293`0�31 : { x� uC2, 8 rid 7 23V... t'4 +' OmlI al III yt Y57 am las h 2 2- ❑ �s t �00 Office hours G 00 Calvin Wiggins, 508-527-2257,83 Pine Ave.,Hy,final inspection Family Apartment 10 i 4f y �£pm L LUNCH T' ` xNOtPr w [ y \ "VI �5 Eye �}yx,4' Perry,Tom 1 12/27/2006 10:20 AM a iA �`` "d��` ;,,(dc'.`a',����ir '���M'aYam'n'�Jxr •�''` � +, ;w�` ' a� .;� Dew. Dece bier 2005 � 123 41516{17,18 iEi1 12 13 14 15 16 Y 19+202122 23 $ 1C7181R9 20�2122 23 ; T mF as yap b . � z Office hours v -� 4, C »m z LUNCH , L c a x g \ b,>yrfi tSSC.Re NOt2elf:ri * ' � 90r Calvin Wiggins,83 Pine Ave,Hy, Finarfnspection, Family apartment,508-527-225 - 2:30 Charles Pisacano,25 Cedar St., Final Inspection Amnesty,Units2&3,508-776- ��00 k ' it 3 �V ,�iQr hw Perry,Tom 1 11/27/2006 1:09 PM -*TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel t/ Application# amp �O Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee rho Date Definitive Plan Approved by Planning Board 04w �- Historic-OKH Preservation/Hyannis - Z 1 Project Street Address 3 e— A °L OA A b3 6 Village C, Owner (7�(L' 1. 31 C',C Address Telephone _S651L �'�2 0 S 7 Permit Re est G ac� � 144 i eL,," L.,4 le- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q/ Two Family ❑ Multi-Family(#units) Age of Existing Structure f 14 ._ Historic House: ❑Yes �o On Old King's Highway: ❑Yes O-fqo' Basement Type: U�full ❑Crawl 914//alkout ❑Other Basement Finished Area(sq.ft.) ?-< r aS Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 'Z 7o 0 new Half:existing new Number of Bedrooms: existing 0 new Total Room Count(not including baths):existing ue, new First Floor Room Count (LZ Heat Type and Fuel: [6aas ❑Oil ❑Electric ❑Other rrentral Air: ❑Yes Ug-W Fireplaces: Existing 6 New Existing wood/coal stove: 0-Ye's ❑No 5 ,t b ,,Detached garage:❑existing size oC16 Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Cww size kt-,00 _8 ed:❑existing ❑new size Other: 1 .1 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r , Commercial ❑Yes 6146 If yes, site plan review# / Current Use Ae tL_ Proposed Use BUILDER INFORMATION Name CrGi.<Jfit. ��g t Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR f DATE '� D FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED i r t r MAP/PARCEL NO. ADDRESS VILLAGE ~' OWNER- ' s DATE OF INSPECTION: FOUNDATION ` FRAME i INSULATION FIREPLACE { ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. r - Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director 9 MASS. i639• .0 A Building Division rE0 MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We),the undersigned, being the owner(s) of property situated at 83 PINE AVENUE-in HYANNIS,MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book*' 6 - , Page X I Lk_� , or as Document No. , being shown on Assessors' Map 308 as Parcel 215, hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for GARFIELD FLEMMINGS, FATHER OF NIECE, AND CLAUDETTE WHITE, SISTER, OF OWNER CALVIN WIGGINS associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this Cz_lt)day of 200 TOWN OF BARNSTABLE OWN S,) 7 By: 9 ui di g CommissiZASSACHUSETT THE COMMONWEALTH BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), / d�l ��� S A 1 V(`i:. ) 7 � and made oath as to the truth of the foregoing instrument,before . r-- ublic ' ��,�� ..` mission Expires: JU� i r1 ` BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST gPineAve83ee �l `tc.a„x,�- d .fi = „4 JOHN F,MIA® ;�I>3T s BA TABLE REGISTRY OF DEEDS t f, R E C E I P T Printed:10-25-2006 @ 13:18:55 BARNSTABLE COUNTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER Trans#: 280929 Oper:DOLORES Book 21464 Page 350 Inst# 66547 ' Ctl#: 1257 Rec:10-25-2006 @ 1:16:22p BARN 83 PINE AVE DOC DESCRIPTION TRANS AMT --- -----••----- --------- 1 WIGGINS, CALVIN AGREEMENT OR INDENTURE County Fee $ 10.00 10.00 Surcharge CPA $20.00 20.00 State Fee $40.00 40.00 Surcharge Tech $5.00 5.00 County Doc Copy -Man 1.00 Total fees: 76.00 Ctl#: 1258 Rec:10-25-2006 @ 1:16:22p DOC DESCRIPTION TRANS AMT -- ----------- --------- POSTAGE FEE County Postage Fee .50 *** Total charges: 76.50 CASH PMT PAYMENT -CASH 76.50 } ' ^ ` ON 11W1d3d ' §240-47'1. [Added 1148'2UO4hv Order No. 300S'U2G] The hTbant of this section is to allow within all rookjontio| zoning districts one temporary family apartment unit occupied only by a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. A family apartment may be pannittod, provided there is compliance with all conditions and procedural requirements herein. A. Conditions. A family apartment shall comply with and be maintained in full compliance with all of the following conditions: (1) The apartment unit shall not exceed 800 square feet or 50% of the square footage of the existing single-family dweU}ng, whichever is less. The Zoning 8oenj of Appeals may allow upto1.2OO square feet bya special permit finding. |n any case, the apartment shall*be limited tono more than two bedrooms; (2) Occupancy of the apartment shall not exceed two family members; (3) The apartment shall be located within a single-family dwelling or connected to the single- family dwelling in such a manner as to allow for internal access between the units. The apartment mutt comply with all current setback requirements for the zoning district in ' which itiolocated. /4` AtnoUmeohoU the single-family dvveUingor the family apa�mentbo sublet orsubleased � by either the owner or family member(s). The single-family dwelling and family apartment shall only be occupied by those persons listed on the recorded affidavit. /5� VVhenthe family apo�montia vacated, or upon noncompliance vvithany condibonor � representation made including but not limited to occupancy or ownership, the use as an oportment.ohoU be terminated. A building permit must be applied for to remove all robineto, countertops, kitchen oinks and appliances from the famUyapo�ment. and the vvaterond gas oon/ioo utilities must be capped and placed behind o finished vvoU surface. B. Procedural requirements. Prior to the creation ofa family apartment, the owner of the property shall make application for a building permit with the Building Commissioner providing any and all information deemed necessary to assure compliance with this section inc|uding, but not � � limited to, scaled plans of any proposed remodeling or addition to accommodate the apartment, signed and recorded affidavits reciting the names and family relationship among � the portieo, and a signed family apartment accessory use restriction document. � � (1l Certificate of occupancy. Prior to occupancy of the family apartment, o certificate of � � � occupancy shall be obtained from the Building Commissioner. No certificate of occupancy shall be issued until the Building Commissioner has made a final inspection of the apartment unit and the single-family dwelling for compliance and a copy of the family apartment accessory use restriction document recorded at the Barnstable Registry ofDeeds in submitted to the Building Division. (2\ Annual affidavit. Annually thereafter, a family opa�mentaf�dovit. reciting the names and ' � family relationship among the parties and attesting that the property ia the year-round primary residence of the property owner and family member(s), shall be signed and submitted tothe Building Division. ° ` | ( r Al �Ae- f d r A._... J/._ _ o J Alo cif' to { Ir Y/ 471Ae. C . . .. . . ...... .... .. ... .. 70 repo #0 ov ® Ljov 34t r � 1 ` bo is -.r e 4s�-04'6 s bo ----- i YES•.• r � .4Ae- d ;i I d �ate �oa� zlzl 7o 14 f UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE .REPJRDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 03/30/06 PERMIT NO. 82343 PARCEL ID 308 215 83 PINE AVENUE PERMIT TYPE BADDI BUILDING PERMIT ADDITION DESCRIPTION ADD�GARAGE_.16_.X .25 -2-ND—FL FAM-.--RM..a STATUS cA=A_C_T_IVE STATUS APPLICATION DATE 02/22/2005 DATE ISSUED 02/22/2005 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 12800 . 00 BOND 0. 00 CONSTRUCTION TYPE 434 GROUP TYPE 1 CONTRACTORS OWNER PROPERTY OWNER ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON—PROPERTY RELATED PERMIT. CTRL—I FOR HELP. f PENTAMATION------------------------------------------------------------03/30/06 PERMIT NO 82343 PARCEL ID 308 215 83 PINE AVENUE PERMIT TYPE BADDI DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID RESAPP2 50. 00 0 . 00 102 . 48 RESVALUE 0. 00 52 . 48 0 . 00 TOTAL CHARGES FOR PERMIT 102 . 48 CTRL-0 UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE d� PENTAMATION------------------------------------------------------------03/30/06- PERMIT NO. 82343 PARCEL ID 308 215 83 PINE AVENUE PERMIT TYPE BADDI DESCRIPTION ADD GARAGE 16 X 25 2 ND FL FAM. RM. INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR `BFIN..- BFOD 03/28/2005 A DMAT BFRM BINSU ENTER Y IF ALL ARE CORRECT OR N TO REENTER CODE OF THE INSPECTION. CONTROL-I FOR LISTING TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a F 2- Map,_ ®e> Parcel o� Permit# Health Division 1 �� �� Date Issued Conservation Division L. 1Z /ep/c,5 CONNECTED SEM ACCOUNT Fee �•�6 Tax Collector � Application Fee Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address %V Village ✓t to + m tA 02 6 O Owner L V i V S Address ✓4v Telephone '® (�'2 ®S va �; 6 a � Permit:Request 4 p J: jg� �1 co R_ Square,feet: 1st floor: existing l� ,4)roposed 2nd floor: existing proposed Total new Valuation 4 000 - 0 o Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family &,-' Two Family ❑ Multi-Family(#units) Age of Existing Structure I I2j, '' // Historic House: ❑Yes 6110 On Old King's Highway: ❑Yes � Basement Type: bull ❑Crawl 4'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 C. new Total Room Count(not including baths): existing 5V new First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑ Electric ❑Other Central Air: [fifes ❑ No Fireplaces: Existing eNew Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ga/hew size It p ej Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Ell Yes lVtho If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �aL'v /Ith 49C g Telephone Number S'©� 22 o S 9 Address u R— to�—�- License# f f %ern LA IS L-AA &4 02 G o I Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE r DATE It a FOR OFFICIAL USE ONLY w. PERMIT NO. DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER � a DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION-- FIREPLACE by ELECTRICAL OUGH FINAL PLUMBING:r— ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED'OUT . ASSOCIATION PLAN NO. , f " ppr- Fx dst,4,S 0:�7eo,,, I ,MO iG->•c he �`�� CAL , r £Xt5� LV" DOW Yl 25 c i Le7�ih�--c4— . �4C-f a 15�° s _ /V\ t V E o cs5-e 5ca le /y = Cot' I GaluIh (N go(at Pt 5 a. ,r i it lac k oo VetP bo®V L"kN o u A- ru `e U , -RI-eu, i u w\ S-e !-e 5 LL l� t . r a 1 j A- TDoO�-S - i I i � I Ja� 3 a � 'DowP) � 1�qj �� l'G�t'Cln LouA�--ch i Sca le f is I � 3- �q� -- l CgL \, �� G�G��y ��d� 1� � , 7 x 2 � y� . � . ���� ? � � x 2 �� �. � �j �� � �� � 0 �. _ _ . . `Jam_.- � �, 1 g � �. � � . _ .: � � _ �' �� �-- I � �� �- � ` �� t Town of Barnstable . b Approved Regulatory Services Fee Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: Name: Z,0401G,�,�,� Phone#: S 2 d,S 75 Address:1Z -'Z 14 M_e t14-1 Village: 6- y LA,-W o 26 m .1 �-7 J Name of Business: V ill k1-e_ _:1--fa Type of Business: Map/Lot: /S 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. i► • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed.indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. r Applicant: Date: zS ©2 Aomeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �N Map Parcel •�� rtrn�nr kq ,sT ORTntt� pu r Permit# ��O C SAT• ^•"dON PERMIT FROM Tr F Health Civision c� K- �'�'==r;sER�G winSION FRIO1t 1 Date Issued10 (3 &r Conservation Division 6 S-1 � Fee Tax Collector QD Treasurer 7h L U*7_ o r Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis qq�% Project Street Address D3 P 1 A V y Village an V Owner CaAy f jl dress �n i VlQ Ay , U Gl,/1&L4 Telephone _Aa— 0 Permit Request sKd ter ack,_/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new—=% Valuation ' ® • o c5l Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single FamiIX Two Family ❑ Multi-Family(#units) Age of Existing Structure )q q Historic House: ❑Yes .40 On Old King's Highway: ❑Yes *1 Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing off- 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 X(lectric ❑Other Central Air: Yes ❑No Fireplaces: Existing 2 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 Shedjt4lexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo . If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name z✓,�'/� Telephone Number Address "w1 �Z-� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY X 4 i r PERMIT NO. 1 i i4 w DATE ISSUED i MAP/PARCEL NO. z ADDRESS VILLAGE E— � ' } OWNER" r '� DATE OF INSPECTION: i FOUNDATION ` FRAME x INSULATION ` ( s FIREPLACE 3 - , s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL R 'r GAS: ROUGH FINAL FINAL BUILDING a ' DATE CLOSED OUT; ASSOCIATION PLAN-NO. 1 r \ caiG1L�\ - Tfie Commonwealth of Massachusetts — �= Department of Industrial Accidents - �.� ; OIJ►fce ollamsir8si7oas 600 Washington Sheet Boston,Mass. 02111 Workers' Com ensation Iaaarance davitOil; r �ication �� one 0Ci ®� S �I homeowner performing all work mysdL ❑ I am a sole etor and have no one woddn in any WIN"- MMM workers't:ompensation for my working an this job. 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Phtme d Pont name offidaa the only do not write in this area to be completed by city or town omdd I[ceme ❑Building Department city or town: -- ❑Licensing Board ❑selectmen's Office ❑checkif immediate response is required ❑Health Department contact person: phone#-, QOther (lMYO 9195 PIA) i Information and Instructions to provide workers' compensation for their Massachusetts General Laws chapter 152 section 25 requires all employersPerson in the service of another under any comract employees. As quoted from the"law", an employee is defined as every of hire, express or implied, oral or written. association,corporation or other legal entity, or any two or more of An employer is defined as an individual,partnership, representatives of a deceased employer, or the receiver or the-foregoing engaged in a joint enterprise,and including the legal rep to ees. However the owner of a trustee of an individual,partnership,association or other legal entity,employing�P Y not more than three apartments and who resides therein,or the occupant of the dwelling house of dwelling house having P air work such dwelling house or an the grounds or another who employs persons to do maintenance, construction nP building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local.licensing.agency shall withh f d thane.,ssu L cant who has enewal of a license or permit to operate a business or to construct buildings in the commonweal y ypn� ther the not produced acceptable evidence of compliance with the insurance coverage required• commonwealth nor any of its political subdivisions shall enter into any cararart for the performance of public work until acceptable evidence of compliance with the insurance tequirem of this chapter have been presented to the contracting • authority. , Applicants the.box that lies to your and Please fill in the workers' compensation affidavit completely,by checking be suppi company names,address and phone numbers along with a certificate of insurance as all affidavits may submitted to the Department of lndustrial Accidents for of bsuraatx�8e' Also be sate to sign and or to ovn that the application for the permit or license is date the affidavit The affidavit should be returned to the Should you have any ons regardingthe"law"or if you being requested,not the Departrucat of Industrial Accidents. are required to obtain a workers'compensation policy,Please call the Department at the mtmber listed below. City or Towns '._.... .�, ..: . fete and printed legibly. The Department has provided a space at the bottom.of the Please be sure that the affidavit is comp has to ca�act��,��apph�, please affidavit for you to fill out in the event the Office of �. be retained to be sure to fill in the pen�lliceose mu nber which will be used as a reference nim�ber. The affidavits may the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Please do not hesitate to give us a call. 16 i The Deparunent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Invesdoadons 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 exL 406, 409 or 375 of tME r The Town of Barnstable a�ar►srr+aie. MASS g Regulatory Services i659• `0 Thomas F. Geiler,Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation.repairg 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. � Estimated Cost Type of Work: Address of Work: Owner's Name: ' Date of Application: I hereby certify that: Registration is not required for the following reason(s): [7Work excluded by law ❑Job Under$1,000 []Building not owner-occupied 26wner pulling own permit Notice is hereby given that: UNREGISTERED OWNERS PULLING OR APPLICABLEI � OWN ME IMPRT OR OVG WITH EMENT�'1'O�DO NOT HAVE CONTRACTORSFUND DER MGL c.142A. . ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR , Date Owner's Name q:forms:Affidav:rev-070601 u1i 1 ILL Ism- s - - s 4 1 ` Ya5Y9o �avw v ti- vu al �S i.S R-1 U3�: p i y � ti The Town of Barwtable • 'g Regulatory Services E.,39- Thomas F. Geiler, Director Building Division Peter F. DiYlatteo, Building Commissioner 367 Main-Street.Hyannis MA 02601 Fax: 508-r90-6230 Office: 508-862-4038 HOMEOWNER LICENSE E2000l Plense Print DATE: village 10B LOCATION: street _�� / number D 2- ��phoIIe# work phone# "HOMEOWNER": name 0 CURRENT MAILING ADDRESS: g state rap code ty/town does not possess a license, vi�ed that The current exemption for"homeowners"was extended to include owner-oceuvied dwellings of six units or less and to allow homeowners to engage an individual for hue who the owner acts as supervisor. DEFINMON OF HOMEOWNER . to reside.on which there is.or is Person(s)who owns a parcel of land on Which helshe resides or intends accessory is such use ands or intended to be,a one ortwo-family dwelling,attached or detached structures es. A person who constructs more than one home in a two-year period shall not be considered farm structures. P Official on a form acceptable to the a homeowner Such"homeowner"shall submit to the Building official,that he/she shall be res onsible for all such work erformed under the buiIding ertnit. Building (Section 109.1.1) • "homeowner"assumes responsibility for compliance with the State Building Code and The undersigned " other applicable codes,bylaws,rules and regulations. The undersigned"homeowner'certifies that helshe understands the ha helshw Barnstable omP y with said Department minimum inspection procedures and requirements procedures and requirements. signature of Homeowner Approval of g Official No ce: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Contro . HOMEOWNER'S EKnflmmN work for which a building Permit is required shall be exempt from the The Code states that: "Any homeowner performing ervisors):provided that if the homeowner engages a provisions of this section(Section 109.1.1-Licensing of construction Sup responsibilities of a supervisor(see person(s)for hire to do such work.that such Homeowner shall act as sir they 'is �sut sing the Section 2.15) '�lack of awareness often results she Many homeowners who use this exemption are unaware that Y Apin pendix Q,Rules&Regulations for Licensing Construction Supet'vis�• case.our Board cannot proceed against acting as Supervisor is ultimately responsible. serous problems.particularly when the hoiaeowaer hires unlicensed persons. In the �of the permit unlicensed person as it-would with a licensed supervisor. The homeo ons�ibili es.tnaaY CO11im�ues require.asap a of this issue.is a To ensure that the homeowner is fully aware rs his/her rap responsibilities of a supervisor. On the last uPco iuntty• application.that the homeowner certify that he/she understands the form c application. t Y used by several towns. You may care t amend and adopt such a forMcertification for use in y ( Q:FORMS:E.l'EN1PTN ®c ® � ® -1-v � N " s v N -r 03 c� A� STANDARD LEGEND NOTE:not all symbols will appear on a map \ Ot=;,, GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES / EDGE OF BRUSH r i ORCHARD OR NURSERY / v v v v EDGE OF CONIFEROUS TREES z` _ MARSH AREA — - EDGE OF WATER DIRT ROAD ` DRIVEWAY MAC 308 PAVEDROAD LOT PAVED ROAD — - - — DRAINAGE DITCH 2 Ills' O — — — — - PATH/TRAIL 79 0/ PARCEL LINE** MA P 308 MAP I I .4-- MAP# 21 -c —PARCEL NUMBER #1e60—HOUSE NUMBER 2 FOOT CONTOUR LINE O 83 —ie 10 FOOT CONTOUR LINE f^'C I -308 Elevation based on NGVD29 67 4.9 SPOT ELEVATION o0o STONE WALL # 87 08 -X—X— FENCE \ RETAINING WALL 3 RAIL ROAD TRACK 0 © STONE JETTY SWIMMING POOL PORCH/DECK / BUILDING/STRUCTURE 8 / DOCK/PIER HYDRANT MAP 308 � e VALVE OO MANHOLE O POST OFP FLAG POLE T O W N O F B 'A R N S T A B .L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T SIGN ® STORM DRAIN t+ PRINTED SCALE,IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-mode features)were interpreted from 1995 aerial photographs by lames _® 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE c TOWER E 0 c 20 40 National Map Accuracy Standards at this. do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standords s 1 INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2001 Town of Barnstable Assessor's tax maps. LIGHT POLE O EIECfR1C BOX abbf - Ilo W`�"� Ft►+E ram, Town of Barnstable MU�39. Office of Community and Economic Development 367 Main Street, Hyannis, MA 02601 Office: 862-4683 Fax: 862-4782 AFFORDABLE ACCESSORY HOUSING REFERRAL FORM REFERRAL DATE: 09/12/01 CASE: Lisa Fletcher and Calvin Wiggins 83 Pine Avenue, Hyannis Map 308 Parcel 215 REFERRED TO: Gloria Urenas, Zoning Enforcement Officer DESCRIPTION: The property owners, Lisa Fletcher and Calvin Wiggins were referred to the Affordable Accessory Housing Program (Amnesty) from their realtor. Staff presented the Amnesty Program to the current owners following their inquiry about participating in the program. Originally, the applicants expressed the rental income would help them with the monthly mortgage. However, they recently expressed their desire to withdraw their Amnesty application. The applicants stated that they prefer to keep the unit as a family apartment. Staff instructed applicants to contact the Building Department and make them aware of their decision to maintain the unit for family use. The file on this case is being referred back to the Building Department, as the applicants no longer express interest to move forward in obtaining a Comprehensive Permit in order to participate in the Accessory Affordable Housing Program. TOWN OF BARNSTABLE BUILDING•PERMIT APPLICATION Map �.� Parcel Permit# Health Division Date Issued Conservation Division J Y Fee60 d Tax Collectors Treasurer —✓ fyA��Cl� :, t Planning Dept. ' Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis E Project Street Address. 0 Village U Q1 Owner L'z.Lk' erS Address S 01-Ak'L YTelephone 'Permit Request LA,1,160P C Q C5T' t Q D ML_ d 'a r�`X iS i i1G Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new 14 Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure } Historic House: ❑Yes PNo On Old King's Highway: ❑Yes Basement Type: lb 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 1. new First Floor Room Count Heat Type and Fuel: 0-Gas ❑Oil ISectric ❑Other Central Air: ❑Yes i1Vo, :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}❑ 1 ' Commercial ❑Yes ❑No' If yes, site plan review# Current Use Proposed Use _BUILDER INFORMATION Name Q..MMI A ( Telephone Number Address ,1\0 License# N-L r Hf 6 6 O I Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1CX 0-0 Mbs SIGNATURE �� DATE — I . - FOR OFFICIAL USE ONLY PGRMIT NO. • , DATE ISSUED_ �'� .•( •x � , . * . 's• • , _ �` ; . MAP/PARCEL NO r - , ADDRESS t ; VILLAGE OWNER . _'S' ,y i • _ t + DATE OF INSPECTION FOUNDATION FRAME } t INSULATION- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: < .ROUGH r FINAL - FINAL BUILDING r � f I. = A :, � �• R ' :• A. DATE CLOSED OUT = ASSOCIATION PLAN NO. • The Commonwealth of Massachusetts Department of Industrial Accidents t 600 Washington Street G Boston,Mass. 02111 Workers' Com ensation Insarance Affidavit Lk atLeff name: location: � I.JC�`� ci phone# 2`3 15 I am a caner performing all work myself ❑ 'I am a sole et or and have no one working in any capacity I am an employer Providing workers' compensation for my employees working on this job.::.::::;::? :?::;?:::?;:?>;;;?:;???:•i}?:.:;..........: XXII cons anv namer: .....:.. ...::.. . ......... ...:.. : >: diresa: utw.... . :.:.::.......... . ...:. . ..::::::.:::.:.: . ..:: ........ ::. :: olicv#.. insurance co.:, :<;.::<?.;:..;:.;:;:?.:: ;;.::: >.:::.:.;.:.:::,;;:::.: ..,., ::....,. :..:::.:.::........ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices:..... . . ........... :. :.:::::::._::,:,::::,:.:::::.:.:.:::.::::::::::.:::::::?.i};?:?.i:.?:.;:.;:?.:;.fix.?:?.x.?:?.,:. ..,:? ::::::::..:.............,.._:.:::: :::::::::::::::. v e'Hans . ���coman ........... XX ::::::.::.; ::.::. ........... .:.. '.:::i.::•.::::::::.:4:L•}:•is.}:?•:?•}}'rf:??:i:::::::i'riii ::::::.:�: .:::>}:::}:•:••:•::.i:.{•.. ... ass, ::.::::::..:,,::..... :.:;.;....:.<.;:::>::>:::::>;>:::::<:>:::>: address k: _............ .. :. .. :..............................v.... ..... ............... :iiY:':iiii:::ri'iijii::::::::iii:i�Sii?'riy::i$ii.';'^�'i:;:jii:i::iC+:Y:::r}i:S:?'�ii:�R'v'is�$+y;r,'{:}i;:j4:$:,:iiiii:S:ii: L.:}. ........ .... ..............s..:rr::::.v::::::..:.:v:........ .: .........m::::::....., ...n:.. ..'r:?:•}x•::::::Sv...;.x•;...;,;,..?,.. ........... ........................................w.v...:r.::v:s::...... ............v?w:;}}}::�:•. v:..::.......:s•::::.n....::..........},?w;}}::.............,...: s::..::{?�K•ix{+.?L+.{:•::L:.::q: .:::..................:v:::::.:,_....v.f......:...h: :. ...i:..... ..rn,.............•........... ..... .. ... .S f.S. O\Kv:Li:ii}:•}:•... ............. ..L. :••:v..:.....................m:::•..xsv:.v.v:sw::•,:ti'Y.::'•...n..r.•:::.t...................n....... :::::•::::•:::::s:w:::::.v:::......... ...................:v::•.............:r....:n:.... .......................•......... .:::::...k....9........ ...... s., ............. ........s....r ......s.:.......n.......n.,.x.: .................... .....:::.::•.v:::::•:•.v:::::.v:.v:.v.4:.{ti?::::r.•::::ViS..ti.... 3n2urance: _.. . . ::::: ::>�'::<:«'x%�>:::; >:>:>�>::>::�>::>:><:'>::> :::>;:<::::>_::>:: ::>: >:::::::;>::: <:::>::>;#ti:: <:fit: >:::>s::>::::::::::.::,,...: II :::r:?a:;:;r' :::.:::.................................................. .;::.?:.<:: .<:.;;?...... ... ..... anv " _. . :.................... fCS>>? z<:: <'?. >>»>: >::s:»:»:`:>:>::::»:::`` > :<:»::<::<<:>:«::z:<;:» :::::::::s<::::i::>::::?::fir;:2>i:?t:::;>::>:: Ct . :... ... :.;::•.:;:::.;:.:<:::»::::;.hone#:��'?�' ,y4 .................................................:•::::v.�:::s•:::.v::::::•.::v::•x?•}:•}}iiii:?::•::Ji:ii`iiT:?•iiiiiiiiiiii:iii:::4?:?4::SLi:�?:.iiiiT:J}ii:S??•iii:4:tiiv:4}}:4:•iv......................:x:�.:............ .......... ............. .............................. ........:::v::::::::::::•.................,....::v::.........rv:::::..................... "i}}:•}}}:}:h:{•Yv'v::.v:Y•}:?i{:.v. sw:vrr:.v:. ...... ... ... :. .:�::::::�•:xri.•x:ir:U::�•?r??6}:•rii?:?r:.�::::::::•.?:w::::n�::.v...s.. ......... :#.....:..:::..:.y!:?.::!::.:`::4:?.!::.:::::.... Failnte to seeare coverage as required under Section 25A of MGL 152 can lead to the imposition of crL�d penalties of a 6ne to 51,500.00 and/or one years'imprisomnent as wen as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statenent may be forwarded to the Office of Investigations of the DIA for coverage verl cation. I do hereby certify under the pains and penalties of perjury that the infonnadon provided above is trw.and come Q Signature , Date /J` V ' 9 Print name t, �S Phone# 7�0 �/'� 23 (official use only do not write in this area to be completed by city or town oinctal city or to --- permit4icense# ❑Butiding Departrneut ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Of ice _ ❑Health Department contact person: phone#; ❑Other Ugmed 9195 PIN e own oi jja. e Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen .Fax: 508-790-6230 Building'Commissioner 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: L Ol ' U cr dTK ad Estimated Cost Address of Work: Owner's Name: Ou.ry)" 1) �S Date of Application: `1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E]Jcb Under$1,000 Building not owner-occupied ®Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME II1JPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby'.apply for a permit as the agent of the owner Date Contractor Name Registration No. I1 Date O is Name — `" q:fomis:Affidav t� • 367 Main Street,Hyannis tt�. peg Eo r�s" • MA U- Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissic HOMEOWNER UMSE F.7MKIMON f q Please Print DATE \ L( ' ot I JOB LOCATION: number 7 Pl Elt" -HOMEowN : �� �.S ^7�'.C� `Z• Z �� 1 / Z7v llamas In=phone work phone a CURRENT MAILING ADDRESS: ` CiC A IS s oat � ,loan, state rip code The cmreat exemption for "was extended to include ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,�dedi that the rswner acts as�rn�visor. DEFINILIL N OFHOMEOWNFR Person(s)who owns a parcel of bud on which heishe resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structurm A person who consnutns more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official an a form acceptable to the Building Official,that (Section I09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,roles and regulations. The undersigned"homeowner'certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. S*M=O Approval of Building 018cial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction,Conmi. 130MEOWNMIS EXED'MON The Code slant that: "Any homeowner pafotmimgwo*for which a building permit is required shall be exempt from the provisions of ttk section(Section 109.1.1-Llcemsing of=Wnetion Supervtson):Provided that if the homeowner engages a persons)for hire to do such worm that such Homeowner shall act as supervisor."ar � � P ibilities of a supervisor(see Marry homeownem who use this exemption e imawata that they are assuming responsibilities Appendix Q.Rules&Regulations for Lkasing Construction Supervisors.Section 2_15) This lack of awareness often results in serious problems.pawcuinty when the homeowner hires unlicensed Persons. In this case.our Board cannot proceed against the uaiicensed pasoa as itworld with a licensed Supervisor. The homeowner dating as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.manY communities r'equ as Part of the permit application.that the homeowner testify that helshe understands the setporuibilitics of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a formlcertification for use in your community. 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P P R A I SAL DATA KEY 221922 GRAHAM, GARY C & ANNE M �t LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 20, 700 78, 000 1 A-COST 98, 700 B-MKT 83 , 200 BY 00/ BY ML 5/88 C-INCOME PCA=1041 PCS=00 SIZE= 936 JUST-VAL 98, 700 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 207001 LAND-MEAN +0% 987001 74880 IMPROVED-MEAN +4% 2501 ] FRONT-FT J 100 DEPTH/ACRES TABLE 02 100.1 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRRJ GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R308 215 . P E R M I T [PMT] ACTI. _R] CARD [000] KEY 221922 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT RESIDENTIAL PROPERTY M P NO. LOT NO. FIRE DISTRICT SUMMARY t STREET Pine St. Hyannis 73 LAND 308 215. H BLDGS. OWNER TOTAL ,3 o v LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot LAND Ol LaT V _693 ' TOTAL LAND S encer- v- 6 -/ / -1§$� >J� 18 ac a DG$. t O- TOTAL zv�i i:ljT•..n LAND '7 BLDGS. 2-31 74 -2135. ,.335_ $28 0 TOTAL LAND Fong, Chuck D. & Mo (tens .ent) 6-17-75 21917 133 $37 0 BLDGS. 1.iivk, AA0E. we5r H2�ou.rH. TOTAL LAND G 1f.73 BLDGS. TOTAL LAND - BLDGS. TOTAL LAND INTERIOR INSPECTED: 01 Blocs. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL ,OUSE LCMlk43 f LfO ` 9 O U LAND [.EARED _T O BLDGS. REAR TOTAL 'ODDS&SPROUT FRONT LAND REAR a, BLDGS. !ASTE FRONT TOTAL REAR _ LAND BLDGS. TOTAL LAND loo0) BLDGS. LOT COMPUTATIONS FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH qfo FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL _ LOW DIRT RD. LAND SWAMPY NO RD. O BLDGS. .. TOTAL ann. nec. Noom St. Shower Bath .. uwli. CVS� " Bsmt. Conc.,Slab .4 Bsmt.Garage PORCH. DATE 16, Brick Walls St. Shower Ext. Wails PURCH. PRICE. Attie FI. &Stairs Toilet Room Stone Walls Fin.Attie J Roof RENT Two Fixt. Bath fare INTERIOR �+ /�• —� , INTERIOR FINISH lavatory Extra 3 s CL Zlt 1' 2 3 Sink Bsmt. F 2 s/f► !:a Plaster Atti! WaterClo. Extra ETjL dap �p ' EXTERIOR WALLS Knotty Pins Water only ouble Siding p Plywood No Plumbing Bsmt.Fin. ingle Siding Plasterboard Int.Fin. Shingles TILING .,Z one. Blk. G F P Beth Fl. Heat t G tl zy ace Brk.On Int.Layout Bath FI.&Wains. Z Auto Ht.Unit Veneer Int.Cond. Bath Ff.6 Wells 74- 1070 0 7 O Fireplace om:Brk.On HEATING Toilet Rm.FI: solid Com.Brk._ Hot Air Plumbing Toilet Rm.FI. 3 Welns. S , Steam Toilet Rm.FI.&Walls Tiling lanket 1.�. Hot Water St. Shower �(�G' j� l• Z 7a Roof Ins. Air Cond. Tub Area Total Floor Furn. ' ROOFING COMPUTATIONS ksph. Shingle Pipeless Furn. G S.F. 07 ! (7 Wood Shingle No Heat /a 0 S.F. o�•S G 30 G 4sbs.Shingle Oil Burner Hate ,Z S.F. /.S 7d1130 . Coal Stoker 30 L-&F.Gas (�O / (e &/ ils ROOF TYPE Electric 1V RS.F. OUTBUILDINGS ,able Flat S.F. 1 2 3 4 5 6 7 8191101 1 213141516 7 819110 MEASURE' lip Mansard FIREPLACES S.F. Pier Found. Floor gambrel Fireplace Stack Well Found. 0.H.Door FLOORS Fireplace �f LISTED Sgle.Sdg. Roll Roofing Earth No Elect. Dbl.-Sdg. Shingle Roof �l l Pine Shingle Wall! Plumbing DATE Wardwoaa ROOMS Cement Blk. Electric Rsph.T' Bsmt.��![3rd st TOTAL of 71 Y Brick Int.Finish PRICED Singly 2nd FACTOR 3 ` 'c REPLACEMENT S 9 S v BAN.( CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. �w�G• � 2 3 4 S 6 7 { i 8 10 V TOTAL STATE 7Y ADDRESS I I ZONING IOISTRICT CCOE 'SP-DISTS.GATE PRINTED STABS PCS NBNO KF '010 PINE STREET 07 RB 400 07HY 07/09/9r5 1041 00 61AC R308 215 7CE TURES OESCRIPTIDN ADJUSTMENT FACTORS v UNIT ADJD.UNIT 6RAHAMi GARY C it ANNE M OC.NR. 4 C AOJ C P PRICE PRCE ACRESIUNRS VALUE D�vpwn 1 211_700 CARDS IN AC= co. Aer«.1 X' .1 =10 328 34999.9 114799.9 MIS 20700 G(S)-CARD-1 1 780000 01 OF 0' c..83 PINE ST STU x C= 100 .7000.0 T000.0 1.00 7000 B SOL LOT 4 ARKET 83: S 24 x 36 C= 100 41.6 i 41.6 864 36000 8 /RR 1257 0080 NCOME U x C= 100 3100.0 3100.0 1400 3100 B SE EXT FIREPL U X C= 100 1300.0 .1300.0 1.00 1300 t) PPRAISED VA! 98. ARCEL SURMA AND 20 LOSS 78 -IMPS OTAL 98 CNST DEED REFERENC T, DATE A a NI R I 0 R YEAR Y. 9ooe Pepe bO1' Mo. v.. 8-P," AND 20 80T4/058 I06/92 L 74000 LOGS 721 7959/325 I04/92 L 88000 OTAL 98 7432/197 IO2/91 1 BUILDING PERMIT Nun.. ON Type MwN LAND LAND-ADJ INC RE SE SP-BLOS FEATURES BLD-ADJS UNITS 20700 iT400 con=. re.r v Mare CNu UMe YMeran Sew a=e Aq.ane Owv.Age as Care. CND Lae N a D aep Ce.Ner p Rep vree 910rrea eNgX ams a.. � i. 02C 000 105 105 66.10 69.41 72 75 19 80 90 70 111389 78000 1.3 8 4 2.0 8.0 EF Rne '-*FM aver.' MKT.INDEX' 1.00 IMP,BYIDATE. ML 5/88 SCALE. 1100.77 ELEMENTS CODE CONSTRUCTION DETAIL 9.41 864 59970 OS AREA 6 TWO FAMILY DWELLING CNST GP:00 1.65 72 2999 *----12---* N TILE-----------Al AISED_ RANCH-___5.0 8.50 120 1020 ! FWD ! ESIGN ADJMT 00 0.- 10 10 IfTER.4AiIS 1i ERT. SIDING0.0 ! ! _EAT%AC TYPE 03 LECTRIC __0.0 -4- -8--*------36---------* 1lTER.FINISH 04 RYWAU 0.0 ! S 1lTER.LAYOUT 12 VER./NORMAL 0.0 ! ! MTER.gUALT� 02 AM_E A3 EJITER.__ 0.0 ! ! LOOR STRUCT 02 D JOIST/BEAR 0.0 W ! ! E LOOR COVER Oi ARPET 0.0 --- ---Aua. 120 Bar_ 864 24 BASE 24 _OOF_TYPE_ - 01 ABLE-ASPH SN __0.0 ! 01 VERAGE 0.0 BUILDING DIMENSIONS � LECTRICAL SAS W36 UFO S02 E36 NO2 W36 A. ! S OUNDATION t01 CURED CONC _99.9 SAS N24 FWD W04 N10 E12 S10 W08 ! ! 111 _____ .. SAS E36 S24 .. ! ! NEIGHBORHOOD 61AC HYANNIS ! ! LAND TOTAL MARKET *-----------36----- -X PARCEL 20700 98700 *----------UFO------------* AREA 2848 VARIANCE •0 +3365 STANDARD 25 Town of Barnstable Department of Health, Safety, and Environmental Services v7' �TME Consumer Affairs Division 230 South Street, P.O. Box 2430 ` IMMSTABIX hL►ss. ` Hyannis, MA 02601 Tel: 508-790-6250 9�At 1639. �`e� Fax: 508-778-2412 Fp MA'S Jack Gillis Supervisor October 29, 1997 Gary Graham 690 Old Strawberry Hill Road Centerville,MA 02632 Re: 83 Pine Street,Hyannis,MA 02601 Map 308/Parcel 215 Dear Property Owner: The Building Division of the Town of Barnstable has attempted to resolve the zoning issue regarding your property. The division records show no response to date. The matter has been turned over to my office for criminal court action. If no response is made within seven (7) days from the date of this letter, we will seek a criminal complaint in Barnstable First District Court to resolve this issue. If you have any questions regarding this matter, please do not hesitate to call me at (508) 790- 6250. Sincerely, ck Gillis Division Supervisor JGAfl jftilding/graham.doc 304//,5 -f/AA/9y IV -cam 1), - . . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m A DATA P 229 .805 276 �twe rq� ( US Postal Service 1 e .Town Of Barnst Receipt for Certified Mail �MEIM : No Insurance Coverage Provided. MASS Do not use for International Mail See reverse i639, ,0�' Department of Health Safety and Environs 1W IQ Building Division rAA 367 Main Street,Hyannis MA 02601 street&Nu r (�90 t�.e.Q P t Office,State,&ZIPcoa14 Office: 508-790-6227 3 Fax: 508-790-6230 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Retum Receipt Showing to March 28, 1997 Whom&Date Delivered a Retum Receipt Showhg to Whom, Q Date,&Addressee's Address Mr.Gary Graham 00o TOTAL Postage&Fees $ � S 690 Old Strawberry Hill Road € Postmark or Date Centerville,MA 02632 a RE: 83 Pine Street,Hyannis,MA 02601 Dear Property Owner: Our records indicate that your house at 83 Pine Street, is currently being used as a two family home contrary to Barnstable Zoning Ordinances. You must contact this office n as possible to either: 1) apply for a building permit to restore the property to au<o family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two family You must contact this office immediately to tell us what direction you wish to take. Sincerely, q1orM. Urenas Zoning Enforcement Officer GMU:lb CERTIFIED MAIL-P229 805 276 f970311a OQ. 0�_1_ Q�, a_l L/� die _ Qs r !n to l � 'O� Qy r �Coen4 O 7�le. �/a 7 r?1 tf 0 (RQ. 17 CLQ_S_e— to 7"h T Tl r»C'� t tvt iU ha V2 0— �� y tua Lo Aa--(j c 6u 7' P- 1-1du're .( �I-2--_t�o-/1-7-/L W n Vf l�c 0- sa c s_sU r US ao k I rnL; .� 1._ i�a?r__ av f �.,_G '_l,/s✓ �r� _ _tkl s c DES � C lr�5; —�CT1 '7 10 y _. _ > � y w '\ _ _ ..�.r..__. - �-- �.� _� i _..ram._ ��.�y..- - .�-� I y �� 0 r 0 4/13/97 To: Barnstable Town Hall 367 Main Street Hyannis, Ma. 02601 From: Kittridge Holmes 58 Traders Lane West Yarmouth, Ma. 02673 508-775-5454 To Whom it May Concern; I have lived on Cape Cod all my life and have worked as a carpenter for over 35 years here. I have personally known the previous owner of 83 Pine Ave., Hyannis, Ma., Vern Whynot, since 19 and have done maintenance on the interior of the home. I can verify that 83 Pine Ave., Hyannis has indeed been a two family home since with two seperate families living there. And I can also verify it has always had two seperate entrances, two seperate electric meters, two seperate mail boxes marked A and B for each unit and inside it has always had two seperate kitchens, baths, fireplaces, bathrooms, living rooms and bedrooms. Sincerely, 41�G Kittridge Holmes 58 Traders Lane West Yarmouth, Ma., 02673 508-775-5454 4/13/9T To: Barnstable Town Hall 367 Main St. Hyannis, Ma,02601 From; Richard Peckham 99 Pine Ave. Hyannis, Ma, 02601 To Whom it May Concern; I have lived at 99 Pine Ave., Hyannis, Ma. since 1985. My home is directly across and approximately 75 feet away from 83 Pine Ave. Hyannis, Ma. I have been able to clearly see it has been a two family home since I have lived here with two seperate electric meters, two seperate entrances, two seperate mail boxes and having always known my neighbors living there.i can tell you there has always been two seperate and unrelated families living there with each family in their own apartment. Since Chris and Ann Graham purchased the home in 1992 they immediately did slot to beautify the house.They wrote to Police Chief[Nightingale to get permission to have large broken down trucks towed away, cleaned the yard, painted the exterior of the house and replaced a rotting deck. There are now two families living there who truly respect and care for the house.They are very happy with it_ Thank You, c r 1 OA Richard Pe kham 99 Pine A Hyannis, Ma., 02601 508-778-7215 f4TY ADDRESS ZONING I_..••., '._ .. •. .. _ DISTRICT CODE 'SP--OPSTS.I DATE PRINTED I CTLASS I PCS I NBNDPARCEL IDENTIFICATION N KEY NO 0083 PINE STREET 07 RB 400 07HY 07/09/95 1041 00 61AC R308 215. 22192 LAND/OTHER FEATURES DESCRIPTION AQIUSTMENT FACTORS V UNIT 'AQIO.UNIT laM By/Uau CD sar amen�m= ACRES/UNITS VALUE DexnPlan GRAHAM, GARYC S ANNE M MAP- LOC./VR.SPEac ADJ. ��" P PRICE PRICE _.. ".D 1 2�,-�00 CARDS IN ACCOUNT 10 18LD6.SIT.1 mX' .1 =10 328 34999.9 114799.9 .18 207¢0._J G(S)-CARD-1 I. Y",000 01 OF 01 83 PINE ST DST VbfUL BATHS 2.0 U X C= 100 7000.0 7000.0 1.00 7000 B SOL LOT 4 ARKET 8320C BLA BSMT RM S 24 X 36 C= 100 41.6 41.6 864 36000 B #RR 1257 0080 INCOME ,FIREPLACE U X C= 100 3100.0 3100.00 1.00 3100 B SE EXT FIREPL U X C= 100 1300.00 1300.0 1.00 1300 a PPRAISED VALUE 98,701 ARCEL'SUMMARY AND 2070( LOGS 7800( -IMPS OTAL 9870( CNST DEED REFERENC Type DATE R-aP.l RIOR YEAR VALI B-A Peps InM. MID v.. 5""PtC AND 20701 8074/058, 106/92 L 74000 LOGS 7800 79591325: 104/92 L 88000 rOTAL 9870! 7432/197: IO2/91 1 BUILDING PERMIT NumP. Otla Tyq Mr.uM LAND LAND-ADJ INC ME SE SP-OLDS FEATURES BLD-ADDS UNITS 20700 47400 CI- CUnonar it Tmdl Bare iRale AEI.Rat, Vivulll Age Norm. Opay. CND Lac M R G Re s-pl C N "I Raq Value SNr.s HeWd Rooms Rms BMNs 0 Fl. PW-II FN:. s Units Crep CPrq. 02C 000 105 105 66.10 69.41 72 75 19 1810 90 70 111389 78000 1.0 8 4 2.0 8.0 DexnPnon Rats Sauare Feel R,PI.Cost MKT.INDEX' i.0'0 IMP.BYIDATE. ML 5/88 SCALE: 1100.77 ELEMENTS CODE CONSTRUCT KJN DETAIL 8AS 10O 69.41 864 59970 GROSS AREA 936 TWO FAMILY DWELLING CNST GP:00 UFO 60 41.65 72 2999 *----12---* N TYLE 01 AISED RANCH 5.0 --ADjA - --- ---------------------- FWD 85 8.50 120 1020 FWD ! ESIGN ADJN_T_ 00 0.0 -- --------------- 10 10 XTER.WAL - LS 14 Oft SIDIN_6 0.0 ! ! EAT%AC TYPE 03 LECTRIC 0.6 •- *-- *----36----- - NTER.FINISH 04 RYWALL 0.___ 0 ! NTER.LAYOUT 12 VER./NORPIA� 0.0 ! ! NTER.QUALiY 02 AM .__E AS EITER O.0 ! LOOR STRUCT 02 D JOIST/BEAM 0.0 W ! ! E LOOR COVE_R 04 AR _ PET 0.6 imm Areaa Aa.. 120 Baas_ 864 24 BASE 24 OOF TYPE 01 ABLE-ASPH SH 0.0 BUILDING DIMENSIONS ! ! LECTRICAL 01 VERAGE_ 0.6 SAS W36 UFO S02 E36 NO2 W36 .. ! OUMDATION 01 OURED CONC 99.9 8AS N24 FWD W04 N10 E12 S10 W08 SAS E36 S24 .. ! NEIGHBORHOOD 61AC HYANNIS ! LAND TOTAL MARKET *----------36---- --X PARCEL 20700 98700 *-----------UFO------------* AREA 2848 VARIANCE +0 +3365 STANDARD 25 7/0 r t �. z r > GARNICK 8 SCUDDER, P. C . ATTORNEYS AT LAW 32 MAIN STREET POST OFFICE BOX 398 GERALD S. GARNICK HYANNIS, MASSACHUSETTS 02601 HARWICH OFFICE: JOYCE W. SCUDDER (508) 771-2320 940 MAIN STREET KATHLEEN FRANKLIN FAX: (508) 771-3304 P.O. BOX 364 SHIRLEY J. SYLVA SOUTH HARWICH, MASS. 02661 (508)432-5850 PATRICIA A. GRACE FAX:(508)430-1057 LAURA M. McDOWELL SHIRLEY J. SYLVA, ASSOCIATE June 15, 1992 Owner: Gary C. Graham and Anne M. Graham Premises: 83 Pine Street, Hyannis, MA Date: June 18, 1992 Purchase Price: $74, 000.00 Dear Mr. and Mrs. Graham: On your behalf, I have examined or caused to be examined, all as indexed in the records of the Registry of Deeds and Registry of Probate, record title to the above-captioned real estate; and I certify to the you that at the time of recording the deed you will hold good and sufficient record title to the captioned real estate which is free from all encumbrances which would materially affect the title and excepting only matters which are expressly enumerated herein. This certification is given to you pursuant to and subject to the limitations and conditions contained in Massachusetts General Laws, Chapter 93, Section 70. This certificate does not cover bankruptcies (unless recorded in the Registry of Deeds) , fees in the streets, encumbrances and easements not recorded in the Registry of Deeds, zoning, town records or defects such as an accurate survey of the premises would disclose, leases for less than seven years or other matters not required by law to be recorded. Page 2 . . . . . . . . . No representation is made as to municipal ordinances nor as to municipal real estate taxes and assessments, save as to those certified to me by the municipal collector of taxes in a certificate of municipal liens. No representation is made as to compliance with or the effect of the State Sanitary Cod, State - Building Code, Lead Paint Law, State Wetlands Protection Act, or other state and federal statutes dealing with the physical condition of the property nor is any representation made as to the physical condition of the property. Agreements, covenants, restrictions, easements or other matters of record which do not, in my opinion, materially or adversely affect the marketability of title are not specifically enumerated herein. Any outstanding mortgages or liens of record as of the time of the recording of the subject mortgage are to be discharged from the proceeds of this mortgage loan and/or the balance of the purchase price. If title insurance has been obtained then, in that event,. this certificate is limited by the terms of the title insurance policy. This letter is no way gives any certification as to the zoning of the above described property nor is this letter to be relied upon by anyone concerning the use or the zoning requirements of the above described property. Very truly yours, GARNICK & SCUDDER., P.C. By: Kathleen Franklin., Esq. Copy received on: /certltr2 SCHEDULE A 1. Subject to a right of way for the benefit of Lots 1 and 2 Plan Book 155, Page 57 which property is to the Southwest of Locus LOT 4. See Plot Plan which delineates this Right of Way as it exists over Lot 4. 2. Subject to a road taking for Pine Street as recorded at the Barnstable County Registry of Deeds in Book 868, Page 309 as shown on Plan Book 114, Page 41. 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GARNICK HYANNIS, MASSACHUSETTS 026C � JOYCE W. SCUDDER (508) 771-2320 P7 KATHLEEN FRANKLIN FAX: (508) 771-3304 / SHIRLEY J. SYLVAn i PATRICIA A. GRACE LAURA M. MCDOWELL June 15, 1992 Owner: Gary C. Graham and Anne M. Graham Premises: 83 Pine Street, Hyannis, MA Date: June 18, 1992 Purchase Price: $74, 000. 00 Dear Mr. and Mrs. Graham: On your behalf, I have examined or caused to be examined, all as indexed in the records of the Registry of Deeds and Registry of Probate, record title to the above-captioned real estate; and I certify to the you that at the time of recording the deed you will hold good and sufficient record title to the captioned real estate which is free from all encumbrances which would materially affect the title and excepting only matters which are expressly enumerated herein. This certification is given to you pursuant to and subject to the limitations and conditions contained in Massachusetts General Laws, Chapter 93, Section 70. This certificate does not cover bankruptcies (unless recorded in the Registry of Deeds) , fees in the streets, encumbrances and easements not recorded in the Registry of Deeds, zoning, town records or defects such as an accurate survey of the premises would disclose, leases for less than seven years or other matters not required by law to be recorded. Page 2 . . . . . . . . . No representation is made as to municipal ordinances nor as to municipal real estate taxes and assessments, save as to those certified to me by the municipal collector of taxes in a certificate of municipal liens. No representation is made as to compliance with or the effect of the State Sanitary Cod, State Building Code, Lead Paint Law, State Wetlands Protection Act, or other state and federal statutes dealing with the physical condition of the property nor is any representation made as to the physical condition of the property. Agreements, covenants, restrictions, easements or other matters of record which do not, in my opinion, materially or adversely affect the marketability of title are not specifically enumerated herein. Any outstanding mortgages or liens of record as of the time of the recording of the subject mortgage are to be discharged from the proceeds of this mortgage loan and/or the balance of the purchase price. If title insurance has been obtained then, in that event,. this certificate is limited by the terms of the title insurance policy. This letter is no way gives any certification as to the zoning of the above described property nor is this letter to be relied upon by anyone concerning the use or the zoning requirements of the above described property. Very truly yours, GARNICK & SCUDDER., P.C. Kathleen Franklin., Esq. j Copy received on: /certltr2 Am SCHEDULE A 1. Subject to a right of way for the benefit of Lots 1 and 2 Plan Book 155, Page 57 which property is to the Southwest of Locus LOT 4 . See Plot Plan which delineates this Right of Way as it exists over Lot 4. 1 2. Subject to a road taking for Pine Street as recorded at the Barnstable County Registry of Deeds in Book 868, Page 309 as shown on Plan Book 114, Page 41. THE lOk'4 Town of Barnstable *Permit#_ ` �0 P o Rxpires 6 months-from issue date i • Regulatory Services Fee-- - * BARNSTABLE, + v MASS. Thomas F.Geiler,Director TEo MAC16Building Division /9 4�� Tom Perry, Building Commissioner V®PRESS PERMIT 200 Main Street, Hyannis,MA 02601 /-� Office: 508-862-4038 JAN q Z003 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDEnUjAj 2ffp_:Y ARRAS�� Not Valid without Red X-Press Imprint Map/parcel Number Property Address �� P`fw— AV _ `All f [Residential Value of Work 4,30©® 00 �. - --—fl,e,*)V_I Owner's Name&Address Vj N PlAp— /iv� � Contractor's Name Telephone Numberj�S(�V Home ImMove%git Contr Lcitor License#(if applicable) J m Construc n Su&visor''s License#(if applicable) ❑Worlagn's (%mpensatlmiInsurance geckane: I arA a sole p,arietor I aEthe Homm owner I lie Workjr's Compensation Insurance o r-- c' Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map t ( Parcel Permit# 0 - Health Division 0 l lZ-3—v2 Date Issued Z-z o I.ZJ Conservation Division 3/-,-7 ,,- Application Fee �-Tax Collector d� 1�'1 ;(Y1 Permit Fee Old—�C �i Treasurer ry-V APPiCA"MUST OBTAM A SEWER Planning Dept. CONNECTION PERMIT FROM THE ENGINEERING DI MION PEIOR TO Date Definitive Plan Approved by Planning Board COMMUCP ok Historic-OKH Preservation/Hyannis Project Street Address _ � /Z,//CC, Village (� Owner cay- 6 - (/111,` to1,�/ /4SCt. PWAddress Am AV Telephone b -C s9 /^5?? g! 0 Ole-" Permit Request & 6wm S'&a� nj 1,0 64-eeou U9/plc 01,0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes )4lo If yes, attach supporting documentation. Dwelling Type: Single Family 01/ Two Family ❑ Multi-Family(#units) Age of Existing Structure 3y Historic House: ❑Yes �?CNo On Old King's Highway: ❑Yes 1-YNo Basement Type: PiFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) R75 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 B new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing g _� New Existing wood/coal stogie: ❑Yes; ❑.No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑newt size,-_- Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: —t y Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 5�No If yes,site plan review# -Current-Use --- - Proposed Use - BUILDER INFORMATION Name Telephone Number - Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , r MAP/PARCEL NO. ` ADDRESS . { ' VILLAGE OWNER -, y i DATE OF INSPECTION: 5 FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING , DATE=CLOSED OUT, , ; • ASSOCIATION PLAN NO. i OFtHETp� - - Town of Barnstable Regulatory Services • BARNSTABLE, ' Thomas F.Geiler,Director HAM 9`�pr-.639. a`�� ! Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work; PD��C'C� C�XY /Z Gc���l����c� (49 A2 Estimated Cost Address of Work: �J / IfI&OA — � a26 0 Owner's Name: -Al -Y Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ,uilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 )ffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ` JOB LOCATION: D� f I Jy C &/ number / n n n street \ n / lage 1 t� "HOMEOWNER": U��S� �I C��C/ �` i l�)o� / c5;D r/O /5,7 name (� homej phone# work phone# CURRENT MAII.ING ADDRESS: H-q aqua city/town V state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proced es and requ' Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. The Commonwealth of Massachusetts Department of Industrial Accidents ° — Office offayesa ffatiaos _ 600 Washington Street T Boston,Mass. 02111 �- Workers' Compensation Insurance Affidavit name: W w m z i L19 2 ELP I G I r location. Ay H U Q NUA M A 09-6 61 1 phone#L50 S 3 city I am a homeowner performing all work myself. ❑ lam as le rietor and have no one worlds in%% ca am /G%//G//G%%/%% %%%%%%%O�%%%%%%%%%%%%%��/%%% %% %///%%%/%//%%%///G%%%//G%/%%%/��%%%%/G%%%%%/G%/%//G/�%/�/%%%/�%%///%/%/G///�/�% rovidin workers' compensation for mp employees working onthis job. !::?.7:<7:.::.;.7;:::.}:;.:t.};:::>::::;;;>;>:;::;;;;;,::::;>.;<::: <:::;:::; I am an employerP g :con `t`am 3r '}:r•i:�i::}:•:!y}}}7:y7}•:••:::::•. ..... ... ..v:y:?iiiiiti:i?�}}7i7:•}{:j:ti47Y{}:?•:;7:y n..:............................ ..... !}:L::•:r::i ••'•••5��:<::;•:{;:;?�: :�:;:j;iy�:�:}?{{{:�.;:y;:;i:;::�ii:+;Yii:!ti;:�:;:i?ti�ii :;:::i�:v}.�i}:�i:;ij:}ii::;::::�:?;:^::�:�ti�:;:j�:�,:.;i:�'j:;:��'}:i;{:.''}.�ii}:;}.'...•�:};. }:�{'i::!<ti?�{�}:�i:!..'..••.. ...ire nffi ..:...:::<: yin : r::;`::} :'i<;it$';.;:;tin:'}yJ!!:'r,"�.:. :%•;�;:j$;ii;$'•?;L:v:::{:;:;i:;:S::;:;:$:::{i: ::�::!}•,:};:•,:Ctiti r:}I`: a icv �tstiran %/ ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have orkers' co ensation olices; win w :..:.::.:,::::::.:::.:::........:.::::..::.::.,.... :::::.:...:..:::::::•:::.::.:,.::.::;,.:::.,.:•.x:•::,:>.:r::::v.•:::::.. the folio mP ..........�.............::.:..::.:.:....................:.:::.:.............::..........:::.: ......:.:..::........:r...::.......:.......:.......•...... ...... 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I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains acnddppenalties of perjury that the information provided above is errs and eorrta3 Signature Date i Z �4- oZ - Print name ,�l S'Gl2 fC�j f official use only do not write in this area to be completed by city or town official city or town: perr dt/license# ❑Building Department ❑Licensing Board ❑check ifimmedfate response is required ❑Selectmen's Office _ (3Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of r the receiver or d including the legal representatives of a deceased employer, o the foregoing engaged in a�ourt enterprise, an S g eP trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another w employs who ern Io persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to commonwealth for an applicant who has construct buildingsin the Y not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the nor an of its political subdivisions shall enter into any contract for the performance of public work until commonwealth Y P ntra insurance re ements of this chapter have been pr esented to the cling acceptable evidence of compliance with the � authority. Applicants + please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and ,. supplying company names, address and phone numbers along with a certificate of in¢nrance as all affidavits may e submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an Ili_ date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and Printed legibly. The Department has provided a space at the bottom of the ct you reg arding the applicant. Please affidavit for you to fill out in the event the Office of Investigations has to coma y g ding aPP _,_ ._n Y - e returned t_ davits may b ben. The affidavits y be sure to fill in the permit/license number which will be used as a reference num the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. 's address telephone The Departrnent , and.faxnumber: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 r exisfc�t9 wuvtdow n ecv w LtLdow i t 6 �asT S sY/aaa� lid Y • Dmla.S i 2 zv t S G TOWN OF BA8NSTABLB R33PORT SUVEMENTA33Y/CONTINIIATIr*RZPORT NAME (LAST, FIRST, MIDDLE)7"-: _ DIVSSION iDNPT NOTE DETAIj,S i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL 1S ETC- cy PAGE 1 O SUBMITTED BY ..................:::::. ..::. ..::... .. ..:.:... . ::....::.: UILDING ....... ...... ...... ........... .... G.GRAHAM .•;:. :PINE STREET::;: ......... ... CENT ......:.:.::.... ERV. LE>: ..:........ ..... ZONING <`' } .............. ........... a :: aaaaaaa��� E AL. . . ' aa . IN {iYSii{:;yi;:!{i::SY:i$iti:>iiiiY;.,>.;. ;:}:r'i:K ti j SEARCH .:::::::::::. on ly_— a n� � v c. Qo u on as �n T(J T,0 // l U r US"� Q3 ----- ,� � ma a(7Qrl / O D On O i ` L Q-n W Q. _(.ye 7T �O h �Q n/n Q r- abo-., -our P-OA- 'l-I Me-Q f)($c4l.,oa 13 — Clos /a v2 Q, Q05._�L4aace--- ob r Inr 040"-70 kn- �Ije3 Liu � C� _ - ---o ----� ---60_ t a e�c � mele,s tee,�n r1 o t' L MY r" �- 2 �L O -- R/?,.7e-- �4 4/13/97 To: Barnstable Town Hall 367 Main Street Hyannis, Ma. 02601 From: Kittridge Holmes 58 Traders Lane West Yarmouth, Ma. 02673 508-775-5454 To Whom it May Concern; I have lived on Cape Cod all my life and have worked as a carpenter for over 35 years here. I have personally known the previous owner of 83 Pine Ave., Hyannis, Ma., Vern Whynot, since 19 and have done maintenance on the interior of the home. I can verify that 83 Pine Ave., Hyannis has indeed been a two family home since with two seperate families living there. And I can also verify it has always had two seperate entrances, two seperate electric meters, two seperate mail boxes marked A and B for each unit and inside it has always had two seperate kitchens, baths, fireplaces, bathrooms, living rooms and bedrooms. Sincerely, Kittridge Holmes 58 Traders Lane West Yarmouth, Ma., 02673 508-775-5454 4/13/97 To: Barnstable Town Hall 367 Main St. Hyannis, Ma,02601 From; Richard Peckham 99 Pine Ave. Hyannis, Ma, 02601 To Whom it May Concern; I have lived at 99 Pine Ave., Hyannis, Ma, since 1985. My home is directly across and approximately 75 feet away from 83 Pine Ave. Hyannis, Ma. I have been able to clearly see it has been a two family home since I have lived here with two seperate electric meters, two seperate entrances, two seperate mail boxes and having always known my neighbors living there I can tell you there has always been two seperate and unrelated families living there with each family in their own apartment. Since Chris and Ann Graham purchased the home in 1992 they immediately did alot to beautify the house. They wrote to Police Chief Nightingale to get permission to have large broken down trucks towed away, cleaned the yard, painted the exterior of the house and replaced a rotting deck. There are now two families living there who truly respect and care for the house.They are very happy with it. Thank You, c r I OA Richard Pe kham 99 Pine A Hyannis, Ma., 02601 508-778-7215 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A DATA SPENCER, ARTHUR W. FEE ,v y .06 Y. O� {n.Q��q}r �(p/a {eiHy{7/��p TOWN OF BARNSTABLE,. MASS. •r( ww�yy �""' s i1 o� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED q"' `•:a�s :k M a'� (PROPZRTY OWNER) ..�. `, ,s (ADDRESS) TO R y tv ,dht si d A U 't IBUILDI ,.(ALTER/ .(REPAIR) ce '�' LDING)OBUI (APPROXIMATE SIZE) y W R .0Q.N � LOCATION its :: t.� a . .` '^� .4. .,'FI +ys a G7 art. , r "-'i e „-+ •(STRtET AND NUMBER) i z"aAtN �wPO NAME OF.BUILDER'OR CONTRACTOR MD, o APPROXIMATE COST,:. . hs , H OON 7, f o „ t I HEREBY AGREE TO-CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN � � 4) 1. OF BARNSTABLE, REGARDING, THE ABOVE CONSTRUCTION. ld 7 a (OWNER) .. _ (CONTRACFORI cis r iJ r 1BUILDINd INSPECTOR;° Subject to Approval of Board of Health ., a •t '..t s(#9 � •d .' 'r ,. .:. ',,(.i r, :: .;',.,} ,. :.., . .. : .'s,, K�St� i s; � +_ ' 4 z 1 y ii; z ..t ^�'rSl vh; �f'z ;.1 �t Y r f. 3 k� a s i SSOR'S MAP 308 �� � � ��_� � s INCFELE ET �a©0 Y - 291 309 327 °so$ k e2T,7` :R � I110 Z90 3�8 326 o \ N na c tom , r 77 no 75 75 \ / vE f r i sltg 80 \ i IN 00 � '%" ..`'�" �'a�'<a<` "ic r i v< � � '• ti on ep�\ �Istc�. r 8 O � epatr3� 79d , ak ": .,•• l' .. ° �� Qpve'� �s\ x �,� z'"�r�1 \ c i6� � 91 � � QpvEG I''. 89°` � \ •,��, 81-2,• 92, n 7 42 e. sa Q � e �y �£ �' � as Y •• �c` rno 1 \ O l�n [� � -t 96 m /f 2 �'\• Its. ,. 103«, :.\ 1� •00 ��\ /> 234 ..� ♦ O A`. ISO / � . look cook r ' s .« a, aK 48'2 gUx „ 11: P271147 atd < 12 1 `o` s.+aaY p11 ', epve,0.4 \\ so ' a !NO 0 07 ` R \ anx r P vpG 216' a r �,, :y k<.,._ :s ozw of 2IY +G • 122p a ttx x "267 268 22!2 1. Y0 IM J O 191 3 !r ' H6 Y alm O 19p }. 2)d14 n ass• } `•aux .i: \ `:,\ V,�,! af• O E P �'' 95 "us / yi , x a]{K Qp1Q INs B01 nY` r#t i \ t225 i A \ 213 i10 aex 1 elo \ 2z elm 2• i Q a157CY L e 76 WK 2 l87 '1 5 \ anY U JJ'sn `S at°Y 89 z �-'•"~[0 �` .eGiL + of 233 !� �� ,'od°K G0� 177t >.r ° k j n 18 � mYS¢C ed _ ,208 N f _ o�7U�t+_qD aK amp - 1 9 Zwn i �1 2 tvr8 r ���t23P v S�,• %. Fp - s J 91 95 ' �265 Z 2ry +✓� / l \128 13i t310 nsJ 111 I q 1 ,2fi8 a1sY \ es m`r r \ +70 v 1J �II. . - k;a� FOUNDATION BSMT. & ATTIC I LUMBING PRICING LAND COST ' Cone.Walls Fin.Bsmt.Area Bath Room Base ,! O EILDG.COST Cone.Blk.Walla Bsmt.Rec. Room St.Shower Bath Bsmt. ' PURCH. DATE Conc.,Slab_ !y Bsmt.Garage St. Shower Ext. Walla PURCH. PRICE. Brick Walls Attic Fl.&Stairs A Toilet Room Roof RENT Stone Walls Fin.Attic V Two Fixt.Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. f 1' 2 3 Sink 4: 3 S ' 70 /O s/ 1*— r`W Plaster Water Cie. Extra Atb2 EXTERIOR WALLS Knotty Pine Water Only Double Siding p Plywood No Plumbing Bsmt. Fin. Single Siding Plasterboard Int.Fin. /T Shingles TILING Conc. Blkk.. G F P Bath Fl. Heat t /0 Face Brk.On Int.Layout Bath Fl.&Wains. Z Auto Ht.Unit Veneer Int.Cond. Bath Fl.&Wells Fireplace 1670 --- ----- - -_ — Com.Brk.On HEATING Toilet Rm. Fl. '7 Z Plumbing f" 7 a Solid Cam.BrL-_ Hot Air Toilet Rm.Fl.&Wains. Tiling Steam Toilet Rm.Fl.&Walls / Blanket Hot Water St. Shower Roof Ins. Air Cond. Tub Area Total , Floor Furn. ROOFING COMPUTATIONS ' Asph.Shingle Pipeless Furn. ` tt S. F. Wood Shingle No Heat /a 0 S.F. Asbs.Shingle Oil Burner S.F. d Slate Coal Stoker '� /S 7 3 0d 30 L&F. Tile_ Gas S F OUTBUILDINGS ROOF TYPE Electric " Gable Flat S F 1 2 3 4 5 6 7 8 9 110 1 1 2 3 4 5 6 7 B 9 10 MEASUREI Hip Mansard FIREPLACES S.F. Pier Found. Floor .� Gambrel fireplace Stack Wall Found. 0. H. Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing 2 R J C-inc. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing Pine / Hardwood ROOMS Cement Bak. Electric �a• AsDh.T Bsmt. 1st TOTAL oj' Y Brick Int.Finish PRICED Singly 2nd 3rd FACTOR L REPLACEMENT S S !•� N.C_Y CONSTRUCTION SIZE AREA ,CLLAASSS- AGE1 REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.DeD• ACTUAL VAL. DW 'G A 'J /7S 2 3 6 7 , 8 TOTAL '. RESIDENTIAL PROPERTY NO. LOT NO. FIRE DISTRICT SUMMARY STREET Pine St. Hyannis 73 LAND G 9 G O 308 215 . H BLDGS. OWNER TOTAL -3 p U - — LAND — RECORD OF TRANSFER DATE BK. PG I.R.S. REMARKS: Lot BLDGS. rn La —3 '� TOTAL 18 ac LAND S ene-elr'—Axthur W. BLDGS. na, Carman a- 349— ©- r TOTAL LAND 1 a�z.,.^ BLDGS. -$28.0 TOTAL -- LAND Fong, Chuck D. & Moy .(tens .ent).. ... 6-17-?5 2197 133 $37 BLDGS. TOTAL 1+aC- t) IA)Ai, A it)E, WEsT #9Rmbu.r)4 LAND rn BLDGS. TOTAL - LAND BLDGS. TOTAL _ LAND INTERIOR INSPECTED: �S ��� G!�/�/�� S �ti ✓/� rn BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. (31 LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL -RUSE L LAND LEARED JT BLDGS. REAR dOODS&SPROUT FRONT LAND REAR BLDGS. _ o, CASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS 'f-AWb FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH q6 FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. I TOTAL Mr.&Mrs.Gary C.Graham a "� 690 Old Strawberry Hill Rd. MA Centerville,MA 02632 i �O� O PM ro "' . .. �Forgives TLVri a �CA In �( c r i f �-- J I ®1` �eI 1 �, . of �n V`ronren [ .svv:r ces i1 l tilt 011t t i► kill tttlttltt 111 1 1 It tit tilt l ITO O'A rCl .__.._...�_._..... .......`±,....-._.j:............."._......_ - .. n. . __..._._i. _-____-__.____.- 0.._..._..........L.,__..__._.._....-... : c .v. crzs-03 rl� 1 v t n e of Q.-(j ��.r � me n� � 0.T d 3 ?I'n e A e.. N ann J S . : v � a Y) J'yl.JQ ,,Tr ...__� Y} t y r �.. 'Ou')m'r s �Q nc� �"f Cls A n n L �7 r C�c7 n 1. MM ---------------- _Gve-a Tc--"y Ll ----------- E ' _ C� 1 ! 93 A ;s _..... . ........ .._._ A�0.��� 5 ►�st.. -Tor ( Ujq. �Araf+rrnQnN 4`. r 3i i xax .t r. 3 l r �a. j.� ,; 1,,(-,.-'J to me .4 0. i n e. I Q.n b f� .c�.. a_ . our �Jo.(Vc S ,v t� b~ A .............. s t y ., ... l a i f�� t : _ •ai�E Z 1 .. f� NOT FOR PUBLIC VIEW Message Page 1 of 1 Anderson, Robin To: Perry, Tom Subject: Calvin Wiggins 83 Pine Ave, Hyannis Vo .14 Tom, Calvin Wiggins came in today with a business certificate for upholstery. I refused to sign for it for the following reasons: • There is an unresolved zoning issue with regards to the number of units on site (3). • Dwelling units in excess of two (consisting of a primary unit and accessory Amnesty unit are in violation of the comprehensive permit issued. • Calvin is actually upholstering at home (not an admin office use) inside the former garage. It is unclear how he obtains the furniture or if he delivers the finished product. • The storage of upholstering materials and materials raises questions concerning fire code requirements. • The garage area was converted without permits, inspection or proper fire separation. • There is still the confusing matter of the number of doors entering the property and no numbers or labels-two doors side by side for example off of the rear upper deck. Calvin was quite upset upset when I said I could not sign his business certificate. I explained that because you had already instructed him to"straighten out'the mess I have no discretion over the matter and he must deal with you. Calvin did not verbally respond to me. He just stared me down with a glaring intensity. This lasted at last a half a minute as if he intended to intimidate me into giving him the approval he wanted. I said nothing but I also did not turn away from him either. I maintained eye contact the entire time. He finally walked off with his papers. I could see he was raging inside but knew enough not say anything. He was wearing a t-shirt that had a large marijuana leaf on the front of it. It stated that"God made grass, too". As he was leaving, he was overheard to ask "Is she always like this"? I hope he went home and relaxed with the stuff God made because he was really ticked off. .l am sure he will be calling to complain to you about me again. ,R96in Robin C Anderson Zoning Enforcement Officer Town, c f Barnsta6Ce 200 Main Street Hyannis, MA 02601 508-862-4027 7/31/2014 i C_line.com ' �P golo /Stoe#620971-888.860.9120 i �i If I; I I} i ���� -��„�� �--�e.�,.�� i Town of Barnstable Regulatory Services rop, Thomas F.ti Geiler,Director Building DivisIiO=>s N QF n'T B�tE B"MAM NSTABMO Thomas Perry, CBO,Building Ym i�26�0�1 Commissioner Q: 0 9. .0 200 Main Street, H ans prED MP'�A www.town.barnstable.ma.us . Office: 508-862-4038 '°fax: 508-790-6230 DIVI I f. Town of Barnstable Family Apartment Affidavit 1, being on oath, depose and state as follows: My name is ,(/J i 67C%ti 5 I am the owner/resident of the property located at: EtA e- O'U'e' (4y A ti K 1 S ( iQ ®Q- m 1 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �V Ls tU u tti Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No: ) Other Sworn to under th pains and penalties of perjury this day of ® 2013. Signature Phone Number Print Name 61,52 Q lo Q)V:�62 d 1 q:forms/famaffid.doc rev 11/08/11 Regulatory Services Thomas R Geder,Director Building Division r • BAP? W"MM& Thomas Perry, CBO,Building Commissioner TOWN Or' Br q��bF�, K�. 1 .19. 200 Main Street, .Hyannis, MA 02601 www.town.barnstable.ma.us 2013 .BAN .17 PM 2. Office: 508-862-4038 : Fax 508-790-6230 ItfI�I� Town of Barnstable Family Apartment ffidavit I, being on oath, depose and state as follows: My name is -a/v ;(,Jr �t I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 1 6 `� Name &relationship to owner: The Family Apartment will be the primary year-round residencefor the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no.subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property.. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn t�2un r the pains and enalties of perjury this day of 2013.. 35 ignature- Phone Number Print Nam U Ju .� i �G 1 q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oFTME rgyti Thomas F. Geiler, Director ToW OF��I¢?fiSTA Building Division ( STABL40 Thomas Perry, CBO,Building Commissioner _5 P11 2..09 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us a s3 1 Ui'i Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath,�deose and state as follows: My name is d I am the owner/resident of the property located at: Vt to 1 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: a C��— �Civ P ��`,t' C O �. Name &relationship to owner: C-31A Lel- 4J 6�LL q / The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the pains and penalties of perjury this day of 2012. Signature Phone Number Print Name <�( U t v` 1A/ I q:forms/famaffid.doc rev 11/08/11 IUWll Ul Ddl-11Jtaule Regulatory Services F1He r Thomas F. Geiler, Director Building Division T01 0 MN U 13 L " Thomas Perry, CBO, Building Commissipper k BARNSTABLE, "ASS. f Rf f e`il-:� g ik,F I f 039. ��� 200 Main Street, Hyannis, MA 02601-"` AIFO MA'1°i www.town.barnstable.ma.us Office: 508-862-4038 i !` 1--`�#Fax:-508°=790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: � �� � ° c-.,, I am the owner/resident of the My name is 1!5d property located at: _Q A.An _'k-A 4 I-1 o, o z The occupancy of the property will be as follows: MAIN RESIDENCE: Name(s) & relationship to owner C''9_-- I 0 6 FAMILY APARTMENT: r Name(s) & relationship to owner o_k e C4 16V Q p t 2 G The property will be the primary year-round`residence for the above-identified family members. In the event that the listed relatives vacate the apartment or main residence, 1 will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of the property is permitted. 1 understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants of the said family apartment and main residence. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no,longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this ® J day of p 3 2011. Signature Phone Number Print Name U `^ /(N C�'C� \ S �$G 8'1 �3- 6"2 - C3 S- ` gfaaff Town of Barnstable Regulatory Services OPINE tp� Thomas F.Geiler,Director N OF BARNSTABLE Building Division BARIVszAaLE, Y Tom Perry, Building Commissioner 7E==='1 -_; �E y Mass. _ v t E RE 1639. 10 200 Main Street,Hyannis,MA 02601 ArEo ,�a www.town.barnstable.ma.us Div- Tc! Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is C �^ ° ��`^ I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: A Name & relationship to owner: ( The Family Apartment will,be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. _ If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of - 0 2010. Signature Phone Number Print Nam�XLXL 1 �� Q/bldg/forms/famaffid Rev:12/08 I Town of Barnstable Regulatory Services pUINE TOIy� Thomas F.Geiler,Director Building Division BA STABLE, Tom Perry, Building Commissioner pp 2 9 MASS. �l ' qjA 1 39. 200 Main Street,Hyannis, MA 02601L j� rEn �a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath depose and state as follows: My name is ^� u�,�. ZdP 6761,, P I am the owner/resident of the property located at: 'pt Au. (4`j(l u to i S 1/►�l t� CrL �i o The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: ae� �; Q (�� ��VA u^ 1 ..A I% e.c e- S t Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2009. S�ggC�2oS� Signature Phone Number Print Name ("-�!A Q/bldg/forms/famaffi d Rev:12/08 Town of Barnstable Regulatory Services oeVE to Thomas F.Geiler,Director Building Division aaxxszns . ` Tom Perry, Building Commissioner Mass. �� 1639• ��� 200 Main Street Hyannis,MA 02601 ATEp ,t s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �Q.t v G76 , t I am the owner/resident of the property located at: U The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: JJ Name & relationship to owner: A 47 9=4 00--Mm I H u ate.. Name & relationship to owner: a uc�� 2 �� t 9 The Family Apartment will be the primary year-round residence for the 11above-ii1awifled family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of = said Family Apartment is permitted tv to I understand that I am required to file an Affidavit annually with the wilding cam ' Commissioner listing the names and relationship of occupants in said Family-partmeniZI als(F; understand that I am required to comply with all conditions imposed by the ZBA Special_erm t,, and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apa tmentsj�agree to note the Building Commissioner immediately in the event of the sale of this'E roper015,0 m If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this O 2 day of Q{S 2008. .7 0 6z© S Signature Phone Number Print Name("�_ p`V LA.)1(5y%v� g Q/b ldg/forms/famaffid Rev:1/03 f Town of Barnstable Regulatory Services °FTNE rqy� Thomas F.Geiler,Director Building Division * &ARNSrnst.e. • Tom Perry, Building Commissioner �rr�+` _ , MASS. 039. i 200 Main Street,Hyannis,MA 02601?t;7]AFp A www.town.barnstable.ma.us P 5 e Office: 508-862-4038 10 F� ax 5-08-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �� ' �' e N S I am the owner/resident of the property located at: Vol V-k 2- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: (l�N e �a� Q����r s �APe Q � � Name & relationship to owner: 01A tj 49,P W G'Go'A s ,CAGE I te- VMM SJ S(ems The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn t nder the pains and penalties of perjury this day of DC.4- 2007. Z Signature 49 Phone Number Print Name, �_ Iu` o �C� o ✓� S ®�65�62®S'� Q/bldg/forms/famaffid Rev:1/03 FINE ti Town of .Barnstable Building Department - 200 Main Street BAMSTABLE, * Hyannis, MA 02601 MASS 1639. 1 (508) 862-4038 Certificate of Occupancy Application Number: 20063586 CO Number: 20070000 Parcel ID: 308215 CO Issue Date: 01/03/07 Location: 83 PINE AVENUE Zoning Classification: RESIDENCE B DISTRICT Proposed Use: RESIDENTIAL Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO CALVIN WIGGINS Building Department Signature^ D to Signed 4 t t � 1 I, i I I � I ' I 1 i i • I "+........ 1, 7 o, 1 g' a a .. a i a i r , Val ! ��ST-_l7Efi6NGILCE,"5'. .r y , -- s 1i�i �SKE�.617T �L tf764' f WAVE AM d 1 I J .:. .: w , _. .,. _ -zap-s�slas--.-��.•�g 54�_7ff? [G4r —. _ i _ _ I _ " r . .1 - =tT[R'u+ACr-�rrrr-___._..... I t - v '• � ll ��� - Z�.; � _ 1 Jt �,:.i N r � t rF MOW bb too : t - 4�r h I r i.a'.• as".la'nkor .-- :': .a-sa•-._, _._..._ �c.�• _ ..z;6✓* ':�u§.,' _^. �...: µ����n� �l 1 ! j I first floor uN �a OK 0 4_4 L� SMO E DETECTORS REVIEWED CARBON MONOXIDE ALARMS ` ! MUST BE INSTALLED PER BARNSTABLE BUILDING DEPT. DATE MASSACHUSETTS BUILDING CODE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITT/NG �l� � E nd floor i l � S � 7 ?'C 77 ' gZobvo, Alz cp CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE fiat floor Wmclf� �Qace� IA* O O X� r nd floor IFIPI 11 1 1 1 1 1 1 � 1�