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0059 MIDDLE POND PATH - Amnesty
�� �Lw ,.I r ri��.. �'^f '�Vh � [I f�;�� � R� F� G�riv � .r .. _ �: - _ srt_,.;. .y. - f - � Yl.. '� •ti - ', t l� AX .*T . e uj ':axm.der a � , 1 ° c i, � � Am ne sty Program fo-& �ar4;ks`tA�`�F1� i t2 k 'ffll A; ' Hel in to make affordab a housi n ossible. Ping gp . s own ® Hamst� le tr. Certificate of Corn lance p This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. Owner Arthur J. Torino Location 59 Middle Pond Path Marstons Mills Unit Capacity One Wroorn, not to exceed One Person � 15 F. , Inspector yd� ,rZ . M w MR ` t M/P No. 061/030 f 4/25/2013 a.1 Town of Barnstable r Building - 200 Main Street d 9 * ASTABLE. * H annis MA 02601 z639. MA-. Y(508)�862-4038 CFO MPS s Certificate of Occupancy Application Number: 201206747 CO Number: 20130038 Parcel ID: 061030 CO Issue Date: 04/25113 Location: 59 MIDDLE POND PATH Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: y► �s— 2 Building Department Signature Date Signed TOWN OF BARNSTABLE BuBding tHE r 201206747 * BARNSTABLE, : Issue Date: 11/21/12 Permit 9 MASS. 1MA1639. 0 A � Applicant: TORINO,ARTHUR J Permit Number: B 20122851 Proposed Use: SINGLE FAMILY HOME Expiration Date: 05/21/13 Location 59 MIDDLE POND PATH Zoning District 'RF Permit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 061030 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village MARSTONS MILLS App Fee$ 50.00 License Num Est Construction Cost$ 5,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDING NEW EGRESS DOOR TO CREATE A NEW ONE BEDROOM THIS CARD MUST BE KEPT POSTED UNTIL FINAL AMNESTY APARTMENT-LANDING INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: TORINO,ARTHUR J BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 59 MIDDLE POND PATH INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 Application Entered by: RM Building Permit Issued By: lQ�h — �G�u-rJ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR.ANY PARTTHEREOF;,ElTHER TEMPORARILY OR PERMANENTLY.. ENCROACHMENTS ON PUBLICPROPERTY,,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVET/f§THE JURISDICTION. STREET.OR ALLEY.GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE ' OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. } 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 21 e !a ef.rs`»� 3 �x,. �,`r,,y ,r .�v iav�>i� .f "`Fs m�. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 J ( 1 Heating Inspection Approvals Engineering Dept F 2 Board of Health irp h c N' u I� L a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O�Q Parcel Application # Health Division I h-�� l Date Issued Conservation Division �!� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis ®� Project Street Address Village _Y y�Pr�f�—S'i'S �� � � ��--� ` - Ownery.c �� �� Address �� `�-`P�n� �w , Telephone '313& 42-g T-Sc (J Permit Request S ,n C QAA ® . , e � Square feet: 1 st floor: existing oa proposed_!�Rwko-2nd floor: existing / proposed Total new Cam' Zoning District Flood Plain Groundwater Overlay Project Valuation St5dZo Construction Type t/V*-j_LN Lot Size 4-q Doc) !sq Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes �o On Old King's Highway: ❑Yes 4o Basement Type: ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 4-em Basement Unfinished Area (sq.ft) +b__0 Number of Baths: Full: existing new �"-- Half: existing new `�- 'f Number of Bedrooms: existing ew "Total Room Count (not including baths): existing .7 new First Floor Room Count Heat Type and Fuel: bICas ❑ Oil ❑ Electric ❑ Other p N Central Air: ❑Yeslo Fireplaces: Existing New Existing woods ,al stove]Yo❑ No Detached garage:" e isting ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑2% ting ❑,rww Vie= Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ , w Commercial ❑Yes kNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (' 1 0 tz- c7 Telephone Number 5_�) Address `J License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 � l SIGNATUR DATE 3 �` FOR OFFICIAL USE ONLY 4 APPLICATION# , DATE ISSUED f MAP/PARCEL NO. 1 1 s ADDRESS VILLAGE _ OWNER _ i� ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO. _ ' The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street Boston, ALL 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ---�^ Please Print Legibly Name(Businers-sLOrganization/Individnal) AIL „� d 1 O , N� . Saar s~�}J City/State/Zip: l�� v S P4 t k,\ S Phone#: S�-6 Are you an employer? Check the appropriate box: Type of project(required); 1.El am a employer with 4• ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑.Demolition working br me in any capacity. employees and have workers' Z[Norkers' comp.insurance comp, insurance. 9. ❑Building addition .] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. omeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL p 12.0 Roof repairs insurance required.]t. c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp,insurance required_] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp:policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up.to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th or insurance coverage verification. [�--�I doohheerreby ertify under t ains and enalties of perjury that the information provided above is true and correct `-� Si Z Phone#:— " a.�Eial�„�P y�.ry:rD-a-,���;��;a-Wks-a;e�to�•e��- � cetby city or Town onici City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector 6. Other Contgct Person:. Phone#: I r VE Town of Barnstable "0 Regulatory Services snxxsxAsr Thomas F.Geiler,Director v M� 3.639. .�� Building Division rFD MA'I�` 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 7 Please Print jOB.LOCATION: "HO1vIEOWNER::�number street village r ( - ® -nu�l ^ n C� (— - name home phone# work phone# CURRENT MAILING ADDRESS: " L �� % M , 0261 � 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 hue who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF.HOMEOWNER Person(s)who awns 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 p lion procedures and requirements and that he/she will comply with said procedures and req ' ements. (--�Signatureof omeowner-' "' 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 pE'ME TOk� ` Town of Barnstable °* Regulatory Services * snxxszes�, 9 . MASS. Thomas F.Geiler,Director , �A .i63939 ♦� rFo Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as O et of the subject property hereby authorize to act on my behalf, in all matters.relative to work autho ' ed by this b ' ding permit (Address o o Pool fences and alarms a the responsibility of the applicant. Pools are not to be filled or utiliz d before fence is installed and all final inspections are performe and accepted. Signature of Owner Signature of Applicant Date QTORM&OWNERPERMISSIONPOOLS 612012 l BAOMASM 639••�0 MA'S Town.of.Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2012-019 Torino Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: August 22, 2012 Applicants: Arthur J.Torino Property Address: 59 Middle Pond Path Marstons Mills,,MA Assessor's Map/Parcel: Map 061, Parcel 030 Zoning: RF Zoning District Zone of Contribution: WP Wellhead Protection District Recording Information: Deed! Reference: Book 10890 Page 147 Date Application Filed August 15, 2012 Date Hearing Opened August 22, 2012 Date of Decision(Closed): August 22, 2012 Property Ownership: The applicant is Arthur J.-Torino,the owner and occupant of 59 Middle Pond Path Marstons Mills as evidenced by a deed recorded in the Barnstable County°Registry of Deeds on August 7, 1997 in Book 10890, Page 147. A copy of which has been submitted for the record. Relief Requested: Mr. Torino has applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly termed the "Accessory. Affordable Apartment Program". The permit is sought to allow for an affordable apartment.accessory to.a single family home as provided for in the Code of the Town of Barnstable and restricted to being.affordable Housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-14 (A) Principal permitted uses in a RF Zoning District to permit an accessory apartment unit within the new addition area of the home. The issuance of this Comprehensive Permit would allow for a separate, approximately 450 square feet, studio sized accessory affordable apartment. Locus: The subject property is a 1.12-acre lot located at 59 Middle Pond Path Marstons Mills, MA. The lot was developed in 1997, with a Cape Cod style home. The living area of the dwelling is approximately 3,311 square feet. Town of Barnstable,Zoning Board of Appeals Decision and Notice,comprehensive Permit No.2012.019-Torino ' Site Conditions The lot is served by public water and private on site septic. The Town of Barnstable's Health Director Thomas McKean reviewed the application,.and on June"12,2012 had no objections to a total of four (4) bedrooms for the entire property. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on.July 19, 2012 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in-accordance with the requirements of CMR 760 56.00. .An application for a Comprehensive Permit was filed at the Town Clerk's Office.on August 15, 2012. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on August 3, 2012 and August 10, 2012,and notices were sent to all abutters in accordance with MGL Chapter.40B. The Public Hearing was opened on August 22,.2012 at 00 p.m. by the Hearing Officer Laura F. Shufelt. The applicant Arthur J. Torino was present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. Shufelt read the proposed conditions to the applicant. Mr. Torino consented to the conditions. Mr. Torino gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment.:No.one commented. The.August 22, 2012 public comment period was closed by the hearing officer at;6:30 p.m. On August 22,2012 the hearing officer granted comprehensive permit No. 2012-019 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter241, section 11. If after fourteen(1`4) days from that. transmittal the Members of the Zoning Board of Appeals:takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on August 22, 2012 the Hearing Officer.made the following findings of fact: 1. The applicant is Arthur J. Torino who is the owner-occupant of the property located.at 59 Middle Pond Path Marstons Mills, MA. . 2. Arthur J. Torino was granted title to the propertyby deed recorded.in the Barnstable County Registry of Deeds on August 7, 1997 in Book 10890 Page 147. 3. On July 19, 2012, a site approval letter was issued for the property by Town Manager Thomas , K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2),-and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 450 square feet in living area and is located within the attached addition added in 2001 -portion of the owneroccupied.home. 5. The applicant has been informed that the AAAP unit shall meet.all applicable health and building codes to be-occupied and that the Building Division and Fire Department will also be inspecting the unit'for compliance with all applicable building and fire codes. 2 1 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.1012-019-Torino 6. The house is served by public water and private on site septic. The proposal has been reviewed by Thomas McKean, Health Director, and on February 2,2012 he stated no objections to a total of four(4) bedrooms at the:property. 7. On June 1, 2012 Arthur J. Torino signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in at form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicant is aware-that the affordable unit shall be rented to a person or family whose income is 80% or less of the Area Median Income(AMI) of the Barnstable Metropolitan StatisticalArea (MSA).and agreesthat rent(including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of August 31, 2011, 6.65% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the-dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicant Arthur J. Torino have standing to apply for a Comprehensive Permit under MG.L Chapter 40B and the Town of Barnstable's:Accessory Apartment Program. The proposal was deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Conditions: Hearing Officer Laura Shufelt ruled to grant'Comprehensive Permit No. 2012-019 with conditions in accordance with MGL Chapter 40B andArticle II of Chapter Nine of the Code of the.town of Barnstable, more commonly termed the"Accessory Affordable Apartment Program"to the applicant, Arthur J. Torino who is the owner and occupants of the property located at 59 Middle Pond Path Ivlarstons Mills. As seen on map 061 as parcel 030.. This Comprehensive Permit allows for a studio sized apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed one (1) person. 2. The total number of bedrooms on the property shall not exceed four(4). 3. The accessory unit shall NOT at any time be occupied by a family member of the owners. 4. All leases shall have a minimum term of one year and have provisions that require.the tenant to provde.anyand all information necessary to verify eligibility with the-AAAP t 5. On June 1.5,.201.2,the applicant was sent written copy of the inspection findings, submitted for record,thatth,e unit Must meet all applicable health and building.codes to be occupied and that the Building Division and,Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal dwelfing shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 3 e Town of Barnstable,Zoning Board of Appeals Decision and Notice;Comprehensive Penn it No.2012-019-Torino 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements,the rent charged (including utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA (adjusted,for family size). In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy,affordability, and compliance with Housing Quality Standards (HQS). The cost.for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit. 10.The applicant shall apply fora building permit for the accessory unit, whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance,the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes, The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11. The applicant may select his own tenant from the prospective tenants supplied by the Administrator of the:Readyto Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants shall work.with the AAAP Coordinator to provide necessary.information and documentation of tenant income eligibility. 12.The unit shall be rented on an.open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and:the applicant shall request potential tenants from the administrator of the Ready to Rent List.. The applicant shall pay all fees'associated with accessing the Ready to Rent List. -In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and fair marketing; providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13. Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator.The:property owner shall also notify the AAAP Coordinator of,their request for potential tenants,from the Ready to Rent List administrator.: 14. Every twelve months the applicant shall review the income eligibility ofthe AAAP unit tenant. No.later than a year from the date of issuance ofthis Comprehensive Permit,the applicants shall file with the AAAP Coordinator, as Monitoring Agent, an annual affidavit stating the rent charged and.inCome of the Oft tenant.. The property owners and/or tenant Shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 15. Upon any report from the Monitoring Agent that theterms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16. This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the i 4 - i Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012-019-Torino Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17.Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide, within 60 days of the date of transfer; the name and current contact information for the new owner of the subject property. 18.This Comprehensive Permit shall be exercised; all conditions met, and the unit occupied Within twelve (12) months of its issuance or it shall expire._ Ordered: Comprehensive Permit number 2012-019 has been:granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. If after fourteen (14) days from that transmittal the members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be filed in the office of the Town Clerk Appeals of.the final.decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the rightto`appeal this decision as outlined in MGL Chapter 40B;,Section 22. Laura F. Shufelt, Hearing Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable.County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this , day of. u der the pains and pin, l'tles of penury. C�% c Linda utchenrider, Town Clerk :A' 5 f t � a 8 92 F-.a 1431E .���&, � � `6 REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this day of ,2012,by and between Arthur J.Torino of 59 Middle Pond Path Mats".tons 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 59 Middle Pond Path Marstons Mills, MA 02648 as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 10890&Page 147. B. The Project located at 59 Middle Pond Path Manton Mills,MA 02648 will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the"Designated Affordable Unit" or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No.2012-019 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations.Said pennit is recorded herewith as Barnstable County, Registry of Deeds Book�� &Page 1 -;g D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive.permit. IL THE OWNER'S COVENANTS AND RESPONSIBILITIES A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS ASTOLLOW: 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 perpetuityfor the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan Statistical Area(MSA)and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rentedin perpetuity to a household with a maximum income of 80%of the Area Median Income(AMI) of Barnstable MSA and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA: In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement.. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the.Owner is a parryor bywhich 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 ruining with the land shall be deemed tobe satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80%or less of the Area Median Income(ANTI) of Barnstable Metropolitan Statistical Area(MSA) and that rent(including utilities)shall not exceed an amount that's affordable to a household whose.income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated'by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupationof the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town_ Manager,within thirty(30)days of the date that a tenant has vacated the Designated.Affordable Unit. III. 1vIUNICIPALITY'COVENmn AND RESPONSIBILITIES 1. The mumaPALITY,through the monitoring agent designated by the Town Manager agrees.to perform the duties of verifying that the.Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less-of the Area Median Income(AMI) of Barnstable MSA and that rent (including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the in income of Barnstable MSA..In the event that utilities'are separately metered,a utility allowance established by the Barnstable Housing Authontyshall be deducted from the rent. Iy. RECORDING OF AGREEMENT• + Upon execution.,the OWNER shall immediately cause this Agreement and any amendments'hereto to be recorded with the.Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry;of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling;as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing-including the date and instrument,book and page or.registration number of the Agreement. 2' V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties.hereto. The invalidity of any clause,part or provision.of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees.to indemnify and hold harrnless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A- This Agreement shall constitute the entire understanding between the.parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all,of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are,granted by the Owner to run in perpetuity in.favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 10890 &Page 147 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring,of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 10890&Page 147. IX TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however;that the Owner of.a Designated Affordable Unit.or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation,shall 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 cancellation of the comprehensive permit,the propertywhich is the subject matter of this 'estrictVe.covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 X. SUCCESSORS AND ASSIGNS: A The Parties to this Agreement intend,declare,and covenant on behalf of themselves and anysuccessors 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,(ir)are not merelypersonal covenants of the Owner,and(1)shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors.and assigns for the term of the Agreement. XT. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not.cured to the satisfaction of the Monitoring Agent within:thi-ty(30)days after notice to the Owner thereof,then the Monitoring.Agent maysend notification to the Municipalitythat 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 by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of.the Project to the execution and recording o;this Agreement and to the terms and conditions,hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS V TEREOF,we hereunto set our hands and seals this z3day of (91411\1� 2012. OWNER BY: &A- signawx Printed:_ AaAlf- •� . _Q;",o COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this 23 day of DJ2 K012 before me,the undersigned notarypubhc,,personallyappeared /A-r 1-h A►r ,T. Tn r i n p ,the Qwner(s),proved to me through satisfactory evidence of identification,which were MA Sri ve rS. I(-G 4L_.3 SZs�aR-J0Gk,,to be the persons)whose name(s)is signed on the precedi-rg or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. _h o ublic . Printed: � k S)Z4 My Commission Expires:_Gj : CINDY L. DABKOWSKJ Notary Public .0MMONWEAITH,OF MASSACHUSEITS jU¢ My Commission Expires February 29, 2016 �'r TOWN OF BARNSTABLE BY. TOWN ER COMMONWEALTH OP MASSAa iUSETTS Countyof Barnstable,ss: On this eday of' 2012 before me,the undersigned notary public,personally appeared -Aihn fZ,Lori! ,the'Town Manager for the Town of table,proved to me through satisfactory evidence of identification,which were (dL I to be the person whose name is signed on the preceding or attached document and.aged to be that he/she signed it voluntarily for the stated purposes. '.otagPublic Printed: k i✓I�i MyCorrunission Expires: Z, brilRLEE MAY OAKLE`f Notary Public COMMONWEALTH OF MAS&ACHUSETTS my corn" M*c6W,2016 L , ESR q .. � .n ..f », ml81 ' I...1......1 4:. i .... � I S ;6Af3.SIiABLE, UI:LIjIIsbG.D.EP_7 { I j I FIRE DEf�ARTM�N . i j a f I. 6QTN SiGNAtURE�ARC REWIRE, FOP PEMMITT, 7 j I 1._, ,.... t �..��1 N,,I.IV I sr a _ A. i t I. t t I . r or m I rA I � I r � I 1 ��4���. `� { r t I 1 I ' ` �� NI '�'} t t I I v i 1 : 1 V + s I o } 1 f ... , a i f e CARBON MONOXI©E ALARMS 3 I. �_. :,,.._..,•MUST BEIlNSTA�L-L-f1�?ER `.__.__� �_:�. �.t. _..._j� �_._.._�. 1. «,,.E,. ��, k - ; IASSACHUSETTS BUILDING CODE s' , t I , �,..,.,,. .t q't IMP ! I � UpGRA E REQlJIR�b i I � f � I � � � �• :, � t f _ � f ry I (STATE BUILDIN✓G CODE .REQURES THE iUPGIADING Qlf }' j j �+, Sid L� Z ! i i ! ` -E f 3SMOKEDE� �TQRS FO.f�_THEl.EN.T E._D!A1EL1lNG.:.4VNEN` �.. r _......wx-_,. ZONE QR MPREtLEEPPNG AREA AR ADDED OR CREATE0. F . , f 3 � 7 # Ao NOTE A LSEPARAT PE MITI IS.. tEQ41RED FOR THff .,-.,.jWST;AL'A-TbN..6FSMOK.E-ID t ETOTORS- iE E'tECTjtICA> PERMIT DOTS NOT �ATISfY THIS REOUIREMEf T, I ( �. ^,...�..,, ..�.,..,.. .,.1. :_�:• >, ....,,..�... ;,,..r...,. ,__,. 33 �. ., ,,,,.... ...,,..,. ..:..:, .. T.M..p... w t.:. 1 , _.. _�.. �.-_.. ,_ I � i _f ._.,. ;_ i ' I � { + s f � �� ! I 7' i �;• _i r 1 I ; t 1 �. — . $, 1 � ...?.� .....:.,4 ' j i 1 I 1 '' I ( ' � � «;.. 3. ' _ A E .i.M i ���•� 1 ! { t I ( } . 1 : jj �f i 1 F sl_ �...: �. � �_ 1_m.,., I riY !.__,.,.._), >.1..:r_ i ..�f-. ._ L,,. .�_. .r/i�r► _ ��.i _ ?�. ( ' i ,.. ` __ I f, t ' .. � 4 ! � s ._ ( I -q : t IIID ,w....I 4 11 c , I 1 p _ : 1 ! j i pp t f yj tt J _ S: I • I ._ I STA�.IZ.S ,..s ` .. F ' ( _ � 3 ,,•r-, ,a.n,' ,r..1So�!.., ,., �.,.,.�_i .:{..., ( _.�. _:', AR 17 Iv I : S s t f. t � 1 ... t I I j j i j i �.�. ��- AV -� Will IN - I . i l:• \ t a 1 I ' E , I:I t 1, E I � i i t , I . wf ' I s ; , 1 t E - I TVA i,t I 6 l a t f.. e f IJP + 4 } { t t !} I 4 f ; i. si 1 kk i C\\ � : 1 n 1 ! S F t 1 s I s , Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division • aAMMBM gb MA �m�' Thomas Perry, CBO, Building Commissioner 'OTE1 Ana. 200 Main Street, Hyannis, MA 02601 www.tow n.ba rn sta b le.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Second Request October 18, 2012 Arthur Torino 59 Middle Pond Path Marstons Mills, MA 02648 Re: Family Apartment In response to your;inquiry concerning a Family Apartment(accessory unit) at the above mentioned property,please be advised that the property is located in the Single Family zone and therefore accessory units are only permitted by an appropriate form of zoning relief. Currently, the following two options are offered to qualified applicants as follows: • Family Apartment- Available to year round residents in owner-occupied properties for family members related by blood or marriage, all parties must be year round residents. Detached units require a special permit. • Or Apply for a building permit to restore the property to a one family home. • Amnesty Unit-A Comprehensive Permit is available to year round residents in owner-occupied properties containing an accessory unit created prior to year 2000. If granted, these are affordable units and are not to be rented to family members. The landlord must abide by the rental schedule and tenants must meet the affordability criteria as outlined in the Amnesty Program. Program Participants are subject to yearly monitoring in order to confirm the eligibility of all residents. You must contact this office immediately to tell us what direction you wish to take. Sincerely, Brenda Coyle Division Assistant Enclosure fasnd Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division BAPMAJIM 1' 1m�' Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 8,2012 Arthur Torino 59 Middle Pond Path Marstons Mills, MA 02648 Re: Family Apartment Dear Mr. Torino: In response to your inquiry concerning a Family Apartment(accessory unit) at the above mentioned property,please be advised that the property is located in the Single Family zone and therefore accessory units are only permitted by an appropriate form of zoning relief. Currently,the following two options are offered to qualified applicants as follows: • Family Apartment-Available to year round residents in owner-occupied properties for family members related by blood or marriage, all parties must be year round residents. Detached units require a special permit. • Or Apply for a building permit to restore the property to a one family home. • Amnesty Unit-A Comprehensive Permit is available to year round residents in owner-occupied properties containing an accessory unit created prior to year 2000. If granted,these are affordable units and are not to be rented to family members. The landlord must abide by the rental schedule and tenants must meet the affordability criteria as outlined in the Amnesty Program. Program Participants are subject to yearly monitoring in order to confirm the eligibility,of all residents. You must contact this office immediately to,tell us what direction you wish to take. Sincerely, Brenda Coyle Division Assistant Enclosure fasnd oFtHE, ti The Town of Barnstable aAaisRga�e.MASS. � Department of Health Safety and Environmental Services Y N i639' �0 plfDMP�a. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Q- Location , ! iC.IGT!° CJ1 Permit Number 5, "5-c;Z 3 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ,VW oi-4 n 5� IXYIA�!!c P� fir C�P Y/ -rich. AW1A rJ -6-re 1Qx AYJ �1/' RV-G av'J r lP o— Please call: 508-862-4038 for re-inspection. Inspected by iW Date 471,510 t W a P , r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �Y- Parcel Permit# �OZ Health Division Q ,�� � Date Issued Conservation Division I ,s, 1311910/ Fee �✓1/. go Tax Collector er (cSEPTIC' SyTreasur _ INSALLED ID JPlanning Dept. WIT N ENVIRONMENTAL Date Definitive Plan Approved by Planning Board CODE ANDT°O" ULATI Historic-OKH Preservation/Hyannis Project Street Address 5 W m n d d y Q Pond Qh+k r I J.¢.tT_ (;d�`•r �o r v� Village ft2r f Owner 4r-t- TOr in a Address Telephone ( o8> q . ._ .... Permit Request Ike40ic ed r-&nu(_4y,1 -e e m,s r,ri eA r2 oraa e' A2 Square feet: 1st floor: existing Z1N1� proposed 519 2nd floor: existing is" proposed Total new 3.�0 n Valuation �/�J7V Zoning District Flood Plain Groundwater Overlay r Construction Type iN D 0D F-AA(a Lot Size `f Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C!r/ Two Family ❑ Multi-Family(#units) Age of Existing Structure 4 veal Historic Houser ❑Yes Flo On Old King's Highway: ❑Yes Cl No Basement Type: 2-full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) PO4E Basement Unfinished Area(sq.ft) 12D)26 Number of Baths: Full: existing a new f Half: existing i new Number of Bedrooms: existing J new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Yas ❑Oil ❑ Electric ❑Other Central Air: Cff'Q ❑No Fi replaces: Existing New Existing wood/coal stove: El Yes ❑No Detached garage:❑existing size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: +DD ay x zz' D,4,-A aI Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ f Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION ��,`Qj{� &��- �l°�0 Name-' ER1501-6 L010-1ANC • Telephone Number (_608) Address pU 7c+5 License# v04 y"z Gsk00 e P Home Improvement Contractor# /1 00 3? Worker's Compensation# ZV C dr/O Sl S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO plu_r SIGNATURE G'� DATE ��3�d� r f f, t FOR OFFICIAL USE ONLY f t PEA UT NO. _ DATE ISSUED MAP/PARCEL NO " t ADDRESS' ; VILLAGE h ' OWNER DATE OF INSPECTION P FOUNDATION J� y — _• , FRAME — a. INSULATION FIREPLACE ELECTRICAL: ROUGH * .a _ FINAL ` PLUMBING: ROUGH' �: -` FINAL ` GAS: ROUGH. ' ,,r,=. a FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ; w f ESTIMA TED PROJECT COST WORKSf�EET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) 6911 square feet X$57/sq. foot= GARAGE (UNFINISHED) �'�� square feet X�$25/sq. foot= Zoo PORCH square feet X$20/sq..foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value The Commonwealth of Massachuseas Department of Industrial Accidents -` :, ; =_� O!llca olla�sllBalfoQs - - 600 Washington Street Boston,Mass. 02111 Workers' Cam ensation Insurance davit name: R e o L19 location: And dh city f ►' O,5� 4ef 4 ohonZe# 'V'77-- &5c/4? ❑ I am a homeowner performing ail work mysei£ ❑ I am a sole propnetor and have no one worl=g in any capamtr I am an employer providing workers' �t�ensation for my employees wen E on this job. .:.::,....:.:.:....:..::..:....... d .....: ..;... .....y:... :} :-v .}:y.;,:. r..:+:.v:x:.vw•.•.•Y.fi::?•.,:v;+ .,;., '}y>:....:•:.';:vh}:v:::{:•:}:r Zvi'•?•}::: :.?i:}i:.•::i:^:::�}iii.�i:_i:'.;•ii:-?i:i::•:'... �.r; ,..�:...tom...:-�. ,..-:::. ��.f:�; .... ..,.,••::x{.;w.....;...:.;,:�•.-.,:`'S4'.,t; •}.:.f.;•.;;.`.".e,::r::{;.,..;.y:..:•::v:::.,.;.:..;..n.-.:::::.,:•.::v;.,:,:,:.,:., comoanv name:. � ...,.. ::� .;� .:..:}-:-;:. ::-:::b..;:.::•{:,;>:;::�^•. �r... . . ........ ..- :•.gin:: �,.,�./n.•:•.::v::: :•v:.v .v::.x:....nw:: ...- v....... ..x:�y,�� .. ......... .... ..•r::........ x.vh..:.:, 4 }h.. ...,rn... .{� ...viv.:y:.::.....,.:.,....,.:.,......::::::.;:.:.:. .:.....v::.fi;w:ti:n:•:•}:.}%{r..i:•}}:{}' :;}:::.;;i.•}}:j`i$}::$:iy:.:ii:�i::i?�i:�:;;: .... x...,.....•i�tckrh:.... .,} C 1L:v-.':'%k'+:�:r.�5ii:.'•:<vv:Yi'v.....,.:..,..;<:;:.;� �. 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Tests VLAN 15 f.-rr/ IJA CZt-Jr ";UP.VCY TS�G U���j�Z"S �il�t0t►�l2? �PPLIGA-FJ- i Aq vff "/VV-va,.5, a� iz7 z Y ' lab. 00 A.Z r s � s ��d-•off ,4,,. • • BARNSTABlE • 9� MASS �e� Regulatory Services 1 Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: L+hew Gat-og T,en"', 4,P Py)541iy, Ztstimated Cost D Z d Address of Work: M fd& & d A01 Owner's Name: RY"t t6<e it 0 Date of Application: 3 2 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under S1,000 . []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. �3L,��Lo/ Cv«9 l' b IID033 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I Checked by/Date I I i CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-1-2001 COMPLIANCE: PASSES Required UA = 141 Your Home = 118 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- WALLS: Wood Frame, 16" O.C. 550 13.0 0.0 45 GLAZING: Windows or Doors 96 0.350 34 DOORS 21 0.450 9 FLOORS: Over Unconditioned Space 615 19.0 0.0 29 HVAC EQUIPMENT: Furnace, 95.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of th design load as specified in Sections 780CMR 13 0 and J4.4. Builder/Designer Date ❑ J RESCOM Architectural, Inc. PO. Box 157 Monument Beach, MA 02553 MAaeheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 3-1-2001 Bldg. 1 Dept. l Use I I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 For windows without labeled U-values, describe fea/] Yes I # Panes Frame Type Thermal Break? [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.45 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 Comments/Location I I HVAC EQUIPMENT: [ ) I 1. Furnace, 95.0 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1: Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can i be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. tia I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed 1 using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not 1 permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids 1 below 55 F must be insulated to the following levels (in.) : I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 i Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : I PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-l" I 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- One Ashburton P1 ace - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 110033 Type: Private Corporation AGRICOLA CONSTRUCTION CO. INC. Ex^i ration: 10/02/2002 JOHN AGRICOLA. P.O.BOX 765/19 PUNKHORN POINT RD MASHPEE, NIA 02649 i—, x, _ - !� ��te COG 7Lync.ncueai O� HOME IMPROVEMENT CONTRACTOR i BOARD OF BUILDING REGULATIONS Registration:— I;i `License: CONSTRUCTION SUPERVISOR t Expir on. 10/02/2002� 3 e: PRI�rAT-E-1 RPORATION Number CS__...-040642 r ' 'KOLA CONSTRUCTION CO.1 '• �' Ate' { Expi 3/21/2003 Tr.no: 7784 JOHN AGRICOLA °P.O.60X 765/19 PUNKHORN PO{`J , Restricted To. 0 i fa.—�. -. i►c,a/ MASHPEE,MP 02649 Administrator I I JOHN P AGRICOLA_ _ i. { PO BOX 765 C4, MASHPEE, MA 02649 Administrator z E .. .................. .......... ............ ................ p ............ ............ F.._. II sREWA JAI'. 77 o FPS I Ft(!OP r,'FllC-/AL PLAN FOIJNDATION Pt.AH SMOKE DETECTORS O.K. ............ co, BARNSTABLE BUILDING DEPT. —01 ;s eR ax» r ------------------------------- �oAm . .. . .. . , I „ . I: • ----------------------------------- �tr� IIf �r c °E � d y I 'I e FIRST FLOOR PLAN L-1 V L:— . E •• w('� npAAna RL P.T.BLOCKING -- � 3,1" flG CDx?L TwOOD aA O 2 x e P.T.°Ic•O.C. Fi =_ GENERAL REQUIREMENTS: 1/4'PTCHEX4'OVER LEARV-0'EL R }x 1 P.T.NAILER °+B'O.C. t All DRHSN$A.TO,AR OE ST.—S9 LAMATID olxEamsE. ] Au Exreawa uu�MRAmwe 9HAlw EE]A 9 CC—. lE.avr JERE—01 l X 2 TOP RAILS AT 17'O.C. _w EE] H 40x91NCii i EERu9E ENWc :' ECGVC xLOOR 4uL iRuurS SHALL COx$IP.A:l10H ' . S7, ss oTxFeos°e xoT¢o. 't MIL''POLY YAPOR BARRIER L 9r• Gy �:Pi¢c w LonC—Tt.-1.L oue cSETI'j AiLTEnu°uoP°u5i oaai IA.e+-]AR9, 2 X B RAILS AT 17 O f.: 1 4+ EA nAte R wORYMll—IK ILU cr Ati SHALL--t OR CRED fRCO4mEE0 IxOVl1RY 1 X 9 CROSS BEAI1$ S 91AMARD9 f0R EA<x APPucAELE ACE. +i'�BAT!INSULATION t?-19 y REv'vor+s •¢ 0 OrxfR ORu'lN45 AS'ART N 9 Yl.OR mOR¢T�AI0¢1ALLl. S.Rf:ARgn4 EJu0n4 RAIERNl9. OUNAri�X9 AAD lIfdrC O[914x GfdT— ! T Cl.LM"..S HAVE BErsER�ux CH THE PLAnS 10 COnPLT artHATHE ] •� ! ! L R[OUR¢rIiEAES p ro0'iIR 3NSA- OIECPOH St9iln' IbA¢V¢R.1HE. = nu RE9POH�u.iTr,oR+ ]ieticu.wxu nAanexi,oPERATau OR mater"u�lnce L'60XED OUT POST •i6 C'I• x, r°Ro�eamE:a ..E+]awLo"iueE RAawxe sT9ien `�� :�• •.I F:- s 4�. sm:xE UElEctoR II�ALL�tLJOD USED FOR TRELLIS 4l o. —UUiJ53 i]0 Y HEAT ollec,ors I CONST RL'CTiON SHALL BE FIR �,`C, L.+% Ew E.�sun4;nxow RUHsruLeD A d.,r^�,`I`, + to-n-ao EA19tm4 CODR REix9TALLED FLOOR INFILL DETAIL --- ' s Eoo I TRELLIS DETAIL _ cALE. -I/x'=r- ��� Y �s v _ CD Q IS — -- EMMIT UE"W*l z w o n � � I K s� F O Q w F -a i I ;: 7 - t If�t y 011 4y � lilt HIS �t�rIII i 14r ��}Lyj�r • I � SIf?Ii�II t1i111AlIf.j�i l till ih Al 1, '��� 9 �Pi'4 i h�i�}��I��'�'fiy�'14'?Ati�' rri�lt411I''I�.fh.ij 1 i� � � •. _.. q-z :I !J-fmR - CJ oil C-1 1- L _ I . WAu HOUN B -,R 1, 1. A"'t or" LIZ: .. .. ..... ........ .....I............ iA 3i 11� IOCV\iBi9f OCNp I9tc I /, - -- -- --r TC L.&r=v v.AC=".cw_r" .R.cc a.n. -4--- 9-P?�D/4�S4'/1-0 aR V( � f I 'Sir- -I _O -� _`• - rj _ O y- yh .j � / t � �ea.,A -— �--- -- � - imma a3 ��—, �•�•- ' .,..o tieo� ^� j � -- t `�`� FDY FLR- � j: i � •D �• cow th Ik— IVA '° r j•v �• i I I�M.�o..� �F�rrit+.� �? o:+.l �Dir,� ��HT�-EA'K;='ASTJ�• � � � T''""•�-'�V�� 4 � .e. y� '� ��• �.o- j �dy .— .. Vot-+�-t ei-� C�-Cs� +_ � � --",r �.�U4. 67 e/+ ._—_..... � ' I z w 2' 9 C. 0 (.•o2AC,E J ;pCCs19'Y7-L pttcH •i-to ->002 Ir ~ r m + is y �• � i B4Y 9t4C Uit_DI�+G CENT EQVI_tom. /n�y-� - i Y i I i t• 1 e o: om 1649-1 I e- ry. I . � l. 1 , PT.o I' .i�Jll::1 _.-..... Pro I10T�a•1 so 94 . I ! I •O ft1 I dli 1 I - q I ' M: 42 OpttJ'TO 'LIJINIC US L J ' I'9.9 1 Z'i 1•r. L_�.. I °,I,} I I ,: a use n p..•�a � �'91w o...n^TV N•r d� . I La -41L- 4 ,a N:. : + sue.--='. - 4 J I n 1 ' F n 1 � v I I O .I SF !7L 0 n I tf I' ' fit---. ....�,,,.�,:�_ � � • LOT 38 lW:,phJ :-A: l 14- ' e - h Map (p Parcel Permit# 7 �� House# .J� Date Issued ?_ ap Board of Health(3rd oor)(8:15 -9:30/ 01`0- Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) �-.P 1-3 `° J�EP I SYSTEM MUST BE Planning Dept.(1st floor/School Admin. Bldg.) INSTALL#PUANCE Definitive Plan Approved by Planning Board 19 ENVIRONDE AND TOWONS TOWN OYBARNSTABLE . Building Permit Application Project Street Address (\A JAke Q,h,�•� �� Village W\�C,r S e�-�.S M%I[S Owner Address Addresses ` Telephone , S® aS 4'7-= -0 1 0 'Permit Request 4-a S � + First Floor t square feet Second Floor square feet Construction Type �40'. Estimated Project Cost $ / yoD Zoning District Flood Plain Water Protection G Lot Size o b As LcA Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes On Old King's Highway ❑Yes o Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing i— New Half. Existing New No.of Bedrooms: Existing 4!!.' New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: L14as ❑Oil ❑Electric ❑Other Central Air ❑Yes b4\o\ Fireplaces: Existing New Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) tached(size) �. C'_�. /` ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name / Telephone Number ,,""Address 4:�-o ense# 37 i C/� d Home Improvement Contractor# ���t✓ l' jG Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) C . L FOR OFFICIAL USE ONLY _ y PERMIT NO. - • _ .. ,� _ � • - a + , DATE ISSUED MAP/PARCEL NO: - }• — f •t '-„ , - - :t ` �.' r — far _'..0 .. ADDRESS r VILLAGE OWNER DATE OFT SPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' , , GAS: (r ROtJ�Gfr FINAL FINAL BUILDVO,) wit. ' - # L tom ' DATE CLOSED Q-Ja ASSOCIATI N) AN a:� g" •�'�ur Tyr��' • . 10 --� 11,90vF 1300 0 I� • ►{xy (3�aGc.luU sT 5110I 0 d- 2ac �v�u rs S �R�TD1.1 A Na i (4-WiNf Alor -t-z ev� 120 Great Western Road l (508)760-4500 P.O. Box 708 v�� F, �5 Fax (508) 760-4930 South Dennis,MA 02660 Toll Free 1 (800)368-SHED D PR�� 7433 58550 DEPARTMENT OF PUBLIC SAFETY 58550 ' ONE ASHBURTON PLACE, RM ,1301 - BOSTON, :MA 02108-1618, CONSTRUCTION SUPERVISOR LICENSE - Number: Expires: Restricted To: 1G PO o Ir 'i` C i;�6 JAMES D MCGRATH e Detach bottom, fold , sign on PO BOX 708 `back, and laminate license card. S DENNIS, MA 02660 Keep top for receipt and change of address notification. HOME IMPROVEMENT CONTRACTOR Registration 109374 Type - INDIVIDUAL Expiration 09/11/98 PINE HARBOR BUILDING CO.,INC. JAMES D. McGRATH � �0 7?_,4f!gLO BOX 708/120 GT WESTERN RD ^W'"'A1m S DENNIS MA 02660 . i •a �} Ago- 00-f � - 600 � 9G,eeG Boston, Mass. 02111 Workers' Compensation Insurance Affidavit licant information •�.. .-Pl"cas`c�'R1TV"I �}M� M.-f.`' •-z,.,_'r..- n 1� (z A- lid tiow S1 1 eik- f S S C MS phoney .vfam a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity O 1 am an employer pro\iding corkers' compensation for my employees corking on this job. mom tnL name: � �a,CT7 i�go �c Oojcp. DBA I�Ine [ aAj Who I Pr. 4 T, cit- nhone olic.a UJe insurance 3 8' _ _ .. ...•r.. .�•c�;t-�.-err c-•.--•Y=-:-_< :•+s;� O ( am a sole proprietor.general contractor. homeossner(circle one) and have hired the contractors listed beloxs \sho hay.p the follo\%im_workers compensation polices: < • City, phone a• in-urance co. polio a ramp A phone He ooticr a insurance Eta oat i5eF1'ITie Failure to secure coverage as required under Section 25A of�1G1.152 cis lead to the imposition al cntataat penalties of a G S ov op w w "� one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. i uaderstand that a copy of this statement may be fomarded to the OtTicc of investigatioas'of the DU for coverage vetiGcatioa. /do hereby eertiffy under th pains a nalties of ' ry that the information provided above is true and correct -2•Z Signature Date 7 �- Print name �� Phonc Il :- official use only do not.+rite in this area to be completed by city or town ofTteial city or town:_ - _ _ permit/liccnsc p r�Buildiag Department 0Llcensing Board QSelectmea's Office O check if immediate response is required Qlicalth Department • contact person: phone if._ __ - nOther�—_ Suggested Affidavit for Home Improvement Contractor Permit Application For Office use only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGLc.142A requites that the"reconstruction.alteration.renovation,repair,modernization,conversion,inprovetnent,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 adiacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. /��,� �I �f� Type of Work: l�c ls�Gfi Q n � J� t ���'� �I�LCJ Est. Cost Z10 o Address of Work V 5 S tk%c�A�e_ �)4`,A Owner Name'✓ A Z N411-a—JCL Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under S1,000 Building not owner-occupied _Owner pulling own permit _Other (specify) 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 agegt 9 n r -7cl Date j ntractor Na c Registration No. V YT-1-OR: Notwithstanding the , I hereby apply for a permit as the owner of the above property: nic e n Date Owner Name CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: ol DATE 1 � Z�•� Y JOB LOCATION M\CkCk` PROPERTY OWNER rtA-�,w "Tb .oz-> CONSTRUCTION SUPERVISOR �eS (0 LICENSE NUMBER OJ I PHONE -760-y ADDRESS S•. �Jln LS LICENSED DESIGNEE (IF ANY) 2 . 15 Res-ionsibility of each license holder: 2 . 15 . 1_ The license holder- shall be fully and compie-ely reszonsible for all work for which he is sunervisinc. He shall be resnons_ble for seeing that all work is cone pursuant to the State Buildinc Code and the drawings as attroved by the Buildinc 0f=icial . - - - 2 . 15 . 2 The license holder shall be responsible to supervise t=e construction, reconstruction, alteration, repair, removal or demol-ition involvinc the structural elerients of buildings and. szruczures only pursuant to the State Buildinc Code and all of her atolicable Laws of the Commonwealth even thouch he, the license hoicer, is not the permit holder but only a subcontractor or contractor to the permit holder . 2 . 15 . 3 The license holder shall immediately notify the bui ldi c 0--cial in writing of the discovery of any violations which are covered by the building permit. 2 . 15 . 4 Any licensee who shall willfully violate Subsec-- ons 2 . 15 . 1 , 2 . 15 . 2 or 2 . 15 . 3 or any other sections of theses rules and re:ulations and any procedures as amended, shall be subject to revoca-:ion or suspension of the license by the Board. 2 . 10' All building permit applications shall contain the name, S_cnature and license number" of the Construction sunervlsor Wrio 1s to Supervise those encased In construction, reconstruct- on,. a_,zeration, ret_ air, removal or demolition as regulated by Sect_on 109 . 1 . 1 of the Code an these rules and reculations . In the even- that such licensee is no longer supeT_'visinc said persons , the work. shall immediately cease until a successor license holder is substituted on the records of the building department. I have read and understand my respons ibil i ties under the rules and recslations for licensing construction supervisors in accordance wiz Section 109 . 1 . _ of the State Buildinc Code . I understand t-e construction inspection procedures and the specific inspections as called for by the building official. LICENSED CONSTRUCTION SUPERVISOR PLOT PLAN FOR LOT d Indicate location of garage or accessory building Additions with dashed lines-------------- Sewerage disposal(cesspool) I Well t I (Lot....................ft. re ar) Abuttor's Abuttor's Naase Name Lot I Rear Yard Lot M ...ft_ i I if the s is a if this is u � GcaQ lot, !+ � Comer lot, "" Writc write in 1L,� n=e of rare c! other sL eet. Sidcvard HOUSE Sidcyard Set Back .................ft. a„p . � r 60� (Lot....................ft. frontage) \ / (Name of street) / \ Information / \ Supplied by — Mark North Point THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / IL DATA 7 4 912e cs 11�71-e .67 o/ rf RATTON (-'0NTR(--,CT0k4,,; PEGT�STF 8TId Room Once )n Plac . RostOn , HOME IMPROVEMENT CONTRACTOR Regi8tration 109374 C.xpiraticri 09/1.1/90 J'ype - INDIVIDUAL PINE �HARBOR 30ILDING CO — INC , :TAMES 1) . McGRATH po BOX 706/120 GT RD S DENNIS MA 02660 TOO 19 771WM S-K86bHiiNld LOOSTLEes 9 00:2T "86-2-90 1 74SP ?7nle 6/1 G ()A ,oHomr, IMf':llWVL'ME-NT CON I-RACTORS REGISTRATTON il, 3oard of Buiidinq Regulations and 0 Boston HOME IMPROVEMENT CONTRA(..'TOR Reeistration 109374 E..Xpiration 09/n/go Type - INDIVIDUAL PINE HARBOR BUILDING CO . .lNC . JAMES D . McGRATH PO 00X M91120 GT WESTERN S DENNIS MA O':660 TOO 19 '17 1 WM�676086bHi i N 16 LOOSTLLSOS 9 2G.TT 8E-22-90 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 061 030 GEOBASE ID 3456 ADDRESS 59 MIDDLE POND PATH PHONE MARSTONS MILLS ZIP - LOT 38 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 24777 DESCRIPTION SINGLE FAMILY DWELLING (FMT.#22252) I PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services -TOTAL FEES: -BOND $.00 THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * # * BARNSTABLE, • MA83. OWNER DACEY, ,BRIAN T TR i639 ADDRESS Epl PO BOX 95 CENTERVILLE MA BUILDING DIVISION BY .�.�a DATE ISSUED 08/04/1997 EXPIRATION DATE t THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IM A DATA Department of Health, Safety and Environmental Services �tt� * * BARNSTABM MASS. i639. ED PM'I BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTU(.. 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- (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. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS y rc 2 2—f d 2 6 ' 3 1 TING INSPECTION APPROVALS ENGINEERING DEPARTMENT �, }� 2 7-3 0 OF HEEA'T OTHER: SITE PLAN REVIEW APPROVAL C ` WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. r e I I - I I I c R I I I I I I I I i I I"v z I r b� ! Jr f 'V S Assessor's Office 1st floor Ma [l< Lot 3 v `' ". � Permit#- � �� 2— Conservation Office 4th floorl Date Issued — Board of Health Ord floor Engineering Dept. (3rd floor) House# V t' � - Plannin De t. 1st floor/School Admin.Bldg.): 6 9 Definitive Plan Approved by Planning Board / a- — y 19n8� es 8:30-9:30 a.m.& 1:00-2:00 .m. ` < TOWN OF BARNSTABL��'�� �°�• ' r•� ildi g P rmi Application �R- 3 Project Street A ss Village Fire District C—to r C uncr Address Telc hone Permit Request: To6'6��A `Q f�Zoning District L ' I� � Flood Plain C_... Water Protection 61.0 Lot Size 7�. t�� Grandfathered Zoning Board of AD=Is Authorization Recorded Current Use-tJ L Prop2sed Use Construction T Existing Information Dwelling T e: Single Famil V Two family Multi-family Age of structure N Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths a No. of Bedrooms -3 Total Room Count not including baths First Floor 5� Heat Type and Fuel ' Central Air AIL) Fire laces Garage: Detached Other Detached Structures: Pool Attached Barn -� None ' Sheds ---, Other Builder Information Name �J��A � // C > JG/ Telephone number 711 Address 195 License# Q V 15- Home Improvement Contractor# Worker's Compensation # l J�C 3 Z a ao /7 7 D 13 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOJ�k �� tu-f',/,vt. &LvXk 15T f_400Z. /G f0 a Project Cost �3�> Fee SIGNATURE DATE__ �-7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ur,� f.', f� "• BPERM T L FOR OFFICE USE ONLY ADDRESS VILLAGE OWNER { DATE OF INSPECTION: FOUNDATION 1 ` FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL f - GAS: ROUGH FINAL r FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. i l 'y I . D°` rz 7, t � coo 144,0 OF t s i a 8 . R (o$ nr y k _ LOCATIOW... I .L.tg T I r 1( T f-I A T, 'T 14 i= FW1; VAT1U U 5"o,,u Q l-1EQ.EoN, Gg'+�PL�S E W ITN i rr e.L IWC-- t � D QEQVIQEMEt.t-CS bF TNT �� `� ' ..�u SETt3�Ct� -�owU ,OF c�AQ►J�7�f3� - Aub �s 1.�i=' 1�u � ZU 3 Q� �; l..c�G-4 W1 Tl-l l�l. "TZ-l!✓ �I.oOD RBI I.1 ! dATE: Amt.21� RE615'1'UZED "Wp 6ueVG_`(otZS ' OSTeV-Vtt_l.- o AXaS.S. i ' Tt�lS DLAN 1S UOT ' BA.SE'Q U � A�.l _ �J`;tT��JMEWT �uQvc�{ �; Tt�L— U�FS�=TS S►dot�LD APPL.I BAD v lid �U_ �r.T E3C U Lr> To met cPhl�ut" �T LIeJi i � /� "_ - l::l.J/nlNu/h.GUT'TERS}r-LEdq Er1 _ . IF -t3taYslpE f3UlLntnlG G<. ' GENTGRVI LLE i ' I ill I !. n r- I � W� i I r-,::F-E::�g EB Ff ' LILF �N IlAN E I I I l-- j I I i _ErF " _ fEW 'SIMEENLn_\VOOO LOUVETL , i2I 4r r-e �'� j j95P.I=CAI- _fL.00.F__5411NGLEt „•• i/�i� \ , I � YxL-cutiniu�.LGur_rcrcL--¢��EAn�Rs �j R I I N!I it I e I - - - - � I' � r ::ASPtWPL7'-.20OF SUING -- 'j _Atuir.:Gus-re2. �, �.Enoc2s / Nil . I i I I I i I r �.�AY.Sl_DE—�UILOIt.1G.�_="C.o II�Ir: -- MEf:7,F_Z.UI LLE �LEA.IL==EL"E:VA-f I p hl I .. .... `. 2 GC DCA V .F_.D 9 CC I o•_o^ .14'-o" Iq`.o`• 11to'�/4.�--_.:29"i/4----- '16,_0'.. Ic. 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G"aY_S I.:E./A'i t;�G'" Y,'CAp_i�O aR:fJ'.._S-TD1 NLa j I I _=2Y I O(11i'_J -2a.cS.II.S_D - _O.a'a.5cct_-�F�Lt--- I i OD .-Grz.r,cc. 9•_�.. cam,_o P3TZ=C:FA�T y P� ' CL 1.-L rz10 cc E...p t.-AtNt St=AL-T�r3 .o.spuvc.T S111r.IG.I c< �.� _VENT I"C..021 p ED(,C FASC-I A. 12 // 4T' t IaL -I_X$1$i/A GU (T -" 2v8®{(. �J/A OUTTE2S jLEApC 11 � ' IIr � �J000 Furt�tiUG�16 I `.�I /��• �, � 12x41NTEbIo 2.STU0)Q 1(n" zz j ! i bA7 f1 �. 2GGLnc P)Epr7,./n F'.Cl --Iv2 Cox SNEPT 6l INC> slocs 14� pj l �''LYro:(3EA.2U-14�\Vt.LL- ; Pn1D RE/�2. FlrnrJrl Su l=�oGLov < 3 ' o 9 �a J ,,,\ ��e c»r»ra�r�ueall� c�✓j�ccs.rac�usel�s �. ,}s r DEPAMERT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Huber: Expires: Birthdate: CS 005645 04/19/1998 04/19/1956 Restricted To: 00 BRIAH T DACEY 62 FERHBROOK LN CEITBRVILLE,. HA 02632 .t CoNfMONWEALTH OF MASSACHUSETTS �.N P DEPARTMF�T OF INDUSTRIAL ACCIDE.'vTS pW 600 WASHINGTON STR= BOSTON, MASSACHUSETTS 02111 James. Gamooe� ;o0mm. ..ssione, WORKERS' CONOENSATION INSURANCE AFFIDAVIT 71J 't/N = (licensee/permiaec) with z principal place of business/nesidenee at: (Gry/StscclZip) do hereby certify, under the pains and penalties of perjury,thar. (J I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number ( J I am a sole proprietor and have no one working for me. ( J I am a sole proprietor, null contraaor r homeowner (circle one) and have hired the contractors listed below who have the following woe e:z compensation insurance policies: - Name of Contractor Insurznce Company/Poliry Number r... Dame of Contractor Insurance Company/Policy Number N2me of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work my-srJ[ NOTE please 6c aware test wb*Jc bomeoners wbo emo)ov persons to do maintentneL. construction or rrp:ir.oric on a w cwciiint of not more than wrce unto in watch the hor eowner tiso reiiau or on the Frouoas appururiznt thercto ire not rcncr"dJ%- consiacrra to be cm_oio.-rn unacr the ''oriccn' Compensation Act (GL C. 152. so- 1(5)). appiicution by a bomeowoer for a lieco.sc Or txrmtt msv cnccocc the icF2J surw of in cmpiover under the Woricen' Compensation Act 1 understand :nit : eoa%•of ti is statc-:ent will be for-arced to tine Dct)v-ncnt of Industrial Aecidena' Ofnec of insursnae for ooze vcr:.i=ion a u nt :rsa: :aiiurr to secure eprerc as rreuircc unac Section _'5A of.MCL 15: = lead to the imposition of c•=in ar alert mnstsnne of: sine of ue to S1500.00 andior impruor>=.=t of uC to one ,-= and avv per,aicies in the form of a Stop boric Oroe znd a fine of S100.c'; : aav a€arras: mt. s Jr t SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 y • INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS.- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 TILE INSTALLER: TONY AVERINOS: (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 m f F U F D U F U F U G U F Lo F U G Western Surety a G U r G U ' p 9 G LICENSE AND PERMIT BOND c` For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; F Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. G � KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 2A8 3 85 15 u Thatwe, Ba_yside Building , Inc . of the Village of Centerville , State of Massachusetts , as Principal, L and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of Eight hundred forty and 00/ 100************** DOLLARS ($840 . 00***** )� (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a single family frame dwelling at 59 Middle Pond Road , Marstpns Mills , MA 02648 210 feet frontage by the Obligee. NQ3' FORE, if the Principal shall faithfully perform the duties and comply with the laws and Or u all amendments), pertaining to the license or permit, then this obligation to be void, o —wtke9t� e -' n full force and effect for a period commencing on the 2 4 th day of 'Q�s► 19 9 7 , and ending on the 2 4 t h day Afr c h <"i='= 19 9 8 , unless renewed by continuation certificate. S3 .lic�lay. 'rminated at any time by the Surety upon sending notice in writing to the Obligee and to t '-''I}c1 n the Obligee or at such other address as the Surety deems reasonable, and at the expira- tiot,® ) days from the mailing of notice or as soon thereafter as permitted by applicable law, which`e e.� jb `this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 2 4 t h day of March 1997 . Principal Principal Countersigned WE STERN S U E T Y C O N Y G ! ' f• F f• By By G Resident Agent President ACKNOWLEDGMENT OF SURETY u STATE 01 UTH DAKOTA 1 (Corporate Officer) F f ss G County of Minnehaha u On this day of ,before me,the undersigned officer,personally F appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN F SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing instrument for the purpose therein contained,by signing the name of the corpor ' n by himself as such officer. ; IN WITNESS WHEREOF, I have hereunto set my hand and official se L G U J. RHONE ; G o NOTARY PUBLIC �� S 9EAL SOUTH DAKOTA S c otary Public, South Dakota My Commission Expires 6-12-2004 Western Surety Company F Form 849-A—12-96 1-605-336-0850 ' } r n il ACKNOWLEDGMENT OF PRINCIPAL n (Individual or Partners) ; n STATE OF � n F ss County of n � n n b On this day of ,before me personally appeared , l •i{� n U known to me to be the individual_ described in and who executed the foregoing instrument and P. u acknowledged to me that_he_executed the same. u b rr il My commission expires Notary Public f ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) r STATE OF 7 ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of , a corporation, rf and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such.officer. My commission expires t Notary Public n n > n E0-4 - n n �y n E M+M n n O W n n r n U a U n z A FZ C: o z z 4-3 10 W n n V r n y M�1 O O 4-4 n n i r• , i rop IP asap vs - LI. w �° PST t Fir Pt-�v'j 4 3 Z 3 ` 1-2I �� t:5 'S 'Tow, M IU l-lot_ - qT j: ►�IED..S�'?uD 4'pP� a,sr. iw. c•�.. .. �7�� ;� ,p�Zt� GF �;;�5 �C�RAotZ 2 '60x 1-740 STTC to 4.• -Y . ER- GAL- No. • LAN. . A .. SGT- MO R-� t' ►J 4-' STE ce. tla/�l'li ✓DAP TU r3c— t-1 ' fowat wasuED C.C_ GG STou� ��. 4,y PVC.. SCF1ZO;=t LEE E-`C-7�,�v a V _• �S U o. Sc Q.L�- i . Design Data Single Family -� bedroom No disposal, Daily Flow - ¢.x110=44b GPD. Septic tank = xl.5=660 gal. Use /5Z gallon septic .,tank. DisposaL _ Use 2-6x6 leach pits " w/1' of stone. Bottoms. = top sf 1.0 GIs.f. = f°Q G/D. Sides =.300 �/`/ //�/V �sr�r�s s.f. @ 2.5 GIs.f = .: r G/D. =65•a Xroc— �� T �� AA/ I certify the proposed dwelling �. 'N G' ' - conforms to the sideline and setback a �,-WILLlAM ��S ILL S MA requirements of the.Town of Barnstable C. fit. i and is� not located in the .floodplain. � YE No 19334�j J �� a p Professions :..Land urveyor Date �y .-,���. ,.�c'�►�,� - �S /t-�!� lJ�1� Z`Z 4 55 _ f .cZ6vA-1760 s �l=�S.S/bu�}•�. D S S. x5cA Nsrz>>34 - 6. .r7S, MARS QurL �ti 6STD / � i