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HomeMy WebLinkAbout0074 CHIPPINGSTONE ROAD - Amnesty 0 o 09 t P 1. W CAPE COD INSULATION � � ? ` :r �® II4I4 Tff ou"I Sf INSU1 110N SUSVINf, 4 ATfS OUfi143 INSUl1tION CIIIINUS •Gq„y,, 1-800-696-6611 fi}Ar�r f o Town of Barnstable Regulatory Services Building Division 0 An 200 Main St yQ'Vy Hyannis, MA 02601 I 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 ���a�r�rr 7�A �� C�,�o,,c fsf�►-� %D ���f /1l/�.r Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ( ) ( ) ) Floors ( ) ( ) ( ) ( ( ) Walls ( ) ( ) ( ) ( ) ) Sincerely 2Hry E ssi r, President Ins ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 0 Health Division ' '` 9 Date Issued I: f; Conservation Division Application Fee Planning Dept. � � Permit Fee 35 .00 t. i w°sales Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis DG Project Street Address �5�- �'��PZ 9=",7�""g, r,7,::/' Village 1l��cf /z0� �Jf Owner 44,eg 24.1-ait ,L 2 15-7 Address 1� Telephone Z 2? z a Permit Request z&Iz2 2;�! � ,Y sg �i�„ ea !l, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D , l'Construction Type 1WY4.1/ �1J� 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 A No On Old King's Highway: ❑Yes allo 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 f`,/ i,I Telephone Number Address /'v-- ,x�A��r� �� License # , I"/_9v1,4 Home Improvement Contractor# Email Worker's Compensation # 4�&DD ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE K -FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED _MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME !' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL x GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • Town of Barnstable ° Regulatory Services '" sum Richard V.Sc4 Director It Building Division Tom Perry,Building ConudWoner 200 Main Street,Hywmis,MA 02601 www.towubarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If UsingA Builder 12 as(honer of the subject proix:rty hereby authorize CtifpP ( O�1 -�'�fw tiT/Gh to act on my behalf, in all matters relative to work authorized by this building permit application for: __� �4�j �. S�v � oa Mars s M►ll S (AfI SON o-b) b� y$ . . "..""Pool fences and aLvms are the responsibility of the applicant.Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. :iL 4 4 ax ate nat,44 ure of Owner Signature of Applicant Print Vaane Print Name Date Q:FORMS'OViNFRPF.RMrSSIONPOOLS 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: Build ers/Contractors/Electricians/P III r bel ; Applicant Information Please Print C.Jer:il�l 4 t _ ............_.......,_. Name (Business/organization/Individual): Address: AV G'I Go - City/State/Zi �v ` aV Wed U(- t 11 A Phone #: Are you an employer? Ch t k he appropriate box; . I am a general contractor and I Type of project (required): m 4 a a employer with �t'j [] g employees (full and/or part-time).* have hired the sub-contractors . 6. ❑ New construction 12.0 I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub--contractors have 8. Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.: 9. [] Building addition required.] 5. We are a corporation and its 10.❑ Electrical repairs or acid i -i0t;_; 3.0 I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or acic:iric :; . myself. [No workers' comp, right of exemption per MGL 12. Roof re airs insurance required.] t c. 152, §1(4), and we have no p l I 3a.[_] I am a homeowner acting as a employees. [No workers' 13. Other- --- general contractor(refer to #4) �—�.--..._.._.._.L_.._._. ._ comp. insurance required.] Any applicant that cheeks box#1 must also fill out the section below showingtheir work- co _.___...._...._..; t Homeowners who submit this affidavit indicatingthey g mpcnsation`policy information. ey are doing all work and then hire outside contractors must submit a new affidavit.indicatinu such. tContractors that chock this box must attached an additional sheet showing the name of the sub-contiactots and state whether or not those entities hEtvc employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I an employer that is providing workers' compensation insurance for my employees. Below is the policy and job sit', information. I� I "Insurance Company Name: (�r,G .......... Policy#or Self-ins. Lic. #: �o t 06 Expiration Dater Q-2 �J() t'7 Job Site Address: 7 i�i�jq�f ,�/� yYl/q✓ �o�'� �� City/State/Zip:�,//✓ VI — 0fl Attach a copy of the workers' compensatio❑ policy declaration page (showing the poUcy number and expiration dsrte). Failure to secure coverage as rewired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties or fine up to $1,500.00 and/or one-year,imprisonment, as well as civil penalties in the form of a STOP WORK ORDER acid a lin of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office OF Investigations of the DIA for insurance coverage verification. I do hereby certify un� the pains and penaltie3 of perjury that the information provided above is true and corret t Si a / Date: Phon Official use only. Do not write in this area, to be completed by city or town oJ�cia1 w — I City or Town: Permit[Liceuse # 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 #: tt Massimhusetts - D6partment.of public Safety .,Board of Building Regulations and Standards Construction Supcn iscir License: CS.100988 HE, E CASSW� x�i 8 SHED ROW h W EST Y ARM 0VTH atf0 0 1 � ✓, " Expiration Commissioner 11/11/2015 c��� tyYl�GI�E CZZ I2 C�/ t /J�J �/n16G �01 — Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Co'n,tractor Registration Regisiratlon, 15356 Type: Private Corporation Expiration:. 12/15/2016 Trt! 259•18c CAPE COD INSULATION, INC HENRY CASSIDY -- -- 18 REARDON CIRCLE --- SO, YARMOUTH, MA 02664 Update Address and return carol. Mark reason for Address Ronewal Employment ',A 1 +7 20M•OSl11 V/ie ai�t�.tarzcuecc�C�N�C%�GadJac�crvel�i a\ Office ofConsunierAffflirs& Business Regulntlon License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ecgistratlon; '1.53567 Type; Office of Consumer Affairs and Business Regulation xplratlon; :,;•1,.27:15/20.1:6 Private Corporatlon 10 Park Plaza - Suite 5170 Boston, MA 02116 ;APE COD INSULAT;fb:N;;;fNC'.: 'r;` 1ENRY CASSIDY 8 REARDON CIRCLE";.``....t ;0. YARMOUTH,MA 02664 "" a — UndersecretnrY N vnlid wi ut sign; )rye From:Rogers S Gray InsuraFax: To: +15087786736 Fax: +15087785735 Page 2 of 2 03/30/2015 10:04 AM, CAPECOD-27 BDI-L"Ab Ili RI'I lCI= CERTIFICATE OF LIABILITY INSURANCE DATr THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD'.R. it II3 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE .AFFORDED BY THF_POLICIE S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHO„i :ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED, SLIhJ 1 ro the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer righi5 to the certificate holder in Ileu of such endorsement(s). COP1T CT --.__.._..._..-_--.-- PRODUCER NAME: Rogers&Gray Insurance Agency, Inc. PHONE FAX - 434 Rte 134 _�a c No Exr: AIC r,1o) (87!) 81 Es-2156 South Dennis, MA 02660 E•"'AIL ADDRESS: INSURER(S)AFFORDING COVERAGE _i_ t:.:C INSURER A:Peerless Insurance Company-see LI BERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY �3915.1 Cape Cod insulation, Inc. INSURER C:Endurance American Specialty Ins. Co. 18 Reardon Circle INSURER o:ATLANTIC CHARTER INSURANCE GROUP j Scuth Yarmouth, MA 02664 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI"h;Y ERIf INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOV',IF!!-;:i; CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALI. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I SR TYPE OF INSURANCE _.. LTR POLICY NUMBER MMIDD/YYYY MM%DIYYYY LIMITS A X COMMERCIALGENERAL LIABILITY EACHOCCURR°NCE 1,000,QO(? CLAIMS-MADE a OCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES Ea occutou rrence i00,0O0 --- - MED EXP(Any one person) 5,000 PERSONAL&ADV INJURY T GEN'L AGGRECATE LIMIT APPLIES PER: GENERAL AGGREGATE Z 2"1000'000 X PF'0- POLICY ... JECT LJLOC PRODUCTS-COMP/CPAGG t 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINEDSINCLELIMIT h i.DOO.Q(,O Ea accident B ANY AUTO TSD 04/01/2015 04/01/2016 BODILY INJURY tPer person) ALL OMVED X SCHEDULED _— --- - AUTOS AUTOS BODILY INJURY(Per accident) NON-OWNED X HIRED AUTOS X AUTOS PROPERTYDAM.AGE Per accident __. . X UMBRELLA LIAB X OCCUR EACH OCCURRENCE C EXCESS LIAB CLAIMS-MADE EXC10006635000 04/01/2015 04/01/2016 AGGREGATE c, DEO I X I RETENTION$ 10,000 A gregate 2,Opp,p(p`, ER OTH- WORKERS COMPENSATION P J — -...._..000 __.. AND EMPLOYERS'LIABI''-ITY YIN STATUTE I ER D ANY PROPRIETOR/PARTNER/EXECUTIVE F N IA WCE00431900 06/3012014 06/30/2015 OFFICERIMEMBEP.EXCLUDED? E.L.EACH ACCIDENT z _ 1,000,000 11 Yes.story b NH) E L.DISEASE-EA EMPLOYEE 2 1,000,000 If yes,describe unver DESCRIPTION OF OPERATIO14S below E.L.DISEASE-POLICY LIMIT $ 1,000,0O(i DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the'General Liability and Auto Liability when required by written contract or agreement with the Ceniiicato!!old,:r. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OF 0IIl= Cape Cod Insulation,Inc, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth, MA 02664 AUTHORI2F.D REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel "^'' - Application # 0 Health Division Date Issued 5 17 Conservation Division Application Feel • t'-� Planning Dept. "' .,•. > ., Permit Fee `00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 01V Project Street Address :- c"/�r i.�,p/,U 9���g,r� ,/7®f i Villager Address '.a)2a �- rr Telephone . Permit Request 2;'' ZUel44 "a.e kJ ✓,� �/ 5 �_ !_tea/G/ .O�e�.✓� i / 9 7A4 �� 1.4 fir,// C'�tJ T�� ✓ ,��/�/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1�1� ,��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 A-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 f 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 # F Current Use Proposed Use APPLICANT INFORMATION 4 - - (BUILDER OR HOMEOWNER) 3 7 Name "-'—0/ f ,J'4 Z4riJ Telephone Number Address �i License # J21- /av_- Home Improvement Contractor# Email Worker's Compensation # �,GI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO !/ r�� 7 !"J SIGNATURE ' /' DATE v"00�, FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. V v ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Amnesty Program Helping to Make Affordable Housing Possible p g g i own s d j 1, '1 ofBarnstable Certificate of Compliance This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty Program. Location 74 Chippingstone Lane, Marston Mills, MA Unit Capacity Studio apartfant, no exceed two people Inspector M/P No. 027/045 5131/2005 r - Town of Barnstable �oFTti Office of Community and Economic Development 230 South Street, Hyannis, MA 02601 swuvsrABIZ Office: 862-4683 Fax: 862-4782 Mnss. 9� 039. ,0� Email: comecdev(atown.bamstable.ma.us RFD MA'S A TO: Tom Perry,Building Commissioner CC: Lois Barry,Building Department FROM: Robert Shea RE: Inspection at: Map/ Parcel iZ27 / S I have conducted a Housing Inspection of a dwelling owned by L o R R#,i w t, Phone: a�7f- �D26 address: fw 3 7"omt Gt/4 ingle Family. OR Multi Family Unit Capacity: MV- # Bedrooms S7c/J,;v Unit Capacity: # Bedrooms Unit Capacity: # Bedrooms Unit Capacity: # Bedrooms This unit was found to be in compliance with the State Sanitary Code. Please arrange for the Building Department to do its final inspection of the property in order to grant a Certificate of Compliance for the unit(s). �y Signed Date 161's- Robert Shea FINAL B�i7iLDINGINSPEGTTO DATE ,ELI-; /�, TIME BY FS G y z oJZ APPROVED REJECTED The following items need correcting: SIGNATURE: Wit, za�� TOWN OF BARNSTABLE 4' CERTIFICATE OF OCCUPANCY PARCEL ID 027 045 GEOBASE ID 1488 ADDRESS 74 CHIPPINGSTONE ROAD PHONE MARSTONS MILLS ZIP - LOT 16 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 84232 DESCRIPTION ZBA 2004-26 APT ABOVE GARAGE PERMIT TYPE BAMNCO TITLE AMNESTY APT CERT. OF OCC. CONTRACTORS: PROPERTY OWNER Department Of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tME CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P� �. +► BARNSI'ABLE, MAss. i6g9. A1� ED MA'S J BU ING DIV S19N BYE , DATE ISSUED 05/18/2005 EXPIRATION DATE I TOWN OF BARNSTABLE i BUILDING PERMIT - I PARCEL ID 027 046 GEOBASE ID 1488 ADDRESS 74 CHIPPINGSTONE ROAD PHONE t MARSTONS MILLS 8y23Z ZIIP - LOT 16 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO i PERMIT 77775 DESCRIPTION CONVERT OFFICE TO AMNESTY APT. PER PLAN AF PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND .00 CONSTRUCTION COSTS $.00 , 434 RESID ADD/ALT/CONY 1 PRIVATE +� i6s9, 1 : FD Mp'�a BUILD D IS BY DATE ISSUED 07/09/2004 EXPIRATION DATE A THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD •. IT IS VISIBLEFROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 /ji" 3 7)! 1 HEATING INSPECTION APPROVALS ENGINEERI G DEPARTMENT 2 BOARD OF HEALTH s .5*105 OTHER: C'O-MM SITE PLAN REVIEW APPROVAL petaons contracting with unregistered com lv,; 1 -/O-ON do not have access to the guars.. (a§set forth in MGL c.t 4.. WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NUL : AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. OptHE 1p�, Town of Barnstable �O Regulatory Services * BARNSTABLE, 9 MASS. Thomas F. Geiler, Director �p .s67q �0 rEo 39 6. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Jeff FROM: Lois DATE: 5/2/05 RE: 74 Chippingstone Lane, Marstons Mills Have they requested a final inspection for the Amnesty unit? See notes below. We received a copy of the Amnesty Approval Notice today. We need a final building inspection and a CO ($25 fee) for the unit before we can issue the Certificate of Compliance. Please let me know. 5/13/04 74 Chippingstone Road, Marstons Mills Lorraine Tessa& Thomas Coyle Create new unit above garage 6/15/04 rec'd recorded doc.s. Bldg. per. 77775 issued 7/9/04. Note to B. Kelly to inform me when final inspection 5/2/05 Rec'd Amnesty Approval notice UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 05/02/05 PERMIT NO. 77775 PARCEL ID 027 045 74 CHIPPINGSTONE ROAD PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION CONVERT OFFICE TO AMNESTY APT. PER PLAN APP. STATUS A ACTIVE STATUS APPLICATION DATE 07/09/2004 DATE ISSUED 07/09/2004 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 0 . 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. UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION------------------------------------------------------------05/02/05- PERMIT NO. 77775 PARCEL ID 027 045 74 CHIPPINGSTONE ROAD PERMIT TYPE BREMOD DESCRIPTION CONVERT OFFICE TO AMNESTY APT. PER PLAN APP. INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN BFRM BINSU ENTER Y IF ALL ARE CORRECT OR N TO REENTER Y Town of Barnstable �p"E ram, Office of Community and Economic Development 230 South Street, Hyannis, MA 02601 b SAEIYSTABL& Office: 862-4683 Fax: 862-4782 9 MASS. eb 039. �0 Email: comecdev@town.bamstable.ma.us ah f,s+'� �,, � )n Yid. �, � ��`� 3 � � . '', •`. HOL�TSI�NG�I�m� SPECTIOl�T�,P�P�R�®V� ' �. ��OT�I��CE TO: Tom Perry,Building Commissioner CC: Lois Barry,Building Department FROM: Robert Shea RE: Inspection at: 1711 zavzo Map/ Parcel &27 / I have conducted a Housing Inspection of a dwelling owned by: L c R.R+►:w t, l�'� ft ' Phone: address: i M Q r0'w G IAA Jim A Single Family OR Multi Family Unit Capacity: O U— # Bedrooms S70J�O 41 Unit Capacity: # Bedrooms Unit Capacity: # Bedrooms Unit Capacity: # Bedrooms This unit was found to be in compliance with the State Sanitary Code. Please arrange for the Building Department to do its final inspection of the property in order to grant a Certificate of Compliance for the unit(s). �y Signed Date ` �•l�Q� Robert Shea FINAL BUILDING INSPECTION �... �. DATE TIME BY APPROVED REJECTED The following items need correcting: SIGNATURE: � I • TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 027 045 GEOBASE ID 1488 ADDRESS 74 CHIPPINGSTONE ROAD PHONE MARSTONS MILLS 89232- ZIP - LOT 16 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 77775 DESCRIPTION CONVERT OFFICE TO AMNESTY APT. PER PLAN APP PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: h TOTAL FEES: $25.00 Regulatory Services BOND � CONSTRUCTION COSTS $.00 tf1E 434 REBID ADD/ALT/CONV 1 PRIVATE , 0 KAM i639• Fp�Cl A BUILDIN DIMS LON BY DATE ISSUED 07/09/2004 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 027 045 GEOBASE ID 1488 ADDRESS 74 CHIPPINGSTONE ROAD PHONE MARSTONS MILLS ZIP LOT 16 BLOCK I'LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 77775 DESCRIPTION CONVERT OFFICE TO AMNESTY APT_ PER PLAN APP PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Servirpes TOTAL FEES: $25-00 BOND $.00 CONSTRUCTION COSTS $.00 . 434 RESID ADD/ALT/CONV 1 PRIVATE .0 BAMSTABLE, MASS. J 1639. BUILDINC DIVISION BY AWL DATE_-jSSUED 07/09/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MOST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. ._FINAL INSPECTION BEFORE OCCUPANCY 0 0 NORKs"i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 err I HEATING INSPECTION APPROVALS ENGINEIR14G DEPARTMENT 2 BOARD OF HEALTH q.,5 q,54 5*)C5 OTHER: SITE PLAN REVIEW APPROVAL persons contracting with unregistered con! to_0L1 do not have access to the guar. vl� (M set forth in MGL c.I<i WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY I VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT I I I I I ( E I I I II ' I I I I I I , I I I � I I I I I I I I I I I I I I I I I I I 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �f f/✓�; Map Parcel �� �y� `r Permit# 7 7 7 7 f OF EA i. Health Division �A-= S_ � M �.�-- �'i ABLE Date Issued Z Conservation Divisiony / ,! H 1. � � Application Fee �� 6 : Z Tax Collector /��/® T��j _�...� ` Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ---- Project Street Address o Village M'O."a m.4 Owner Address Telephone J` w k �6k p—s--' If a 0 ./ Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes gNo On Old King's Highway: ❑Yes lallo Basement Type: Gull ❑Crawl ❑Walkout �❑Other Basement Finished Area(sq.ft.) _ ,C3,A ��X 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 BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO —'--S I GNATURE 4 a DATE Z/-:!�-�- o I FOR OFFICIAL USE ONLY i PERMIT NO. " DATE ISSUED MACp/PARCEL NO. ' ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: 1 • FOUNDATION :t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH a FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �}�j0) i DATE CLOSED OUT ASSOCIATION PLAN NO. ~ RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE Ne Buildings,Additions $50.00 Iterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 7 square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) Gk G CZG square feet x$32/sq.ft.= x.0031= 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.0031= 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 projcost f Town of Barnstable �oY'cxe p egulatory S ervides • -�' i g Thomas F.Geller,Director' 'Building MY181011 '°rFD fr1A�k Tom,p eTry,Building Commissioner 200 Main Street, Hyanl1i;,MA 02601 , Fax; 508-790-6230 Of{tce: 508.862.4038 ' P ermit no. . Data . Ap'b'IDAVZT ' SOME 1NI3ROVBMENT CONTRACTOR LAW SWpLEMENT TO PERMIT APPLICATION M,L c.142A requires that the"xec onstru�ctio ctioa of an&add tion ooany p e-existing oowl eroccupied ion, improvement,removal,demolition, o bg containing at least one but not mora than foux dwelling units or to structures which are adjacent to such residence or building b e done by registered contractors,with certain exceptions,along with o er ® 0 requirements, Estimated Cost -'jWe of Work: IRCQ k 0 &k c'1'U Address of Work Owner's Data ofApp�cation: / e I hereby certify that: Re#stration is not regtdxed for the following reason(s). , []Work excluded bylaw []Job Under$1,000 []puil ' g not owner-occupied ' er pulling own.permit Notice is hereby given that. () N• PULLING THEIR OWN PERMIT OR DM OVEMENT WORH.DO NOT IiM CONTRACTORS FOR AITIJICABLE HOME IlYIPR ACCESS TO THE AMITRATION PRO GRAM OR GUARANTY FMUNDER MGL c,142A. . SIGNED UNDERPENALTMS OF PERJURY Thereby apply for&permit as the agept of the.wrier: (o Contractor Name Registrationl�to. Date . The Commonwealth of Massachusetts -- DepartmeenttofInndustrriaalAcccidents' Meg VMWShsY ' 600 Washington Street J Boston,Mass. 02111 Workers' Com ensation.•Insurance Affidavit-General Businesses iiiioiiiiiiiiiii name' tdress- A-4. ... - state:' zi hone# OO — Ot.•� work site location(full address): ❑ I am-a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(mcluding.Real Estate,Autos etc.) ❑I am an ern to er with em to es(full& art time: ,�iher I am an employer providing workers' compensation for my employees working on this job.. eompany-nerne' V. city o'hone.#•:• •,' siirarice.ca� • •t'° :y h •#' • ' TO I I am a sole proprietor and have hired the independent contractors listed below who have the fallowing workers' . compensation polices: COI!lpanV ItaIIrC: city Ty one,'#: insurance co....: ,... ._,t'.-,'-: ,:�. ,..:. . . , .;.;•.-.. .:,;.`•. ,::.. :..o`lic :.#�` .'••%a..:� '� 4'. e.: -safe:" - coinp IiV n address: —— - ----- - --- "``' — — — - .. . .. . ... . city... ,. .. Dolac +.'.: ::.•.`1 •jai - msurance so 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 civilpenalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that it copy of this statement maybe forwarded to the Office of Investigations of the DL4.for coverage verification. I do hereby certify under thepains andpenaltiessoof/perjury that the information provided above is Prue anZcrect Si&nature e �LJ �C a el- ate Cl Print name Phone# official use only do not write in this area to be completed by city or town official city or town: __ __ _ permWlicense# ❑Building Department OLicensing Board ❑check if immediate response is required ❑Selectmen's Office 0I1ealth Departmeni , contact person: ___ phone#; ❑Other (revved Sept 2M3) I oFtr Town of Barnstable KE Regulatory Services # Thomas F.Geiler,Director sARNSTAB14 y MASS. 1639. �� Building Division lFo �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �9 L� Please Print DATE: JOB LOCATION: C�/��� <� num er street village "HOMEOWNER": -tAe -n ray- �a&_-Ceka y n —� home phone# work phone# CURRENT MAILING ADDRESS: �6 (1-1 city/town statezip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. o, p Sign re o 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. Q:forms:homeexempt Doi_:97C Y O67 06-11-2 004 9:47 BARNSTABLE LAID COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICITVE COVENANTS,is made this , day of �� ,2004,by and between Lorraine G.Testa and Thomas J. Coyle of 74 Chippingstone Road,Marston Mills,MA 02648,and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations bythe 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 74 Chippingstone Road, Marstons Mills,MA,as further described in Exhibit"A" hereto annexed. B. The Project located at 74 Chippingstone Road,Marston Mills,MA 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 the comprehensive permit, Appeal No.2004-26 and any plans submitted therewith and all applicable state,federal and municipal laws and regulation (A copy of the comprehensive permit is annexed hereto as Exhibit"B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANT'S AND RESPONSIBILITIES: A THE OWNER HEREBY REPRESENTS, COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to person of low income (herein defined as 80% or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuityto a household with a maximum income of 80% of Area Median Income or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(NSA) and that rent(including utilities) shall not exceed the rents established by the Department of Housing and Urban Development(HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established by the Barnstable Housing Authority shall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be retained as permanent,year round rental dwelling units with at least one-year leases. 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, mortgage note,or other instrument to which the Owner is a parry or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in.perpetuityto a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and that rent (including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utilityallowance established by the Barnstable Housing Authorityshall be deducted from HUD's rent level. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated bythe Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent, as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. IV. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated bythe Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuityto a household with a maximum income of 80% or less of the Area Median Income(AMI) of Barnstable-Yarmouth Metropolitan Statistical Area MA) and that rent (including utilities) shall not exceed the rents established bythe Department of Housing and Urban Development(HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area.In the event that utilities are separately metered, the utility allowance established by the Barnstable Housing Authority shall be deducted from HUD's rent level. V. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to 2 f 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. VI GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VIII. 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. IX. HOLD HARMI-ESS- The Owner hereby agrees to indemnify and hold harmless Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. X. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be,and bythese 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 Exhibit"A"hereto annexed and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipalityshall 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 Exhibit M. 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 onlytake 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 maybe,thus rendering said Comprehensive Permit void. Upon the 3 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. XII. SUCCESSORS AND ASSIGNS: A The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i)that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (u) are not merelypersonal covenants of the Owner,and(iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XIII. 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 mayperfect such a lien on the Project byrecording 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 anyportion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XIV. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement.. IN WITNESS WHEREOF,we hereunto set our hands and seals this i iday of Uk4tit,., 200 OWNER OWNER BY: BY: Signature Printed: _Lorraine G.Testa _ Printed• mas TOWN OF LE BY: signature Printed: o Town Mans er . 4 COMMONWEALTH OF MASSACHUSETTS County of Barnstable, 2004 �. On t Lis day of��. 20 before me, the undersigned notarypublic,personally appeared eared of identification,which wer y the Owners rove to through satisfactory evidence �� $ to be the person(s) whose name(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. pa e T eresa-McAuliffe .�► Notary Pu&immonwealth of Massachusetts •,;;' •�tf,� ti Printed: My Commission Expires 7/04/2008 t ���� �''•.y' MY Commission Expires: 4 v Q� l ��` t. ••-, �a • • e o, _1.4 := . COMMONWEALTH OF MASSACHUSETTS •� County of Barnstable,ss: x 2004 On this day of 0?4 20�6efore me,the undersigned notarypublic,personally appeared 4�574 ,the Owner(s) , ro d t. me through satisfactory evidence UZ of identification,which were 446 — 00 2 /3 name(s) is signed on the preceding or attached doctment , be the person(s) whose owledge to be that he/she signed it voluntarily for the stated purposes. +�.l�1M�ra,«It«ee Paulette eresa-McAuliffe #, '�;.,..tfT �C-0iMassachusett8Notarybb0mmission �., Expires 7/04/2008 '�� { Printed: �!.A My Commission Expires: •. r COMMONWEALTH OF MASSACHUSETTS '" 9E County of Barnst ss: r t� )2004. • On this0 dayo 201 efore me,the undersigned not public,'p ,persona lly appeared the To Manager for the Town of Barnstable roved to me through satisfactory evidence of identification,which were E Sc,V41.L .WIN the person whose name is signed on the preceding or attached document and acknowle -- ged to be th t he/she signed it voluntarilyfor the stated purposes. Notary Public Printed: .G/AlD ,,••��•�•,••,,,,�� My Commission Expires ��'. NAs-a907 "Qr LIMA R.YMEELDEN f � tig j s•�M NWAR1rMe :dema own WING i iN0 9YA9SApiUSUTs yy EXHIBIT Docs635,976 06-25-2091 9s36 . Ctf#s161945 BARNSTABLE LAND COURT REGISTRY QVITCLUX-DRED I, LORRAINE G. TESTA, individually, of 74 Chippingstone Road, Marstons Mills, MA 02648 For consideration paid and in full consideration of less than ONE HUNDRED AND 00/100 DOLLARS grant to LORRAINE G. TESTA AND THOMAS J. COYLE, both of 74 Chippingstone Road, Marstons Mills, MA 02648 a g with quitclaim coven is k�f ) The land with the buildings thereon situated in Barnstable (Marstons Mills) , Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Highpoint Road, seventy-eight and 16/100 (78.16) feet; NORTHEASTERLY by Lot 17,two hundred forty-four and 37/100 (244.37) feet; SOUTHEASTERLY by a portion of Lot 15, two hundred fourteen and 38/100 (214.38) feet; SOUTHWESTERLY .by Chippingstone Road, one hundred forty-three and 67/100 (143 .65) feet; and WESTERLY by the junction of said Highpoint Road and Chippingstone Road, twenty-seven and 23/100 (27.23) feet. All of said boundaries are determined by the Court to be located as shown on subdivision plan 34846-B (Sheet 1) dated April 8, 1967, drawn by William Nye, Surveyor, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registry of Deed in Land Registration Book 329, Page 41 with Certificate of Title No 41591 and said land is shown thereon Lot 16. Subject to easement restrictions, reservations and rights of way of record. For title, see Certificate of Title No. WITNESS our hands and seals this 191" day of June, 2001. Lorraine G. Testa COMMONWEALTH OF MASSACHUSETTS Barnstable, ss June 19, 2001 Then personally appeared the above-named Lorraine G. Testa and acknowledged the foregoing instrument to be her free act and deed, before me. Notary Public - Rebecca C. Richardson My commission expires: 11/26/04 -BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST ,iOHN F.M C�� R€GISTS I:iir.;,;►in$lE REGISTRY OF DEEDS r C> .sow Cr e dFTMe'q�, c.. C,3 BARMA BM MAS& _ QED IMF► r` Town of Barnstable r Zoning Board of Appeals Comprehensive Permit Decision and Notice v � WHIT Appeal 2004-26- Testa-Coyle s Applicants: Lorraine G.Testa and Thomas J.Coyle Property Address: 74 Chippmgstone Road,Marston Mills,MA Assessor's Map/Parcel: Map 027 Parcel 045 � Zoning: Residential F Groundwater Overlay: WP Wellhead Protection Overlay District ., Applicant:, tiM The applicants are Lorraine G. Testa and Thomas J. Coyle,who reside at 74 Chippingstone Road,Marstons Mills,MA. Relief Requested: The applicants have applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts, Chapter 40B -S 20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III,Article LXV, "Pre-existing and Unpermitted Dwelling Units and for New Dwelling Units in Existing Structures," more commonlytermed the "Accessory Affordable Housing Program" They want to create an accessory affordable unit at a single-family owner-occupied residential dwelling in accordance with all the conditions of this permit.The issuance of this Comprehensive Permit would allow for an owner-occupied single-family residence with an accessory affordable apartment within the single-family dwelling. Locus and Background: The property is a.66 acre lot that is developed with a 3-bedroom, 1-bathroom, 2, 248 square feet single- family,Ranch style home. Mrs..Testa-Coyle bought the property 24 years ago,and she and her husband Thomas Coyle have recently built a garage that is attached to the main house. Above the pre-existing garage is a loft area where they propose to create the accessory affordable unit. The applicants heard about the program through the media and decided to apply. The proposed accessory unit will be located above the garage which is attached to the main structure. It will be a one-bedroom at approximately 600 square feet. The locus is in a Residential F,in the WP Wellhead Protection Overlay District. Procedural Summary: This application for a Comprehensive Permit was filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised and notice was sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on April 14,2004, by the Hearing Officer,Gail Nightingale,who presided over the public hearing. Also present was Paulette Theresa-McAuliffe,Accessory Affordable Housing Program Coordinator. I . 1 Findings as to Standing and The Comprehensive Permit: At the April 14,2004 hearing;the Hearing Officer made the following findings of fact: 1. The applicants are Lorraine G.Testa and Thomas J. Coyle with an address of 74 Chippingstone Road, Marstons Mills, MA. Mrs. Testa-Coyle has owned the property since September 18, 1980, as documented and recorded at the Registry of Deeds in Book 673 Page 73. Mrs.Testa-Coyle added her husband to the title June 19,, 2001,as documented and recorded at the Registry of Deeds in Book 329 Page 41. They are requesting a Comprehensive Permit to create an affordable rental apartment to be accessory to the single-family owner-occupied residential dwelling. The applicants have submitted a copy of a certified deed recorded at the Barnstable Registry of Deeds documenting their ownership of the property. In addition, they have submitted a certified plot plan dated March 24, 1981. 2. The applicants were issued a Project Eligibility(site approval) letter dated March 8,2004 from Kevin Shea,Director,Office of Community&Economic Development,qualifying the application for the Accessory Affordable Housing Program. The source of the subsidy is the federal Community Development Block Grant(CDBG) program 3. The proposed rental unit will be approximately.600 square feet and will have one bedroom It will be located above the attached garage of the single-family Cape Cod style home. 4. According to the Assessor's record, there is a total of three bedrooms on the property. The applicants were given conditional program participation by Public Health Director,Thomas McKean after they removed part of the wall (a minimum of five feet of the doorway) to their "office"which was previously the potential third bedroom. The property is in the AP Aquifer Protection Overlay District.The Public Health Division has:verified that the proposed property meets both the conditions of the State's Title V Environmental Code and local Board of Health requirements,plus, approved the septic system at the site for a total of three bedrooms as per the"Housing Amnesty/Public Health"Form dated January 22,2004. 5. The town of Barnstable completed an inspection of the property on January 20,2004. It was noted that the final stages of the garage were being completed and the space above it(for the proposed unit) is an empty loft The applicants are aware that a final inspection by the Building Division will be required and that the Building Division also has to perform all necessary inspections to assure that the unit meets applicable minimum state and local code requirements before they are issued an Amnesty Certificate of Participation. 6. On January 27,2004,the.applicants signed an Accessory Affordable Housing (Amnesty) Program Affidavit agreeing to complywith the program's requirements,including owner occupancy of the principal dwelling unit and further agreeing to comply with the provisions set forth in Article LXV (65) of the Town Ordinances that include their signing and recording of the Regulatory Agreement&Declaration of Restrictive Covenants. The subsidizing agency has determined that the signing and recording of the regulatory agreement qualifies the applicant as a "limited dividend organization" as that term is used under M.G.L.c.40B §5 20-23. 7. Under Chapter 3,Article LXV (65) of the Town Ordinances,the affordable unit must be rented at an affordable rent to a person or familywhose income is 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MSA). 8. According to the Massachusetts Department of Housing and Community Development,as of September 4 2003 5.110/0 T p of the town s year-round housing stock qualified as affordable housing units. The town has not reached the statutory minimum under M.G.L. c. 40B 5§20-23 or its 2 implementing regulations. Under the Town of Barnstable's Local Comprehensive Plan,the use of existing housing to create affordable units and the dispersal of these units throughout the town is encouraged. 9. Based upon the findings,the project is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing forthe Town of Barnstable vaout jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings,the applicants, Lorraine G.Testa and Thomas J. Coyle,are granted a Comprehensive Permit to permit the creation of an accessory apartment of 600 square feet within a single- family owner-occupied residential dwelling,subject to the following conditions: 1. The property owners shall occupy the principal dwelling as their year-round residence. 2. Occupancy of the affordable unit shall not exceed two people. 3. This unit shall not be occupied by family member of the owners. 4. .To meet the requirements of affordability,the applicants must rent the unit to a person or family whose income is 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area (VISA),adjusted by household size. The monthly rent payable by a household inclusive of 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 utilityallowance established bythe town of Barnstable shall be deducted from rent level so calculated. 5. All leases shall have a minimum term of one year. 6. The property owners must obtain a building permit for the accessory affordable unit whether the unit is new or pre-existing. Before the issuance of an occupancy permit and Certificate of Compliance for the unit, the Building Commissioner must determine that the unit conforms with the approved plans as submitted to the file(as initialed by the ZBA Hearing Officer and submitted with . the building permit application) and meets.state building, fire and sanitary codes. The unit must also comply with applicable state on-site wastewater discharge requirements. 7. The applicants may select their own tenant(s) provided the tenant(s) meet all requirements of the program and provided that person(s)income is reviewed and approved by the Office of Community&Economic Development of the town of Barnstable as a qualified individual'. The applicants will be required to work with the town to provide information necessary to document that the tenant(s) qualify. To insure that the unit is rented in an open and fair basis to an income eligible indi-vridual or family, the unit must be listed with the town whenever a vacancy occurs. Also, the applicants must notify the Office of Community&Economic Development of a vacancy whenever it occurs. 8. Every twelve months the applicants shall review the income eligibility of those individuals occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit the applicants shall file with the Office of Community&Economic Development of the town of Barnstable an annual affidavit listing the rent charged and income level of the occupant(s) of the unit. The applicants shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be.revoked. 3 9. The Accessory Affordable Unit shall be affordable in perpetuity(as affordable is defined herein) unless this Comprehensive Permit is rendered void. 10. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred,die town of Barnstable shall be notified within 60 days the name and address of the new owner. 11. All parking for the dwelling and accessory unit shall be accommodated on site,and no lodging shall be permitted on site for the duration of this Comprehensive Permit. 12. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Transmission of the Decision of the Hearing Officer to the Barnstable Zoning Board of Appeals In accordance with Part H,Section 4.02 and Part III,Section 3.72 of the Town of Barnstable Administrative Code,the hearing officer transmitted her written decision to the Zoning Board of Appeals on April 14,2004 and fourteen days having elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes the decision for this Comprehensive Permit application. Ordered: Comprehensive Permit 2004-26 has been.granted with conditions. Appeals of this 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. r3 0 G ' ightin P14Heari fficer Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certifythat twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and,t�g4Y no appeal of the decision has been f', in the office of the Town Clerk Signed and sealed this�day off.. xi under the pains and per o �'.r �►, 1� Ar Linda Hutchenrider,Town Clerk ` a '.48 ' G BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST V5. tom,5�,. JOHN F.MEADE,REGISTER BARNSTABLE REGISTRY OF D&EDS �P�°�T►�row~ s Town of Barnstable + tARNSfABLE, Office of Community and Economic Development 39. 230 South Street,Hyannis,MA 02601 Kevin J.Shea Office: 8624678 Fax: 862-4782 Director June 14,2004 Ms.Jane Wallis Gumble,Director Department of.Housing and Community Development 100 Cambridge Street Suite 300 Boston,MA 02114 RE: Notice of Town of Barnstable's AccessorvAffordable Housing Program Comprehensive Permits Dear Ms. Gumble: I am notifying your office that the Town of Barnstable has approved the following applicant(s) under the Chapter 40B Comprehensive Permit as part of the Accessory Affordable Housing Program Howard Bennett,Jr.,20 Harvard Street,Hyannis -a single-family accessory unit; Ann C Brigida,26 Circuit Ave.,Hyannis- a single-family accessory unit; Ann B. Condon,7 Woodvale Lane,Centerville-a single-family accessory unit;and Lorraine Testa&Thomas Coyle,74 Chippingstone Road- a single-family unit. The permit(s)have been approved under the adopted General Ordinances of the Town of Barnstable,Article LXV-"Pre-existing&Unpermitted Dwelling Units." The source of the subsidy is the,federal Community Development Block Grant (CDBG)program The units are subject to a regulatory agreement and Declaration of Restrictive Covenants,which require the units be affordable in perpetuityto persons whose income is 80% of the area's median income. Please feel free to contact me if you have any questions. Re sp ctfullysubmitted, Kevin Shea,Director Office of Community Development cc: Toni Hall,DHCD Gail Nightingale,Hearing Officer Paulette Theresa-McAuliffe,Special Projects Coordinator John C Khmm,Town Manager Ruth Weil,First Assistant Town Attorney Thomas McKean,Public Health Department Thomas Perry,Building Department File:Q:COMDev/PT/FL/CPNOT.doc i ' I I 4 CY C Town of Barnstable Zoning Board of Appeals .Comprehensive Permit Decision and Notice Appeal 2004—26- Testa-Coyle Applicants: .Lorraine G.Testa and Thomas J.Coyle Property Address: 74 Chippingstone Road,Marston M&,MA Assessor's Map/Parcel• Map 027 Parcel 045 <` Zoning: Residential F .. Groundwater Overlay: WP Wellhead Protection Overlay District ' �s Applicant: V.m The applicants are Lorraine G. Testa and Thomas J. Coyle,who reside at 74 Chippingstone Road,Marstons Mills, MA. Relief Requested: The applicants have applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts, Chapter 40B -5 20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III,Article LXV, "Pre-existing and Unperinitted Dwelling Units and for New Dwelling Units in Existing Structures," more commonly termed the "Accessory Affordable Housing Program" They want to create an accessory affordable unit at a single-family owner-occupied residential dwelling in accordance with all the conditions of this permit.The issuance of this Comprehensive Permit would allow for an owner-occupied single-family residence with an accessory affordable apartment within the single-family dwelling. Locus and Background: The property is a.66 acre lot that is developed with a 3-bedroom, 1-bathroom, 2, 248 square feet single- family,Ranch style home. Mrs..Testa-Coyle bought the property 24 years ago, and she and her husband Thomas Coyle have recently built a garage that is attached to the main house. Above the pre-existing garage is a loft area where they propose to create the accessory affordable unit. The applicants heard about the program through the media and decided to apply. The proposed accessory unit will be located above the garage which is attached to the main structure. It will be a one-bedroom at approximately 600 square feet. The locus is in a Residential F,in the WP Wellhead Protection Overlay District. Procedural Summary: This application for a Comprehensive Permit was filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised and notice was sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on April 14,2004, by the Hearing Officer,Gail Nightingale,who presided over the public hearing. Also present was Paulette Theresa-McAuliffe,Accessory Affordable Housing Program Coordinator. I f 1 Findings as to Standing and The Comprehensive Permit: At the April 14,2004 hearing;the Hearing Officer made the following findings of fact: 1. The applicants are Lorraine G. Testa and Thomas J. Coyle with an address of 74 Chippingstone Road, Marstons Mills, MA. Mrs. Testa-Coyle has owned the property since September 18, 1980, as documented and recorded at the Registry of Deeds in Book 673 Page 73. Mrs.Testa-Coyle added her husband to the title June 19, 2001,as documented and recorded at the Registry of Deeds in Book 329 Page 41. They are requesting a Comprehensive Permit to create an affordable rental apartment to be accessory to the single-family owner-occupied residential dwelling. The applicants have submitted a copy of a certified deed recorded at the Barnstable Registry of Deeds documenting their ownership of the property. In addition,they have submitted a certified plot plan dated March 24, 1981. 2. The applicants were issued a Project Eligibility(site approval) letter dated March 8,2004 from Kevin Shea,Director,Office of Community&Economic Development,qualifying the application for the Accessory Affordable Housing Program. The source of the subsidy is the federal Community Development Block Grant(CDBG) program 3. The proposed rental unit will be approximately 600 square feet and will have one bedroom It will be located above the attached garage of the single-family Cape Cod style home. 4. According to the Assessor's record, there is a total of three bedrooms on the property. The applicants were given conditional program participation by Public Health Director,Thomas McKean after they removed part of the wall (a minimum of five feet of the doorway) to their "office"which was previously the potential third bedroom. The property is in the AP Aquifer Protection Overlay District.The Public Health Division has:verified that the proposed property meets both the conditions of the State's Title V Environmental Code and local Board of Health requirements,plus, approved the septic system at the site for a total of three bedrooms as per the"Housing Amnesty/Public Health"Form dated January 22, 2004. 5. The town of Barnstable completed an inspection of the property on January 20,2004. It was noted that the final stages of the garage were being completed and the space above it (for the proposed unit)is an empty loft. The applicants are aware that a final inspection by the Building Division will be required and that the Building Division also has to perform all necessary inspections to assure that the unit meets applicable minimum state and local code requirements before they are issued an Amnesty Certificate of Participation. 6. On January 27,2004,the.applicants signed an Accessory Affordable Housing (Amnesty) Program Affidavit agreeing to comply with the program's requirements,including owner occupancy of the principal dwelling unit and further agreeing to comply with the provisions set forth in Article LXV (65) of the Town Ordinances that include their signing and recording of the Regulatory Agreement&Declaration of Restrictive Covenants. The subsidizing agency has determined that the signing and recording of the regulatory agreement qualifies the applicant as a R "limited dividend organization" as that term is used under M.G.L.c.40B §§20-23. 7. Under Chapter 3,Article LXV (65) of the Town Ordinances,the affordable unit must be rented at an affordable rent to a person or family whose income is 80% or less of the Area Median Income (AMI) of Bamstable-Yarmouth Metropolitan Statistical Area(MSA). 8. According to the Massachusetts Department of Housing and Community Development,as of September 4,2003, 5.11% of the town's year-round housing stock qualified as affordable housing units. The town has not reached the statutory minimum under M.G.L. c. 40B §5 20-23 or its 2 implementing regulations. Under the Town of Barnstable's Local Comprehensive Plan,the use of existing housing to create affordable units and the dispersal of these units throughout the town is encouraged. 9. Based upon the findings,the project is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings,the applicants,Lorraine G.Testa and Thomas J. Coyle,are granted a Comprehensive Perniit to permit the creation of an accessory apartment of 600 square feet within a single- family owner-occupied residential dwelling, subject to the following conditions: 1. The property owners shall occupy the principal dwelling as their year-round residence. 2. Occupancy of the affordable unit shall not exceed two people. 3. This unit shall not be occupied by a family member of the owners. 4. To meet the requirements of affordability,the applicants must rent the unit to a person or family whose income is 80% or less of the Area Median Income (AM) of Bamstable-Yarmouth Metropolitan Statistical Area(MSA),adjusted by household size. The monthly rent payable by a household inclusive of 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. 5. All leases shall have a minimum term of one year. 6. The property owners must obtain a building permit for the accessory affordable unit whether the unit is new or pre-existing. Before the issuance of an occupancy permit and Certificate of Compliance for the unit, the Building Commissioner must determine that the unit conforms with the approved plans as submitted to the file(as initialed by the ZBA Hearing Officer and submitted with . the building permit application) and meets state building, fire and sanitary codes. The unit must also comply with applicable state on-site wastewater discharge requirements. 7. The applicants may select their own tenant(s)provided the tenant(s) meet all requirements of the program and provided that person(s) income is reviewed and approved by the Office of Community&Economic Development of the town of Barnstable as a qualified individual: The applicants will be required to work with the town to provide information necessary to document that the tenant(s) qualify. To insure that the unit is rented in an open and fair basis to an income eligible individual or family, the unit must be listed with the town whenever a vacancy occurs. Also, the applicants must notify the Office of Community&Economic Development of a vacancy whenever it occurs. 8. Everytwelve months the applicants shall review the income eligibility of those individuals occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit the applicants shall file with the Office of Community&Economic Development of the: town of Barnstable an annual affidavit listing the rent charged and income level of the occupant(s) of the unit. The applicants shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the abilityto hold a hearing to show cause as to whythis permit should not be.revoked. 3 E 9. The Accessory Affordable Unit shall be affordable in perpetuity(as affordable is defined herein) unless this Comprehensive Permit is rendered void. 10. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the ldearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred,the town of Barnstable shall be notified within 60 days the name and address of the new owner. 11. All parking for the dwelling and accessory unit shall be accommodated on site,and no lodging shall be permitted on site for the duration of this Comprehensive Permit. 12. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Transmission of the Decision of the Hearing Officer to the Barnstable Zoning Board of Appeals In accordance with Part II,Section 4.02 and Part III,Section 3.72 of the Town of Barnstable Administrative Code,the hearing officer transmitted her written decision to the Zoning Board of Appeals on April 14,2004 and fourteen days having elapsed since said transmittal with the Zoning Board of Appeals taking no action to jreverse the decision,this decision becomes the decision for this Comprehensive Permit application. `! Ordered: Comprehensive Permit 2004-26 has been granted with conditions. Appeals of this 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. Sr (3 G 1f i G ' ightingal Hearin ficer Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision no appeal of the decision has been f', in the office of the Town Clerk Signed and sealed this�day of, under the pains and per o �r °►,� . Je Linda Hutchenrider,Town Clerk G I BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE Copy,ATTEST I JOHN F.MEADE,REGISTER i I I BARNSTABLE REGISTRY OF D&EDS i 1, Doi_:97D F G,57 06-11-2004 8=47 BARNSTABLE LAND COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this day of �TJ ,2004,by and between Lorraine G. Testa and Thomas J. Coyle of 74 Chippingstone Road,Marstons Mills,MA 02648,and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which 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 74 Chippingstone Road, Marston Mills,MA,as further described in Exhibit"A" hereto annexed. B. The Project located at 74 Cbippingstone Road,Marston Mills,MA 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 the comprehensive permit, Appeal No.2004-26 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations (A copy of the comprehensive permit is annexed hereto as Exhibit`B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A- THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons of low income (herein defined as 80% or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of Area Median Income or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area(MBA) and that rent (including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authorityshall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be retained as permanent,year round rental dwelling units with at least one-year leases. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. i j 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, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will of result in the creation or imposition of anyprohibited 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. Cl 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 (AM) of Barnstable-Yarmouth Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed the rents established by the Department of Housing and Urban Development (HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established by the Barnstable Housing Authority shall be deducted from HUD's rent level. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. IV. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1• The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuityto a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable-Yarmouth Metropolitan Statistical Area (MSA) and that rent (including utilities) shall not exceed the rents established by the Department of Housing and Urban Development(HUD) for a household whose income is 80% of the median income of Barnstable-Yarmouth Metropolitan Statistical Area.In the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authorityshall be deducted from HUD's rent level. V. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to 2 li 1 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 (collectivelyhereinafter 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 j to the Municipality evidence of such recording or filing including the date and instrument,book and page or I registration number of the Agreement. VI GOVERNING OF AGREEMENT: This Agreement shall be governed bythe 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,pan or provision of this Agreement shall not affect the validity of the remaining portions hereof. VIII. 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. IX HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. X. ENTIRE UNDERSTANDING: A- This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be,and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL C1. 184,Section 26 which shall run with the land described in Exhibit"A"hereto annexed 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 by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipalityshall 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 Exhibit"A". M. 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 onlytake effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification bythe Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date 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 maybe,thus rendering said Comprehensive Permit void. Upon the 3 i i i 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. XII. SUCCESSORS AND ASSIGNS: i A The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i)that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merelypersonal covenants of the Owner,and(iH) 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. XIII. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cure d ed 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 mayperfect such alien on the Project byrecording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XIV. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS VT EREOF,we hereunto set our hands and seals this 6Nay of U/kott 200,/ OWNER �" OWNER BY BY: ygsacare Signature Printed: .Lorraine G.Testa Printed: mas — _ e a TOWN OF ARN LE BY. f! signature Printed: o Town Manager . 4 i II i % ' i COMMONWEALTH OF MASSACHL SEM County oEf�able, I E-U ,2004 i On this aAday of 206efore me,the undersigned notary public,pers onally appeared the Owner(s) , rove to. through satisfactory evidence of identification,which wer �lC �- � , v t on t be the ers name(s) is signed on the preceding or attached document and acknowledged to be that he/she s signed whose voluntarily for the stated purposes. Fa doe T eresa-McAuliffe NotaryPmonwealth of Massachusetts Printed: My Commission Expires 7/04/2008 L P`'� •y' f My Commission Expires: COMMONWEALTH OF MASSAC RJSETI'S Countyof Barnstable,ss: a�x' ' . 2004 . On this �� cdayof Q� 20�6efore me,the undersigned notary public,personally appeared —y� �`�- �<57� ,the Owner(s) ro d t me through satisfactory evidence of identification,which wereGF — tJZ ©(� CaZ name(s) is signed on the preceding or attached document owledge3 t he tha�he/hebe the/she rsonO whose voluntarily for the stated purposes. �,NlINw►r��, Paulette eresa-McAuliffe ''v ^'^^'^^,•���"` -` Massachusetts ;`A Notaryh, bbommission Expires 7/04/2008 :� a Printed: `t My Commission Expires: S COMMONWEALTH OF MASSACHUSETTS o County of Bam ss: e ,2004. On this dayof' 20( efore me,the undersigned notarypublic,personally L/ 'F ,the Town Manager P p ally appeared g for the Town of Barn�s�table,yroved to me through satisfactory evidence of identification,which were the person whose name is signed on the preceding or attached document and acknowledged to be th t he/she signed it voluntarily for the stated purposes. Notary Publics Printed: /h'DP /t. L��/� ,....a........, My Commission Expires: , .0 Ely /, . 1 s�', �' � •ice , UNDA it WHEELDEN f .?� �.` � 5 �� �: � o � 6�Q2,23�00T «i� /�_ • •v/ . e A e ,ma.`•.• I ; i i I EXHIBIT j DocsB35,976 06-P5-2001 9s36 M91161945 BARNSTABLE LAND CDURT REGISTRY OVIT A D I, LORRAINE G. TESTA, individually, of 74 Chippingstone Road, Marstons Mills, MA 02648 For consideration paid and in full consideration of less than ONE HUNDRED AND 00/100 DOLLARS grant to LORRAINE G. TESTA AND THOMAS J. COYLE, both of 74 Chippingstone Road, Marstons Mills, MA 02648 (1Z, Sp�r�- 1.. %AL' �S"a � S�V:Jc/i t� 1 with quitclaim coven is i The land with the buildings thereon situated in Barnstable (Marstons Mills) , Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Highpoint Road, seventy-eight and 16/100 (78.16) feet; NORTHEASTERLY by Lot 17,two hundred forty-four and 37/100 (244.37) feet; SOUTHEASTERLY by a portion of Lot 15, two hundred fourteen and 38/100 (214.38) feet; SOUTHWESTERLY by Chippingstone Road, one hundred forty-three and 67/100 (143.65) feet; and WESTERLY by the junction of said Highpoint Road and Chippingstone Road, twenty-seven and 23/100 (27.23) feet. All of said boundaries are determined by the Court to be located as shown on subdivision plan 34846-B (Sheet 1) dated April 8, 1967, drawn by William Nye, Surveyor, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registry of Deed in Land Registration Book 329, Page 41 with Certificate of Title No 41591 and said land is shown thereon Lot 16. Subject to easement restrictions, reservations and rights of way of record. t � For title, see Certificate of Title No. a. r WITNESS our hands and seals this 19"` day of June, 2001. moraine G. Testa COMMONWEALTH OF MASSACHUSETTS Barnstable, ss June 19, 2001 Then personally appeared the above-named Lorraine G. Testa and acknowledged the foregoing instrument to be her free act and deed, before me. Notary Public - Rebecca C. Richardson My commission expires: 11/26/04 I i i i I I i i i BARNSTABLE COUNTY REGISTRY OF DEEDS I A TRUE COPY,ATTEST i I 40F4N F.MADC R€LISTER_.._.. ff ^, -.Li ABLE i TRY OF DEEDS i The Town of Barnstable A ! s *�pp i 9� Office of Community and Economic Development �E0' A 230 South Street Hyannis,MA 02601 Kevin Shea Office: 508-862-4678 Director Fax: 508-862-4782 February 6,2004 Mr.John C.KRmrn, Town Manager Gary R.Brown,President Barnstable Town Council Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Ann Blunt Condon,7 Woodvale Lane, Centerville - a single-family accessory unit; Lorraine Testa,74 Chippingstone Road,Marstons ISM - a single-family accessory unit; Charles and Margo Pisacano, 26 Yarmouth Road,H3qnn� - a multifamily apartment building. Gentlemen: This letter is to inform you that the Accessory Affordable Housing (Amnesty) Program has received a request(s) for a project eligibility letter(s) under the Community Development Block Grant (®BG)Fund and under the General Ordinances of the Town of Barnstable,Article LXV- Pre- existing&Unpermitted Dwellings and the Criteria for the Local Chapter 40B Program. The Amnesty Program is reviewing the request(s). If the Town has any comments on the project(s), please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the site(s) and the consistency of this development within the guidelines of®BG. Sinc Kevin Shea,Director Community&Economic Development T cc: Town Attorney's Office Building Department Public Health Department File:Q:CommDev/PT/AMS/REQLETTR.doc 04IMEIp The Town of Barnstable BAR!1STABLE. Department of Health Safety and Environmental Services 9 MASS. 0P t6}9• �0 PIfOMP Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location r)" ( �J.� Lf Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: I ,/ A'^ r L- • k• 't 4( a ( c4 4 f' J .1 �"'l)l 1��1 �fty�i. n t �C'e-m JAS V1f ill �� 5Pr' 1C / I J V � ! / 'AL f\ A Cam( 111 <<f 0Vf1 r7l6rct J 7 Please call: 508-862-403$for re-inspection. Inspected by V- Date • i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A- �-C&- DATA V �:s °�'#' -h77 k,X r :.� r4<_'4 +77 y L' J � B11RNti,TA. L!.� �.fD'!14�.X ..r '�L.r-k'.J-,.! ,. } . C. �+ � f' i�li � 4 -'�` i. ��� °,�,� � 1�i4+`i.� -y�.. y'� <i� s � �a�• ly � � �� Department;of Regulatory Services ��� ��'� E .'.I yS, ♦' i ! _ . '1� /—fit�� .. � i r r y E ,►� .ti '' �r C•BUILDING pIVISI N yt,.a. .t.5#h TOWN OF BARNSTABLE BUILDING PERMIT PARCEL. ID 027 045 GEOBASE ID 1488 ADDRESS 74 C;HI.PPINGSTC•NE ROAD PHONE MARSTONS MILLS ZIP - LOT 16 BLOCK LOT SIZE RMIT TYPE BADDI -TITLE. DEVE �i����G PERMIT.: ADDITIONDISr�ItIG`i" CO 8 GTORS; t� RT, -OW§ RIPTION ADD GARAGE,BREEZWAY,0FFICE ARCHITECTS: TOTAL L FEES:, $45- .76 Department of 13OND $_Oct Regulatory Services CONSTRUCTION COSTS $129,800,00 434 RESID ADD/ALT/CONY 1 PRIVATE .P,"I'� ' Y , s BAMSrnBLE, • 039. DATE ISSUED 0.1./08/2003 EX.PI RAT ION .DATarBUILD G DIVISION BY / THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE .FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 t-G�j°I, C rd� 1A11 2 J7�o�' 2 �ll,� .���e' 2 y 3 1 HEATANG INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: +"f SITE PLAN REVIEW APPROVAL C-u WORK SHALL NOT PROCEED UNT L PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , )Map 00D Qs_ Parcel G 4 d SI B ARNSTABLE Permit# 4 �F.ealth Division 63 b- Date Issued 1 S- O }l " �?QI13 JAN -3 Ply 4: 19 conservation Division e�� f Application Fee Tax Collector 0 Z.-2b-, r2— -A_ Permit•Fee4-' YOV,-,741, ----------------- Y L y Treasurer DIVISION ,�� is =�saPLlANCZ V.11TH TITLE 5 Planning Dept. ENVIRONMENTAL CODE ANE Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannise Project Street Address I L l Off= f Village / AA-5/ax-C miLLS 17;7A 0269/8 Owner _F7i0H1X s e0ZL4ff:. t - 1; 5 4_ Address �( ( I �-n 1 X4 Si OA-E' Telephone ;t-O Permit Request l-0 630 L ' 4 9 4 REP Y, A 11: eX E Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new�� Zoning District Flood Plain Groundwater Overlay Project Valuation ,oath d� Construction Type 1/V'0 OD Lot Size M 339 S,F Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2'' Two Family ❑ Multi-Family(#units) Age of Existing Structure s Historic House: ❑Yes 25% On Old King's Highway: ❑Yes [Wo t- Basement Type: mull ❑Crawl ❑Walkout 00ther Q1-r14 FA1) .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—3 First Floor Room Count Heat Type and Fuel: E Gas ❑Oil ❑Electric ❑Other �il►Nry S Central Air: ❑Yes &' o Fames: Existing New Existing wood/coal stove: d Yes ❑ No Detached garage:❑existing ( -new size,. Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing knew size)1113v Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes rH o If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 6� S Telephone Number S dam_ Address t7q License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO w 1ti D um SIGNATUR DATE 2 a O 2-- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - • r MAP/PARCEL NO. ADDRESS VILLAGE t OWNER / DATE OF INSPECTION: FOUNDATION 6 -04-0 'FRAMEd INSULATION -FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH c- FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. t d r I = J kr_ I, ! i I i��: , ` I I I d lr�i t! I i I I t.• kr it j. r ,tI!" ,ks� ,, { ,; 4,1 Itr4 �!I d• I� - k 9 ! 1 I I ;'Pq t 'I:• q i - k 1 r, Yr I ! i• Ih t �, �d .t ,1 r I „hd, FE I it� i- r 4 I 4 ��.,' i tlkl k i � '' � k 11•.. ` � , �M,: :tf �! a i�S, I � ,�f �k 1 I I° t' , , ! , I i { kk r�{ '1, i•'i i irip � " i; I' Iil'f III I h 1. ,� • J—! � � Il.,�' 1 ! i','i 4� �� I�k.�l 1 •( Jq �{��I•i n I ! Il lj y'{Ir !) }I��(•i , t� �' i ?'J�j;t �(��j t�{ I'.'I �I!r''!. a. li t 1" ��t .�1.�1 ',i�I i�. Ri`r ��• t � k` �� It i I I rktvj��, I ��'I(i ��((ll, I Ir' � �R�.�Ijl � Y I�jE i"• i ..t:, yi� 1 :�, ( (� t I 1 }�,fl { id .,�'1 I : ��. ( `'h l: \O I P J✓ f �� 7 o r.m �5 � 1 Lli. I d 1'9 { 1� a I €I REAR'IELEV, OPTIONAL LEFT ISIDE`'EtLEV h.: 1 HT,, 41 it JM>~ • �� v i 6 Ih{ Y rl �tt 1I } it 5 IN, t q , lit , ''. I,7 .k�) i L, it a ,tt 6 r At 3�l i 3� ,i 3y '1 I EFit ti k 1L< c rlit i's ' d t�t�4�Y d ll1 I ! x' iir,..it! LEFT SID !�ELEV+,'; ELEv , - I ��• �I i�f�`� I. j�, ��E4 � '�f{ i t�+` j I',, � �8 Iia�.. +� �>,sv ! ' ,`IkQ� ��4��,a�I ., T!II1�� �{' ?,qll.,. tl4 �Le, �` �\7� �t' d.. n tr- !k r;,j� t .•:r.++ a ,,C.E.�±:� !. -,i.• — i i I I I 1 I I I i I I I j I I I 1 I I I I TA' ` — I I r" ` I ref. ` I L ---- ----- 1-------------------------------------i I New foundation 4' frost wall Existing foundation New foundation ' 4' frost wall ' ---------- ----- ----- '— I + I I I I I ---� t I --------------------------------------------------------------- \ I I ao' 24'' h In Existing®inning room t ti 2V2/ Bath UP 1jp r2,1,6i� \` Existing Kitchen enl. — — center Proposed BreezewayI \� �O Proposed Garay _ closet �. CIS. --- 4 — Existing Living F0 (�GvPI room ��� L, �` , N 1 �_ 'f �------------------------------54' ------ -- ------ GaragefBreezeway Addition P,, Jam. a6 - 2, Z c UP 0 N Office _N 1g 2 ZA-7- 28 4 05 ps �-� ��b1��4 � 1 I�. t ,�� �. ' � lid.�'• � •i • i� 1 r y � • e l` n h Ii.1. r '') •. I BARNSTABLE LAND COURT REGISTRY DISTRICT JOHN F. MEADE, REGISTER LC42.5RP: LAND COURT COPY REQUEST Delivery: Pickup Dated: 12-27-2002 @ 14 : 09 : 17 Wkstn: LCVD16 A Req by: OUCNTER Remote Trans #: 385726 ------------------------------------------------------------------------------ Document #: 835, 976 Pages requested: *All # of pages printed: 2 Fee: 1 .50 ------------------------------------------------------------------------------ Customer will pick up --------------------------------------------.---------------------------------- Doc:835,976 06-25-2001 9336 Ctf01161945 BARN57ABLE LAND COURT REGISTRY QUITCLAIM DEED I, LORRAINE G. TESTA, individually, of 74 Chippingstone Road, Marstons Mills, MA 02648 For consideration paid and in full consideration of less than ONE HUNDRED AND 00/100 DOLLARS grant to LORRAINE G. TESTA AND THOMAS J. COYLE, both of 74 Chippingstone Road, Marstons Mills, MA 02648 ) QZ, ekk ^ 0'rA% w -sew CLk%4_3 S v:Jul' I with quitclaim coven is The land with the buildings thereon situated in Barnstable (Marstons Mills) , Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Highpoint Road, seventy-eight and 16/100 (j (78.16) feet; NORTHEASTERLY by Lot 17,two hundred forty-four and 37/100 (244.37) feet; SOUTHEASTERLY by a portion of Lot 15, two hundred fourteen and 38/100 (214 .38) feet; SOUTHWESTERLY by Chippingstone Road, one hundred forty-three and 67/100 (143 .65) feet; and WESTERLY by the junction of said Highpoint Road and Chippingstone Road, twenty-seven and 23/100 (27.23) feet. All of said boundaries are determined by the Court to be located as shown on subdivision plan 34846-B (Sheet 1) dated April 8, 1967, drawn by William Nye, Surveyor, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registry of Deed in Land Registration Book 329, Page 41 with Certificate of Title No 41591 and said land is shown thereon Lot 16 . Subject to easement restrictions, reservations and rights of way of record. For title, see Certificate of Title No. a. WITNESS our hands and seals this 191' day of June, 2001. ..� r orraine G. Testa COMMONWEALTH OF MASSACHUSETTS Barnstable,. ss June 19, 2001 Then personally appeared the above-named Lorraine G. Testa and acknowledged the foregoing instrument to be her free act and deed, before me. Y Notary Public - Rebecca C. Richardson My commission expires: 11/26/04 ESTABLE COUNTY STRY OF DEEDS ECOPY,ATTEST �N 7` WISTRY OF DEEDS The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n Please Print DATE: J �' /�Q 2 — /7 r JOB LOQATION: C� I PI �j S nu er yys��treeeet village ER"HOMEOWN ": I �l U k 4 S &Itc S y U—q;Q— 8 0 name home phone# work phone# CURRENT MA -ING ADDRESS:_ ��" � � A S 14)" 0 l/ l (_9�,4 y city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more-than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procee ures and requirements1-4­ 9 Signature of Ho- /R&ner 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 tie 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. Town of Barnstable Regulatory Services Thomas F.Geiler,Director 039. �� 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 regnirements. Type of Work: /V��l/ Gs�/�A9E r�29 Estimated Cost Address of Work: LI j�/l+�j SlOtiF 1c D /M12V bALs ' Owner's Name: yNV.�1 J V/ h 0 l?�A/�E Date of Application: / 2/0 `L— . T . I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under$1,000 ElBuilding not owner-occupied alowner 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 z - � - . _ R. azcl- 1 . Date Owner's Name Q:fomis:hotnuffidav _ e The Commonwealth of Massachusetts 1 _ ( Department of Industrial Accidents - _ olficeo//n�esti9aUoos 600 Washington Street Boston,Mass. 02111 �- Workers' Compensation Insurance Affidavit i�pli arit'im or` oration- '� - 'x �PleaceTR `leetbly y- �; name- 7Ow1 CON % e ka(Z2 fti,.&,E / - 45+I,P location: "747 1.,.`li, p; ,c- �4,wf- lac/• city M i r✓►►4. Lp&,V'e phone#. (zzr-`/aft- I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ITWI I am an employer providing workers' compensation for my employees working on this job. company name address ciri :phone#. insurance co. olicv# I am a sole proprietor, general contractor, homeowner circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name address: cih :phone k.: ..:. insurance co policy# S7 -pal b't,:.y. .w...,..F.v...xs'yss^,n--.+.. - - - - -- 3L i..• ;�.,.,. - - `. -i --'.L, company name: address: city: phone# — insurance co - policy# vlttich additionai•she_et if necess_ary_Kv �_ .�r•- . Failure to secure coverage as required under Section 25A of MGL 152 can lead to the i position of criminal penalties of a fine up to S 500.00 and/or one years'imprisonment as,yell as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true an correct Sienature '`� Date Z Z Print narn C��'lA l 0�/ L Phone# d� ��— r official use only do not A rite in this area to be completed by city or town official cin or town: permit/license# OBuilding Department oLicensing Board check if immediate response is required ❑Selectmen's Office C]Health Department contact person:_ phone#; nOther e. (rn.sesl 3'Q>PJA) 11._ Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual ,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance ,construction or repair work on such dwelling house or building appurtenant thereto shall not because of such employment be deemed to be an employer. or on the grounds � pp gr g MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. "'fr",`,- - _r uY?'"{z' �aa�,�='sue a� max. ' Z 'y'"s r _ .� -•M1c.'. m i q �'a4a.�.x�.p s •<Y •.�,. .<�s�3 •.ti.,;.-L, a:..i:.rt(r:gib'..-t'.. 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 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, net 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 printed legibly. The Department has provided a spa ce at the bottom of �-' complete and P e that the aftida it is p Y Please be sure p the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be 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. n�..,.,,..�-�.. ---•yam ..,.t.s.. �...,-.-.. 77777 The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Dep2rtment of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone 9: (617) 727-4900 ext. 406, 409 or 375 ?oF• . J •• • .. � .. � • , i 1. .. i•� • �.E.zoN�tsc�- �---{{{{ ----�..ert.�t�ct"'... ___A.��.,::2..: •G., a,t �}-.•y, t;.;,.` ,-�`�r�."` }r ,, �; .y�.�..t- PLA AS, 5{�Vc/P� ON F11�7 IN Ar►J ZONE _ ::_ 5 1 I "ted 2.c1 oa05 A �`�' RX WAWA ?4, 1981 se card q� - a LOT 16 emn 28,337t S.F. V� \ Test . rl \ g�Mv11 447 K.+ �1 •,— -- x p _ a .•. _ �ed i t �— N,.Ec: .6►T.Co Eaternent Pole �2 � . ,. ._ STJ �143:65 ? ctin T.3 CHIINGSTONE t Private RD. r NOTE: 1) A COPY OF WESE PLANS MUST BE KEPT ON THE SITE DURING CONSTRUCTION. 2) A COPY CIF THESE PLANS MUST 8E FURNISHED TO OONTRACTOR CONSTRUCTING SEWAGE DISPOSAL SYST .; 3) BEFORE BACKFILLING THE SYSTEM,THECCNTRACTOR SHALL N(YnFY PHILIP D.HOLMES AND THE HBO RD 6F HEALTH AGENT T4 INSPECT THE SYSTEM AS'CON.STRUCTED. tr===y PLOT PLAN OF PROPOSED SEVOE 0911..0SA i L SYSTEM �. FOR 20TH CENT U RY Bt.DR S T . on 34$46 BSIIeet 2 IN - ,' " �,• MARSTONS MILLS BARNSTABLE, MASS- SCALE: .1 40 DATE:" 19 19 8 DRAWN 8Y RS.J. CHECKED BY PHILIP D. HOLMES ::.. CIVIL ENGINEER LAND SURVEYOR � N2 301 MAIN ST. FALMOUTH, MASS.: J N 82981 W Avid4rsety , Compliance Andersen windows and patio doors meet or exceed the following standards: f1WVJDA,-I.S.-2,W.D.M.A-I.S.4(NWWDA license No.129),Hallmark certified. An. Independent testing laboratories have performed all required tests on selected sizes. Fre"I Compliance with these standards is confirmed by ongoing testing in Andersen Laboratories. ° These products are covered by one or more of the following patents:4,999,950;5,595,409; I Fre 5,775,749;6,055,786;5,544,450;5,566,507;5,582,445;5,097,629;5,740,632;5,199,234; j D312,565;D397,604;and D417,831.Other patents pending. I NFRC Certified Total Unit Performance I Fre Without GrillesWith Grill es ° HP Low-E HP Sun HP Low-E HP Sun j Fre Andersen'Products Type Res"'; NR' Res".,;: NR' Res" NRB - Res"= NR' Perma-Shield'Casement U-Factor' « 0.34: 0.33 0.35 0.35 0.34 0.34 0 36 ? 0.36 j "Residenbal(Res)=48"x z4°size. SHGC' _ 0 33. 0.34 0 25 0.25 0-31,.. 0.32 0-23.- 0.24 1 'Non-Residential(NR)-40"x 40"size. I Na; VP ; 0.53. `, 0.55 0 29� ` 0.30 0.49 0.51 0 26 0.28 Perma-Shield Awning U-factor' 0 33 0.33 0 35'` 0.35 0.34:: 0.34 0.36 0.36 ° "Residential(Res)=48"x 24°size. SHGC' 0.33''• 0.34 0.24 0.25 0.31_ 0.31 0.23 0.23 'Non-Residential(NR)=40"x 40"size. Gli, VP 0 53 0.55 0.30 0.48 0.48 0.26':. 0.26 Casement/Awning Sashless PW U-Factor' s 0 29; 0.29 0 32 "v 0.31 0.31:'; 0.31 M 0.33 I ° "Residential(Res)=48^x 48°size. SHGC' - 0.36<; 0.36 0 26• 026 0.33. 0.33 0.24•- 0.24 i Non-Residential(NR)=48"x 72"size. Gli� VP 0 59, 0.59 0 32''` 0.32 0 53r 0.53 0.29 0.29 Tilt-Wash Double-Hung U FFactor' 0.34 " 0.33 0.36` 0.35 0:35 0.34 0.37 0.36 Residential(Res)-36"x 60'size. _ °Non-Residential(NR)=48"x 72"size. SHGC' 0.32." 0.33 0.24`:'- 0.25 i 0.29 0.31 0.22 0.23 VP 0.51 0.53 0.28 0.29 0:46 0.48 0.25 0.26 NaResidne°Double-Hung U Factor' t, 0.35'` 0.34 ' 0.35 0.34 0.36 0.35 0.37 : 0.36 Sk 'Residential(Res)=36"x so"size. SHGC' ` 0:33`: 0.34 0.26 '0.31':' 0.31 '0.23 0.24 _ °Non-Residential(NR)=48"x 72°size. " VP 0 53 0.55 0.29,` 0.30 0 47 "' 0.50 0 26 0.27 Double-Hung Picture U-Factor' 0.83 0.32 0 35 0.34 0 35 0.34 0:37 0.36 "Residential(Res)=48"x 4s"size. SHGC' 0.35 0.35 0 25 0.26 " 0.32 ' 0.32 0.23 0.24 Non-Residential(NR)=48"z 72"size. VP 0.56 0.57 0 30 `" 0.31 0 50 . 0.51 0.27 0.28 ° Double-Hung Transom U-factor' 0.33 0.33 0.85 0.35 0.34 0.34 0.36 0.36 St. "Residential(Res)=60"x 36^size. SHGC' 0.35 0.35 0.25"�: 0.26 0.32 0.32 0.23 0.24 °Non-Residential(NR)=72"x 48"size. ^ VP 0.56 0.56 0.31 0.30 ' 0'50 0.50 0.2Z`. 0.27 ! ° Narrofine Transom l U Factor 0.31 0.31 0.33, . 0.33 0.32 ' 0.32 0.34 0.34 "Residential(Res)=48"x 48"size. 1 °Non-Residential(NR)=48"x 72'size. SHGC' 0.34 0.35 0.25:` 0.26 '< 0.31- 0.32 0.23;. 0.24 VP 0.56 0.57 0.31: 0.31 0.50 0.51 D.2 7 . 0.27 Gliding Window U-Factor' 0.35 0.34 0.37: 0.36 0:37. 0.35 0.38: 0.37 "Residential(Res)-60"x 36"sae. SHGC' " 0.30 0.32 0 22 0.24 0.28 0.29 0.21 t: 0.22 'Non-Residential(NR)=72"x 48"size. _ VP 0.46 0.50 0 25 0.27 0.41 0.45 0.22' 0.24 Elliptical Window U-Factor' 0.31 0.30 0 33 0.32 .0.32LO.53 0.34s 0.34 An "Residential(Res)=48"x 48"size. SHGC' 0.36 0.36 0.26' 0.26 0.33 0.24 0.24 Pe °Non-Residential(NR)=48°x 72"size. VP 0.59 0.59 0:32-, 0.32 0.53I 0.29:: 0.29 Gngh-Pe Formanight a Full Divided-E)light. Circle Top'"Casement U-Factor' 0.80 0.29 0.32- 0.32 0.31- ' 0.31 0.33 0.33 'High-Performance"(HP Low-E)and ( _°"Residential(Res)=48"z 48^size. SHGC' 0 36 0.36 0.261 0.25 0.33 f- 0.33 '0.24�, 0.24 "High-Performance Sun"(HP Sun)are II Pe "Non-Residential(NR)=48"x 72"size. Andersen trademarks for"Low E"glass.VP 0.60 0.59 0.33- 0.32 0.54 0.53 0.29 0.29 Circle Top Narroline 1 U-Factor defines the amount of heat loss °p U-Factor 0.30 0.30 0.32: 0.32 0.32 0.32 0.34 0.34 through the glass in BTU/hr sq.ft.°F The 'Residential(Res)-48"x 48"size. SHGC' -0.35 0.36 -._0.2(i 0.26 0:32 0.32 0:24 0.24 through Til °Non-Residential(NR)-48'x 72"size. lower the value,the less heat is lost throw VP 0.58 0.58 0.32 0.32 0.52 0.52 ( 0.28. 0.28 the entire product. Cfrcle/Oval U-Factor' 0.30 0.29 0.32 0.32 0.31 ° 0.31 0.33:' 0.33 2 Solar Heat Gain coefficient(SHGC)defines "Residential(Res)=48"x 48"size. the fraction of solar radiation admitted 'Non-Residential(NR)-48"x 72"sae. SHGC' , 0.36 0.36 0.26 0.27 0.33. 0.33 0.24 0.24 through the glass both directly transmitted j Ni VP 0.60 0.60 0.32.. 0.33 0.54 0.53 0:29 0•29 and absorbed and subsequently released Springline'"Window inward.The lower the value,the less heat is U Factor 0.31 0.31 0.33 r 0.33 0.33 0.33 0:35 0.35 transmitted through the product."Residential(Res)=48"x 48"size. SHGC' - 0.36 0.35 0,26 0.25 , 0.33 - 0.33 0.24 0.24 (VT)measures how i Nt °Nnn-Residential(NR)=48"x 72"size. 3 Visible Transmittance VP 0.59. much light comes through a product(glass 0.59 > 0.32 0.32 0.53 0.53 0:29` 0.29 Arch Flexiframe° and frame).The higher the value,from 0 to a U Factor' WO.3 0'34 0.33 0.33 0.33 { Q. - 0.35 the more daylight the product lets in overtrow Residential(Res)=48°x 4s^size. SHGC' 0.26 0.26 0.33 0.32 0.24 0.23°Non-Residential(NR)=48"x 72"size. product's total unit area.Visible Transmitta VP 0:32 0.32 0.53 0.53 I is measured over the 380 to 760 nanometer 0.29 0.29 portion of the solar spectrum. Flexiframe U-Factor' 0.33 0.32 0.32 0.32 0.34 0.34 This data is accurate as of October 1,2001.Due "Residential(Res)=48"x 48-size. SHGC' 0.26. 0.26 0.33 0.32 0.24 0.23 to ongoing product changes,updated test results,Non-Residential(NR)-48"x 72"size. VP0.32 0.32 0.53 0.53 f 0.29 0.29 or new industry standards,this data may change 198 over time. i I Jders4 Testing Information i fk NFRC Certified Total Unit Performance AFIS Without Grilles With Grilles WCJ HP Low-E HE Suit-44- HP Low-E Andersen'Product Type Res" NRa Res" NW Res- , NRa Res". NRa Frenchwood'Hinged Patio Door U-Factor' -0.83 0.33 0.34_ 0.34 0.35', 0.34 0.36 0.36 "Residential(Res)-38"x 82"size. SHGCZ 0:27''" 0.28 0`20- 0.21 0.24, 0.25 0.25 0:�1-,8�" 0.19 °Non-Residential(NR)-40"x 96"size. VP 0.41. 0.42 0.22., 0.23 . ',0.36:,_ 0,37 0-: 9';,:; 0.20 Frenchwood Outswing Patio Door U-Factor' 0.31 0.33 0135- 0.35 0:35 : 0.35 0,:36._ 0.36 "Residential(Res)-38'x 82"size. SHGCZ 0 27.��' 0.28 .0.20 0.21 .0.24-:: 0.25 0.19 °Non-Residential(NR)=40"x 96"size. VP t 041"" 0.42 'O.22 0.23 0:36 , 0.37 0.20 0.20 Frenchwood Gliding Patio Door U-Factor' I 0.33,_ 0.33 0 35+ 0.34 035' 0.35 O.36 0.36 "Residential(Res)=72"x 82°size. SHGCZ i- 0.29'` 0.29 0 2:1 i 0.22 0:26 0.26 0.19 0.20 °Non-Residential(NR)-72"x 96'size. - ", VP .0.45: 0.45 0 24' 0.24 0 39 0.39 0 21 0.21 Frenchwood Gliding Patio Door SL U-Factor' 0.33 0.33 0 35"` 0.34 6 35 0.35 0 36 " 0.36 Residential(Res)-72"x 82'size. SHGCZ 0.2'T1 0.28 0:20'.e' 0.21 .0 25 0.25 �0?L9`` 0.19 °Non-Residentlal(NR)=72"x 96"size..` - -- -- -_- _- - - -- -_ -- - VP 0.42-:- 0.43 0.23 : 0.23 0.36 0.38 :20 0 0.20 Narroline'"Gliding Patio Door U-Factor' '0.32" 0.32 0.35" 0.34 c,-� Grilles=Finelight or Full Divided light. "Residential(Res)-72"x 82"size. SHGCZ 0:35:- 0.34 '' - 0.32 0.31 _ - "High-Performance'(HP Low-E)and °Non-Residential(NR)-72"x 96"size. VP 0.55- 0.55 - - 0.49 0.49 "' - High-Performance Sun"(HP Sun)are Andersen trademarks for"Low E"glass. Gliding Patio Door U-factor' ,0.31_ 0.31 ,0:33 r 0.33 0 33-,'; 0.33 0`35°=; 0.35 1 U-Factor defines the amount of heat loss "Residentlal(Res)=72"x 82°size. SHGCZ 0.34 0.34 0:25',; 0.25 0.31,-a, 0.31 0:23 4. 0.23 through the glass in BTU/hr sq.ft°.°F.The °Non-Residential(NR)=72"x 96"size. - lower the value,the less heat is lost through VP r 0.55'.' 0.55 0.30 0.30 0.50 0.49 0.27'._ 0.27 the entire product. Gliding Patio Door Sidelite U-Factor' 0.31' 0.31 0.33` ``' 0.33 0.33 ` 0.33 `0:35"' 0.35 2 Solar Heat Gain Coefficient(SHGC)defines "Residential(Res)=72"x 82"size. SHGCZ + 0.32-„:: 0.32 0.244Y7 0.24 0.30 0.30 0:22`.° 0.22 the fraction of solar radiation admitted °Non-Residential(NR)=72"x 96"size. - through the glass both directly transmitted VP 0:52,;., 0.52 „0,28 0.28 0:47°r 0.47 Oi25 0.25 and absorbed and subsequently released inward.The lower the value,the less heat is z s Wdh"!'Lamif ete8:Gh -'�: transmitted through the product. Skylight U-Factor' 0'.44. 0.44 0.46:. 0.46 ;x� Or 0.44 0:46�` 0.46 3 Visible Transmittance(VT)measures how 'Residential(Res)-48"x 48"size. - - much light comes through a product(glass SHGCz 0.42;' 0.41 0:31 0.30 0.42 0.42 0.31.: 0.31 and frame).The higher the value,from 0 to 1, n-Residential(NR)-48"x 72"size. j VP 0.67 0.64 0 37,_, 0.35 0.65 0.64 0.36 0.35 the more daylight the product lets in over the i ng Roof Window U-Factor' ; 0.44' 0.44 0.47 0.47 0.44 0.44 60 0.47 product's total unit area.Visible Transmittance "Residential(Res)=60"x 36"size. z is measure over the to nanometer SHGC 0.43 0.41 � 0.32" 0.30 042` 0.42 0:31 0.31 portion of the solar spectrum. °Non-Residential(NR)-72"x 48"size, - - - VP .0.68 .10.65 0.37 0.35 0:66 0.65 0.36 0.35 This data is accurate as of October 1,2001.Due Stationary Roof Window U-Factor' 0.45 0.45 0.47 0.47 0:44 0.44 0.47•', 0.47 to ongoing product changes,updated test results, "Residential(Res)-60'x 36"size. SHGCZ 0.44. 0.42 =0.32', 0.31 0.43 0.43 '0.32 0.32 o new industry standards,this data may change ovv er time. °Non-Residential(NR)=72"z 48"size. - - - - VP 0.69 0.67 .0.38 ' 0.36 0.68` 0.67 0:37 0.36 NFRC Certified Total NFRC Certified Total Unit Performance Unit Performance Without Grilles Without Grilles Clear Dual Pane Clear Dual Pane# Clear Dual Pane .Clear Dual Parie, Andersen'Product Type Res' NRB Res" NRa Andersen'Product Type Res" I NRB Res" NRa Perma-Shield Casement U-Factor' 0.49 0.50 0.49 0.49 Springline Window Builder's Select U-Factor' 6.48 0.48 0.48: 0.49 } " tial(Res)=48"x 24"size. z `- - °Residential(Res)=48"x 48"size. Residen z " - ' SHGC 0.58 0.57 0.54 0.52 SHGC 0.64 . 0.61 `0 58 0.55 °Non-Residential(NR)-40'x 40"size. "Non-Residential(NR)=48"x 72"size. VP 0.60 0.63 0.55 0.57 VP r` 0.66 : 0.67 0.60- 0.60 Perma-Shield Awning U-Factor' 0.49: 0.50 0.49 0.49 Fixed,Transon,Circle Top,Arch U-Factor' 0.47 0.47 .0.48 , 0.49 "Residential(Res)-48"x 24"size. SHGCZ 0.58 0.57 0,53 0.50 °Residential(Res)=48"x 48"size. SHGCZ 0.60= 0.57 0.54- 0. 22_ °Non-Residential(NR)=40"x 40"size. - °Non-Residential(NR)=48"x 72"size. ' VP 0.60 . 0.62 0.54 0.54 VP 0.62 0.63 0.56. 0.56 Tilt-Wash Double-Hung U-Factor' 0.49 0.50 0.50 0.50 Narroline" U-Factor' 0.49 0.49 O.510 0.50 •Residential(Res)=3s^x so^size. Z Gliding Patio Doors z ( °Non-Residential Residential(NR)=48"x size. size. SHGC 0.56 0.55 0.51. 0.51 SHGC 0.60 0.56 -0.54 0.51 "Residential(Res)=72"x 82"size. i. VP 0.58 0.61 0.52- 0.55 °Non-Residential(NR)-72"x 96"size. VP 0.62 0.61 0.56' 0.55 Narroline°Double-Hung U-Factor' 0.50 0.50 0.50 0.51 Narroline U-Factor' 0.47 0.47 0.48 0.48 °Residential(Res)-36"x 60"size. SHGCZ 0.58 0.56 0.52 0.51 Gliding Patio Door Sidelight SHGCZ 0.56 0.53 0.51 0.48 °Non-Residential(NR)=48"x 72"size. Residential(Res)=72"x 82"size. , VP 0.60 0.62 0.58 0.56 "Non-Residential(NR)-72"x 96"size. VP 0:58 ' 0.58 0.52 0.52 Narroline Transom U-Factor' 0.48 0.48 0.48 0.49 Perma-Shield' U-Factor' _0.48 0.48 0.48- 0.48 °Residential(Res)=48"x 48"size. SHGCZ .0.60 0.59 0.55 0.53 Gliding Patio Doors SHGCZ 0.60 0.56 0:55 0.51 ' n-Residential(NR)-48"x 72"size. _. Residential(Res)=36"x 60'size. VP---0:63�..-.0.65 a „ Perma-Shield U-Factor' 0.47 0.47 0.47 0.47 Gliding Patio Door Sidelight SHGCZ 0.57 0.54 0.52 0.49 j •Residential(Res)=72"x 82"size. - "Non-ResidenUal-(NR)-m-72"x 96".size------.-__--VP --0.59-` --0.59- 0-5.;---0.53- -- i t I I ( 199 I 1 nderserf I. rWindows Technical Data / Specifications r .� r,r� ? y -1- / )NWWDA•Performance Grade , „ `. AAMA%NWWDA I S 2 97 Performances - ,., ^. ` „ �c".," Andersen'tin•arssh double-hung-Design Pressure(DP)30 Andersen'tilt-wash double-hung with optional high Inside sill stop-H-R 50 38 x 65 Andersen double-hung picture-Design Pressure(DP)50 Andersen Narmline'double-hung with standard sill stop or stool-H-LC 20 46 x 77 Andersen double-hung transom-Design Pressure(DP)30 Andersen Narroline'double-hung with optional high Inside all stop-H-LC 50 46 x 77 Andersen Narmline'double-hung-Design Pressure(DP)20 with standard sill stop or(DP)50 with optional high - sill stop(prefinished only)and standard sill stop or stool and tempered wring For mom information about AAMA/NWWDA performance standards,we pages 232-233. (72&76 height units require tempered glazing.) x ""* 9*,.�T Canadian Performance Ratings a Andersen Narroline transom-Design Pressure(DP)50 �„ ���.�„•i.- • National Wood Window&Door Manufacturers Association.Seethe last page of this catalog for AAMA/NWWDA performance grade requlremenm. Tested to:CAN/CSA A440-110190 Units tested:TW3862,NL3862,DHP4262 �- Ctimpllance`- Classified as: Tllt-Wash Narrollner Picture Andersen double-hung windows meet or exceed the following standards:W.D.M.A:I.S.-2,W.D.M.A:I.S:4(WDMA Air tightness..............................................A-2 A-2 Foxed license No.129),Hallmark certified. Water tightness..........................................B-3 B-4 B-5 Independent testing laboratories have performed all required tests on No.3862,4462,TW3062,and DHT3831 Windload resistance and blow-out ..........C-2 C-3 CA size units.Compliance with these standards is confirmed by ongoing testing in Andersen laboratories. Resistance to forced-entry . Pass Pass. N/A. .......................... Andersen double-hung windows are manufactured under the following U.S.Patents:2,926,729;3,340,665; 3,432,885;5,243,783;5,301,467;5,544,450,5,566,507,5,582,445 and 5,566,507-Canadian patents: 00 758,928 and 788,225.Other patents applied fro.- -.- --- _- _._ 1Wo windows were mulled and subjected to positive and negative pressure differences of Pa to check mullion deflector,and 3000 Pa for blow-out.The standard requirements werea met t y..wowFg,3...,iprsK ,+.A`.„.. ,:* a '3�7' ''�. .t3 -�,i '` '� '#.. .�* Andersen'Doubler Hung windows Average?Unit Performance Data # f,.:#+r.✓Y." .,.,:.,..n J "rtr Hidv4...w1"�.,, NFRC Certified Total Unit NFRC Certified NFRC Certified Center of Glass Performance Values Sound Total Unit Solar Heat Total Unit Visible Thermal Performance Values Gain Coefficient' Transmittance.' Center Glass Visible Ultra Kmchmann % Inside Relative Trans. Unit Residential' Non-Residential' Non- Non- of Glass U Shading Light Violet Damage Relative SaK s Heat Gain Class Type of Glass Unit"U' Unit"R" Unt'U' Unh"R" Residential Residential Residertiai Residential Factor Coefficlent'Trans.'Trans.' Functions Humidity' Temp.' Btu/s.f./hr. (STC), orre Tilt-Wash Double-Pane Insulating High-Performance°' 0.33 3.0 0.32 3.1 0.32 0.33 0.51 0.53 0.28 0.50 0.73 17% 34% 60% 55°F 104 27 23 1.- 4 r a Grp 3 -W r +' '''vac .ti? 'ih' r "+p r�i Yu d' *� ' �+ du h E n✓r ^4 A 4 M, 1Dquble Pane°Insulating,;#svx o¢ HlgtrPerfonnaoce Surf" 0 34r 2 9 r 0 34 2 9-R `0 24 TO 25 Q 28 0 29 0:315 0 S6 0 40' 16% r 24% ,58% 54 F76 . 27 n 23K _ Double-HungTmns°m Double-Pane Insulating J High-Performance" 0.32 31 0.31 3.2 0.35 0.35 0.56 0.56 0.28 0.50 0.73 17% 34% 60% 104 27 23 Double I High Performance Su[� = 0 34 `2 9 0 33' 3 0 :0 25 0 26 � }0 31 U 30 Tq� 0 31 �0 36d 0 40' i6% 2496 Y 58% ti Double-Hung Picture Double-Pane Insulating High-Performance°' 0.33 3.0 0.32 3.1 0.35 0.35 0.56 0.57 0.28 0.49 0.73 16% 33% 60% 102 26 - Riiu6le PaneInsulating R r n s es a d f Tii x kx t�4 5r 4 xy W P b h' klx4 d r W M t Migh Performance Sun,_R 0 35 3 9 0 34 2 9 0 25 ;0 26 0 30< 0 31 x t 0:30 0 35,� 0 40 15°G ¢23% 57% 74 26 _ 'High-Performance'and"High-Performance Sun"are Andersen trademarks for"tow E'glass. 1 For basicTW and NL units,residential represents 36"x 60'size,non-residential represents 48"x 72"size.For picture windows,residential represents 48'x 48"and non-residential represents 48"x 72° For transom windows,residential represents 48"x 48',non-residential represents 48'x 72"size. 2 The shading coefficients and solar heat gain coefficients listed above may vary(+or-)a few percentage points depending on the unit size.For Information on specific units,contact Andersen Corporation. 3 Visible Transmittance(VT)measures how much light comes through a product.The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Transmittance is measured Over the 380 to 760 nanameter portion of the solar spectrum. 4 Ultraviolet Energy:The transmission of energy in the 300-380 nanameter region of the solar spectrum.This shortwave energy is a cause of fabric fading. 5 The Krochmann Damage Function represents a weighted transmission of the®ass in the 300-600 nanameter portion of the solar spectrum. v^NDOW AN0D0°R pM'UFACNREaa ABaa°ATIB! This value includes both ultraviolet and the portion of the visible light spectrum which is a cause of fabric fading. 6 Percent relative humidity before condensation occurs at the center of glass,taken using the center of glass temperature. CONFORMS TO AAMAlnunuoe fotA.s 2ar 7 Inside glass surface temperatures are taken from the center of glass. 8 Relative heat gain is calculated under a different set of assumptions tiian thermal performance. 9 STC and OffC ratings given are for individual units based on independent tests and represent the entire unit Higher STC and OITC values may be available with other glazings.Contact Andersen Corporation for more information. This data is accurate as of August 24,2000.Due to ongoing product changes this data may change over time.Call your Andersen representative for more information or performance rating upgrade options. 10 Tilt-Wash Double-Hung Windows 3-107 790 CMR Appendk/ Table JS-Z-lb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM ' Glazing Glazing Ceiling Wall Floor Baseman Slab Heating/Caoling h Arcs'(S4) U-value' R-value' R-value' R value Wall Perimeter Equipment Efficienry Package , values R value' 5701 to 6500 Heating Degree Drys' Q IZ% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal FUE S 12% 0.50 38 13 19 10 6 85 r T 15% 036 38 13 25 N/A N/A Normal rmal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: f'yJAP 2,HO I Al I�G r 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 6 G� S F GAPq&t- '"N?EFZ 9 sly 3. SQUARE FOOTAGE OF ALL GLAZING: 0 �� 4. %GLAZING AREA(#3 DIVIDED BY#2): v 6O 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 780 CMR Appendix J Footnotes to Table J8.2.Ib: I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft 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. 1. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 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 &:scribed in Note b. ` 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 D Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE t / $96/suare feet x q s .foot= 0 6 S x.0031= 3 0 q plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) 7 oZ () square feet x$32/sq. ft.= 9 J7 0 V O x.0031= 7 C '2 ACCESSORY STRUCTURE>120 sq.ft. >1.20 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.0031= 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) L�� �I .7 6 Permit Fee 7 projcost Assessor's office(1st Floor): Assessor's map and lot number � 0� tic� ..o�Twt SYSTEM MUST[BE �P e- G - 4�3 E'd YALLED CiV C®�/Ip Conservation � ANCE . Board of Health(3rd floor): ' • �-a WITH TITLE 5 t DAUSTAX2 Sewage Permit number '6 � `���T�L. ®®���� y •o rua Engineering Department(3rd floor): s u o .asp. d ak.r'1�-1. R-E .. �o asr r. House number ���!�� ���ATI®NS Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2*00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Deck Replacement 12' x 16' and 10' x 12' Screen Porch TYPE OF CONSTRUCTION _ Wood April 15. 19 93 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 74 Chippingstone Road. Marstons Mills, MA 02648 Proposed Usp.eck Zoning District RFl Fire District COMM Lorraine Testa 74 Chippingstone RD. Marstons Mills, Ma. Name of Owner Address Name of Builder Steven J. Bishopric Inc. Address P.O.Box 687 Osterville, Ma. 02655 Name of Architect none Address Number of Rooms N/A Foundation 10" sono tube Exterior N/A Roofing Composition Floors 514 x 6" PT Interior _— XIA Heating N/A Plumbing N/A Fireplace N/A Approximate Cost $3,000.00 Area 21ca � ' Diagram of Lot and Building with Dimensions Fee � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameQ�,,,�� Construction Supervisor's License Q TESTA, LORRAINE t 1 No 35787 Permit For Replace Deck & Screen 'Porch t� Single Family Dwelling _ Location 74 Chippingstone Road ` Marstons Mills _ Lorraine Testa m y } ! r ! y Owner -- _ I Type of Construction Frame �. Plot Lot ti Permit.Granted April 16 , 19 93 Date of Inspection 19 Date Completed 19 = IZI i Ing.(" , • ' r r 4 , a c64AibNWEALTH � ,YSO�'ZQ•, '. Q221� L�kt�..s�, .� .••�'- t��s '� ,�O�F.'�• .. t: •A•y�!',1 a{�1 r•`i��..t e.�.� � 7k '•'iI g �UK/VvETY- S 1'LhCCNSt ' f;(l h$yT,k,::•:$ P f R V S R k Y t EXPIRiT10N,0ATE eta•'g + : t 111 ({���/l •r. { ZfFECTTIYF QATE- UC•NO d;RESTRfC �g 9�l '• ; I 6101/. 988 C475 �t� NG•hE STEVEN...h SSSHCFR:I` %7 HIGHPOII`T,` RC ' VAPLS70 KiILS dA Cl ` 'SS . a CO3-3.8 3255: .woro{aIASfNO ore oNLri •ME;. . . .. 1.0i VALID WITS fGNEO 81 LC04SU ANO'OFFICIALLr 'ee F IGHT:' +. SiAA4[0.OII.S+ONArIf OF TNS COUMGS*Nu • T .:. , ` ^ [�'jsL �Q BIN. • , t 7•.t I Hi I ,r„ CyE Oi �C� I nLLs'.LxfwwtNr�a+euert.t v. 11 •:CJ �K •l �•. • Y •. AL•AAx E RIWtI 7NVub"wt At.7'•:YY tx 'yFrpQCW A7R i HOME :IMPROVEMENT CONTRACTORS REGISTRATION Board .of 8.ui1'di'ng 'Regulations and,. Standards i One Ashdurton ..Place - Room 1301 �. Boston , Massachusetts 02108 =' HOME IMPROVEMENT:°'CONTRACTOR Registration �06'14.1` Expiration G7/22/'y4 Type PRIVATE :CORPORATION. Steven J . Bishopric Inc . Steven J .. Bishopric . 67 .Highpoi.nt :Road ;r.. Marston s.:Mills MA;02648 Yy�,'S"t �e TOWN OF BARNSTABLE Permit No. ----------_------------------- { Building Inspector .A"n.a .... Cash -------------- OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to o(O3enh R Gros.cu an II Address Acil'r1Rt3iJ3.? v Wiring Inspector + - �`�^/ _ Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. / .....................................................1 19...... ...................................................................................................._........_ Building Inspector Assessor's map and lot number .......7 ... / P............ 0*'THE Sewage Permit number z,�n.v................................. SEPVC.SYSTE ARISTABLE. : House number ..............71............................................... M NAG& Mus 1039. "TALLED fly co TOWN: OF B AR N StyWA -AL CODE AND BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... .......................................................................................... TYPE OF CONSTRUCTION ............ ........EA, . .rC.................................................................. ................................................1.9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...4.0-T..�.16.....611110AIN.64..rolmE.....4jO ........1-�M. .X.7-4W. . ..... ProposedUse ..... A M. ..,........4E%t-!.......................................................................................... ZoningDistrict ..... .................................................Fire District ....... ....................................................... Name of Owner ....40.�� ......&...0EA1A4Mddr.ss ..........)d.&4 r Name of Builder 09.07N..CGC TV40.ey..&ACAddress ..... ......IVZOWS...../'I./ 4J.......... Name of Architect .................1114N.45.........................Address ............ ......................................................................... Numberof Rooms ....................IS.........................................Foundation .............................................................................. Exterior .........W.0 0.4......SAO. &�........................Roofing ... Floors ....... ............................Interior ....1J.W Z-- .AS.7-XG1.6.1V............................... Heating ...... ....................................Plumbing ............/.........jd?!�-7. ..................................... Fireplace .........A/04/i...................................................Approximate Cost ........... M.................. ...... Definitive Plan Approved by Planning Board ------------------------------ Area .... ...... 1;4o Diagram of Lot and Building with Dimensions Fee ......41 X-, SUBJECT TO APPROVAL OF BOARD OF HEALTH /ele'l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ .............. .....6j... .... . .... .. . GROSSMAN, JOSEPH B. II No ..... Permit for One...Story ......Sdn.g-1-&-.F-a-md,-j-y...Dwel-ling............... Location ..Lgt pir g.g.tQ P I n.q- F.bad ..................I'lars.=a 5...mi.1.15.......................... Owner ....Joseph. ...B. G.r.o s.sma.n.I.I................. .... .. .. . .. .. .... ....... .. . .. Type of Construction Frame .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........................................May 19, 3119 Date of Inspection .....................................19 I... .... 4p Date Comple�ee ................. 19 / PERMIT REFUSED .................... ........6................................ 19 tt. ...............L ............................................. ............................................... ............ ... .....................I........ .............................................. ..................:E. ................................................... Approvedq. ........................................ 19 ............................................................................... SMOKE DETECTORS O.K. %BP E BUILDING DEPT. a — V-3 o AAA REMOVE FRECA5f 5V i WA51E12CON C10N 8"CONce WALLS Ib"X 8"F00 W6 I i 0 1\ \ I 31/2'LALLY LUMN5 I \ t� 2'-0"X 2-O"X 1'-0"F00fW6 I ��\ \ ,\ r -1 r -1 c3>2xlo'5 o 31/2"CONO2EiE SLAD ` 0 L J L J L J L J '-0 \\ \ I nAm POCKM.001 H ENDS 0UY AI E AL PROLIN7 I . 31/2"CONMSSIV ' 8 1,x 8' F00T15 \ 12"50N E5 I - - = - - - -= - - - - - - -'-J \ , MCA5f 5TVF / lit 7"1 �OUNbA�'ION PLAN i SCA�� 1 / 8" - I ' o" 4'-8 —3dt '-6 1'-10 ti ,a EM51INO DECK 1 th DIAdJING WA5MZ & — KtfCWN DATAMM DE1 WOM I FAMILYWOM EK151NG FI?15E 'v PId9PO5Et7 GA Aa 6NINa DEWOM 5 DWWOM 2 PKCA5i51W 0'-0 F 1 F5T FL00F PLAN 5CALF 1 / 411 _ 1. 1 Oil iL '-6 III EkISnNG DECK 1� In 4,..0 0 1 EwsnNG tausE MUP05EV OFf10E O O MC15L5lW 5FCONb FL00P PLAN �. � ��� ��� ', . � �.. _ .. � 1 _ s 1 '-3 1'-IO n j � Eb511NGDECK ! In i DINJING I KIICN:N OATNVOM DEMOM I /' FAMIIY td�OM 0 E%15t1NG 17115ETIL 'v Pg7P05ED L�P(eE m FR7P05ED 5' (--CA5eI?OrFN1N(4 UI FOR OFFICE DED1370M 2 OFFICE FMCA5151EP 0'-0 pPOP05F n F I F5 FLOOP PLAN REVISED PLANS SCAB I / (9 1 1 l 1 011 Date:Wxyrfas J.Coyle Lorraine G.Testa 74 Chippingstone Road Marstons Mills, MA 02648 '1 o- i -3 I --------.----- rn ------ --—'- — OO — ' /' OO M KIVU Fma o a t E'4511W FOUSE 1 PFDrOSED 511l7IO NYCA5151W 0'-0 REVISED PLANS 5�CoN2 FLOOp PLAN V Date: 11011 Thomas J.Co yle Lorraine G.Testa 74 Chippingstone Road Marston Mills, MA 02648 I CERTIFY 74AT TX4E rOUNCAT/ON 15 LCYATF-D ' AS St-IOWI.! A}Sb -f'F-1AT ITS LOCATION CDidFOR1v(5 TO 20FT. (.Minimum) T14F-7 MINIMUM eFTC'A,CI S OF 714F_ -TOWN OF ice- . Outlet pipes from Dist.Box shol I be Sri'-E zoNNG >�n�uv• 10 FT. (Minimum) ,=" level.for at least 2feet from box. 1�::" 24, 1981 6e IPA Removable I CERTI F`r THAT 714a FZ,�UW a4I70W --4Z W ' F. FloorElev. =91.00assi d Tight joints IS � ,Trp IN FL.G?f � F��pIN 7o►aE � A--, concrete covers Removable conc.covers S�p�wN oN F=LLnD INSUF Al. RATZ✓ `MAF P►p red ---- k4. NC.pipe� 15' el� �� 2F 1 5 A AND T}aAT f=1-COP R-A/"4 ZCO� 1=iniah rode—min.slo a of 2° away from system' C IS NET A !EA + - 147,A42,D AFF-qA- 17 3�± �7 B6 A �. �. 12,mox 74, 1981 uGLl.�a c� :e SCHD 40 PVC P/PE W%Th/e' T/GHT_✓O/NTS y , 1, Li uid Level �2"layer ofl/6`, 3/8` s - 0.03 , . , � --• . D • o o ;✓- I washed stone. �0 v , p' O —SEPTIC TANK_ �, DBox• Ill �: .6 Ft• o \ N °1n = o ' 5�of i;oarse sand d' ��� iv 15 1000 GAL.— "' 2 - aD — �p td ^, -0' p • •e o 0 0 �' used.far effective _ LOT 16 00 a0 ap ap o� o :• • • o p _T�° depth ' 2min. 2 28 337 $.F 'u a "�} o percrote. i Lv W LLi LLJ La i i 4 Precast concrete �, Leaching Pit \ cpp TestCD C. c c c c 46ft. diameter \ holq� SECTION OF SANITARY SEWAGE DISPOSAL' SYSTEM 2' �� a'� 1 N ± a NOT TO SCALE .2�of 3/4 to I V2 washed stone / I "�`�1 _ 6.q_:.. ' all around precast pit providing • off effective diameter of 10, \ 5'C1NO, • `R"p DESIGN CRITERIA 'o cP� �A-(10N >n°1 '$� Dist. dci xx66d pth Number of bedrooms Lehing Pit with(equivalent to 330 gal.per day). GENERAL NOTES Proposed �\ 2ft, of washed stone \ � all around. Garbage disposal unit None w u _ Leaching areG•capacity required 330 gal. per day, 1) No change to this system shall be made unless 152 � Reserve 0, -1 approved in writing by Philip D. Holmes. area t n. Side Area proposed. 157 square feet. 2) Subject to inspection during construction by m ' �, ^ ° ' Bottom Area proposed . 78 square feet. theHoard of Health and PHILIP D.HOLMES . N. E.T.a T. Co. Easement x 20 wee 20 Proposed Leaching Capocity—AZL_galIons per day. 3) Heavy construction equipment shaI I not travel Pole#462 86079 143.6 5 Water supply private well over disposal system durng or after construction. w C.Basin- — e7. Precast concrete units, H—10 loading. 4) Disposal system to be constructed in accordance CHIPPINGSTONE Private RD, 40' SO I L LOG with Title 5 of the State Environmental Code. # o Surface N' I 5) Flood Plain Hazard Zone C ; EI v.= 88.5 NOTE : N �� subsoil 6) Zoning District R D — 2 it 1) A COPY OF THESE PLANS MUST BE KEPT ON THE SITE DURING CONSTRUCTION. 2) A COPY OF THESE PLANS MUST BE FURNISHED TO CONTRACTOR CONSTRUCTING. SEWAGE DISPOSAL SYSTEM. clay 3) BEFORE BACKFILLING THE SYSTEM,THE CONTRACTOR SHALL NOTIFY PHILIP D. HOLMES AND THE BOARD - rust 7)Bench Mark Soikein NETaTpole'*462 CHIPPING S19NE OF HEALTH AGENT TO INSPECT THE SYSTEM AS CONSTRUCTED. RD. Elev.=88.05 approx. sea level datum. - 83.5 PLOT PLAN _ -1r ;�:., _0 or,� OF PROPOSED SEWAGE CIS SYSTEM ', °` •��`� SOIL TEST REFERENCE ` r c� BERNARL y FOR 20TH CENTURY BLDR S � � .y• � BERNARD �. McGRATH �. Date of soi I test SEPT . 27_ 1978 Land Court Ian 34846 Bsheet 2 IN '; 3 No. 28978 coarse Test taken by PHILIP D. HOLMES LOT 16 i MARSTONS�MILLs BARNSTABLE, MASS. '� � �� ¢� � sand SCALE: I = 40 DATE: SEPT. 19, 191r8 r �, `' . , - '✓p �-� Results witnessed by Paul Murray_, Paul Gardner DRAWN BY R.S.J. CHECKED BY PHILIP D. HOLMES Percolation rate_2 minutes per inch. CIVIL ENGINEER LAND SURVEYOR, ' . 76.5 - No ground-wnter encountered _ _. Assessors Sheet & LDt N� .... 301 MAIN ST. FAL QUTH MASS. J BN 78298 DWG.NQ A69 -- - vl s� wAW-4--I. 24 )96-1 � M50 . - - SHEET I