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HomeMy WebLinkAbout0401 ROUTE 149 - Amnesty & MULTI-FAMILY i a �. -: _� Mckechnie, Robert From: Mike Mayne <mike68mtm@aol.com> Sent: Thursday, August 27, 2020 6:51 AM To: Mckechnie, Robert Subject: Re:Application T13-20- 5,401 Route 1749, MM Good morning, All windows were replaced in the main house prior to me purchasing, with the exception of 2nd floor bedroom needs one and second floor bathroom needs one and apartment windows need replacing -----Original Message----- From: Mckechnie, Robert<Robert.McKechnie(cbtown.barnstable.ma.us> To: 'mike68mtm@aol.com' <mike68mtm(cD-aol.com> Sent: Tue, Aug 25, 2020 11:45 am Subject: Application TB-20-2135: 401 Route 149, MM Good morning, Please provide the following information so that the review can continue: 1.) How many windows will be replaced and which windows are being replaced. I will complete the review as soon as you upload that information to your online application. Thank you, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 CAUTION:This email originated from outside of the Town of Barnstable! Do not click links,open I or reply, unless you recognize the sender's email address and know the content is safe! Barn stable Building , � a Town M--%r , ,, a���� .. ,1"V �� �, -- Post'This Card So That it is Visible From the Street-A roved Plans Must be Retained.on Job and this Card Must be �,-� r-m Baan�s�ewet.e, pp Kept MAS& Posted Until Final Inspection Has Been Made. ertnit Rom Where a Certificate of Occupancy is Required,such-Building shall Not be Occupied until a Final Inspection,has been made. 4 Permit No. B-20-1262 Applicant Name: MAYNE, MICHAEL& BARBARA Approvals Date Issued: 05/19/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/19/2020 Foundation: Location: 401 ROUTE 149, MARSTONS MILLS Map/Lot: 079-011 Zoning District: RF Sheathing: Owner on Record: MAYNE, MICHAEL&BARBARA ' Contractor Name: HOMEOWNER IS APPLICANT Framing: 1 Address: PO BOX 911 ; Contractor License: EXEMPT 2 MARSTONS MILLS, MA 02648 'Est. Project Cost: $200.00 Chimney: Description: replace siding Permit Fee: $35.00 ..° Insulation: Fee Paid: $35.00 Project Review Req: € Final: t� Date: 5/19/2020 wl Plumbing/Gas Rough Plumbing: Building Official r s Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafte"r`.issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. I ' ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Worky Service: k 1.Foundation or Footing4, 6 (/9 2.Sheathing Inspection _ _ �� �. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Z S.Prior to Covering Structural Members(Frame Inspection) Im Low Voltage Rough: 6.Insulation - 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Per ' ns contrac' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department ' - Building plans are to be available on site � < Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT a, t l0 Application number..�..�......:-............�...... e� T` Fee ._.` ? ►�-DING GEP .............................................................................. �� • �P/r2 �auss. MAY 1 $ 202 Building Inspectors Initials....................................... TOWN OF ARN STABLE Date Issued........... t��,l B .......... ........................................ Map/Parcel.............. ... .... .©'�..................... TOWN OF BARNSTABLE SCANNED EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project:�,/�qZ Q , -� /�� ,.�A,9 _ Af NUMBER STREET VILLAGE Owner's Name: ZL,- ���� &rtioZia�-11111hone Number 17,y- 73 7--�V.2�2 Email Address: a Caw, Cell Phone Number , 7 .Q?c/ , Project cost$ a6o,00 Check one Residential _ Commercial OWNERS AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding 0 Windows (no header change)# 0 Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review Q Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER . *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X 9 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event -Check oiie: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: I-lIagG e/ 4HA140L Telephone Number Cell or Work number mat I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signatured/. Date S-,/q•�® APPLICANT'S SIGNATURE Signature Date_ /All permit applications are subject to a building official's approval prior to issuance. g The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): /"/�G 6j��/ , a 1/01 l Address: 6/0/ Q11„ i 4 9 City/State/Zip: TOn S I iPPhone#: 5—d T_- 73 7 - a�07� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction I employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11 Plumbing repairs r additions 3.(� I am a homeowner doing all work .❑ g p s o g myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑i'Oth .�� "employees. [No workers' er 4i comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees. Below •nlct tr , information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Job Site Address: City/State/Zi; . Avv Attach a copy of the workers' compensation policy declaration page(showing the policy Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impo p aiaities of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a S!vt• WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sinafore: Date: �`� /'-70 Phone7'�oZ� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because.of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance'or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MA.SSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.govldia Town of Barnstable Building Bud g Post=This Card'So That it is Visible From the Street-Approved.'Plans Must be�Retained on'1ob and this Card Must be Kept �� '""S& Posted Until Final Inspection Has Been Made. s6;q. �r8' a R Where, Certificate of Occupancy is Required,such Building shall Not be Occupied until a:Final Inspection has been made. Permit Permit No. B-19-3683 Applicant Name: MAYNE, MICHAEL& BARBARA Approvals Date Issued: 11/19/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/19/2020 Foundation: Location: 401 ROUTE 149, MARSTONS MILLS Map/Lot: 079-011 Zoning District: RF Sheathing: Owner on Record: MAYNE, MICHAEL& BARBARA Contractor Nam Framing: 1 Address: PO BOX 911 Contractor License: x 2 MARSTONS MILLS, MA 02648 M Est. Project Cost: $965.00 Chimney: N Permit Fee: $85.00 Description: Dig out Gable and foundation, remove and replace cinder blocks ) i Insulation: and backfill ; - _Fee Paid $85.00 L 19/2019 Final: Project Review Req: mod `✓ Date 11/ I Plumbing/Gas ((( Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months`'after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire.Officialsare"provided on this.permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:; ,} 1.Foundation or Footing ' Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed ._ _ � " Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1 - `• 5 Application Number.............................................................. BARPMIX - AB MASS. Permit Fee.......6 . .0.0............Other Fee:....................... 165 81JILI)ING DEP r Total Fee Paid............. .............................................I.... ...... ,. 0CT 3,12019 TOWN OF BARN E Permit Approval by........ .....................On... S%%F BUILDING PERMIT BARIVSTABI E Map............0.11.............Parcel..............0.1....I.................... APPLICATION Section 1 -Owner's Information and Project Location Project Address_ t?2�e Z JPd Village Owners Name I to �/O L,59 Owners Legal Address �o / C-0 f-r t kd City D a r!5 +o- y) 5 M,J 14 State I-AA zip 0 Q K, CJ42r Owners Cell# - -5'0 '3 -7-3-7 gjq,2� E-mail A I ko 6 � 14 rq Section 2 -Use of Structure Use Group_ Fj Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet R"Single/Two Family Dwelling Section 3 —Type of Permit F] New Construction E] Move/Relocate E] Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement El Family/Amnesty El Fire Alarm Rebuild ❑ Deck Apartment El' Sprinkler System ❑ Addition E] Retaining wall ❑ Solar 1:1 Renovation El 'Pool D Insulation Other— Specify---jR e (nelr 4(4 tly 0 Section 4 - Work Description t'ct q A 6--RL 6 Y'l T.Fiqt iindAtf-A- 11/1 Sn.nl R Application Number.................................................... r � Section 5— Detail Cost of Proposed Construction ✓`"—, 01 Square Footage of Project a@ IF Age of Structure 1 q :3 a `' Dig Safe Number QL0 I(`-i 4 0 3 3 57& # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design j Section 6—Project Specifics P ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private t . Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes 29 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 M� yAe- yo IRovt-e- Ve( l YP- 'e, rAS Jo Barnstable Bldg. Dept. azAI 1 A roved b r ) Permit#: r JI r f.D L t L oc, alc,+e b eAfs e.verI 7�1 L T71— K I 11-:4, l � I r tr �_ NA oae*47 906 • 6 3 � � L U4o d i CD Ba nstable Bldg. Dept. � o � c Approved > Pe mit #: J The Commonwealth of Massachusetts Department of IndtistrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 wwM.mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):�h i 4-�.�,e-` HA /n to Address' 44 C2 • ;e- i L r►q City/State/Zip: ®P1o9#: -6-0'37~ 73 T Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I 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 8. ❑Demolition working for me in any capacity. employees and have workers' Z 9. ❑Building addition [No workers'comp.insurance comp•insurance• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions ] officers have exercised their 11. Plumb repairs or additions 3.� I am a homeowner doing all work ❑ � myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13 ❑Other employees.(No workers' COMP.instmdnce 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 subcontractors 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 mV employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceriify under thepains andpenallies ofperjury that the information provided above is true and correct Signature: Date: Phone#' ;W S- 7 -77' V V.? Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person id the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the , members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for firture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts ' Department of Industrial Accidents Orifice of fnvestigatais 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 v:mass.gov/dia Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: lchie'l ),nie s.-. Telephone Number Cell or Work Number 7,217 .�14 Z,'�L I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date 10 ,31 °29 APPLICANT SIGNATURE Signature Date 1 °19 Print Name Telephone Number ,5'o2�-7.37 E-mail permit to: m i ke g A` j t o i ,Co Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department El Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization i I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name l I Last updated: 11/15/2018 f Page 1 of 1 Mckechnie, Robert From: MacNeely, Martin [mmacneely@commfiredistrict.com] Sent: Friday, September 24, 2010 9:52 AM To: Mckechnie, Robert Subject: 401 Route 149 Marstons Mills Bob, The fire alarm system for 401 Route units A/B was inspected and approved on 3/9/10. Inspector Martin MacNeely 9/24/2010 ��toht•Y MI#� °,j ��,„" r:- w.,y; kY'�1siY'{ r4y rx k`n t 2 rr •. '.;�t F�':, $+, �r� M,r�...,�. r a� .',. .:•>,5 aye. d "r .5.^ 5+•',r... ,........, e� ,. 4L, i q 3sxt tol�m`.'a M tF is,R: t qf: z.'•.. r ��' O�'" a5t� L Y ��". '�t""4Gr ,,-h'v 'T�� c 7 a ��, _7 *a � •r WYw �$fih 5Y S �j F F :a l� i ,mot - � �- ', ,�. �'t• •y ei ;. : H n to snake ff a ordable ho p. g usrn ossible. S ..7r"'ry.c:�3� r� '`�„ }.� F�^y `;g r r f.e'a'e T�y'T:ti.. Sp xt. .1' ro 'ydrw r ; f fy :}fy 5 k+fix_ R { � t ✓- e,, t x � e T , x. Ham�v f s Certificate. of Co m l lance. This certificate in acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. i . Owner :Michael & Barbara Mayne Location 401'Route 149.-Marstons Mills, MA Unit Capacity Stu io ;not'to exceed one person Inspector ' Y M/P No. 079011 9/23/2010 Town of Barnstable Building Department - 200 Main Street EARN STABLE, * Hyannis, MA 02601 MAS&1639. , ' (508) 862-4038 - rFD MA'i s Certificate of Occupancy Application Number: 201004376 CO Number: 20100143 Parcel ID: 079011 CO Issue Date: 09/23/10 Location: 401 ROUTE 149 Zoning Classification: RESIDENCE F DISTRICT Proposed Use: TWO FAMILY Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO MICHAEL & BARBARA MAYNE c2 e c.) Building Department Signature Date Signed UEre�rtL ol� r,e.ow�. IV`c- IVt, Y 1 �3 rd tHE TOWN OF BARNSTABLE 13,�riin • _- � 7h,� ding.: �YY Application Ref: 201004376 • BARNSTASLE, Issue Date: 08/31/10 Permit 9 MASS. �prF6 A3119. A Applicant: LYONS,DONALD G&MARY F Permit Number: B 20101778 Proposed Use:' TWO FAMILY Expiration Date: 02/28/11 [Location 401 ROUTE 149 Zoning District RF Permit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 079011 Permit Fee$ .00 Contractor PROPERTY OWNER ° Village MARSTONS MILLS App Fee$ 50.00 License Num Est Construction Cost$ 700 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING 1 ST FLOOR APT,REPLACE SLIDER THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LYONS, DONALD G 81 MARY F BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 401 COTUIT RD INSPECTION HAS BEEN MADE. MARSTONS MILLS, MA 02648 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED.BY THE JURISDICTION. STREET OR ALLY 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 ANYAPPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 QFIA101121(ho/d As ch' 1 1 BAto 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ? q Parcel D /� Application # 2, O 76 Health Division Date Issued 3 Conservation Division Application Fee Planning Dept. Permit Fee �,4lOD a I Date Definitive Plan.Approved by Planning Board a S� Historic- OKH _Preservation/Hyannis or nnw �S Project Street Address e nn nn Village s : uu J F. ,. Owner k 4kf_/ nE&r b,�w--t% Address Telephone �R2F 3 2�& 1377�/ C/ N. EQT '7 3 Permit Request 4c SISa s- Square feet: 1 st floor: existing proposed 2nd floor: existing q$gproposed Total new Zoning District R F Flood Plain - Groundwater Overlay Project Valuationf1 0®, o' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Yo' Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes l7 No Basement Type: I(Full Crawl ❑Walkout ❑ Other Basement Finished Area(sq.fl,.) Basement Unfinished Area(sq.ft) g°g g✓ , Number of Baths: Full: existing N 1 !4 new Half: existing new Number of Bedrooms: 2 14 1 -existing —new Total Room Count (not including baths): existing ] k 2 A new First Floor Room Count rH ;I A Heat Type and Fuel: 9'*G* aA YOii 14 ❑ Electric ❑Other Central Air: ❑Yes iA No Fireplaces: Existing L 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) IV Name k t L 4a e Rq V✓t f_ Telephone Number 6_07- 7 7 Address q0 v I� pri. License # ftf (k AN Q,16 YQ` Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 64r'I sl' d Ae- SIGNATURE DATE ' 01 Y / , _ FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL N0. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION s FRAME 9 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL F` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING +- . �� SI N O� sue► DATE CLOSED OUT ASSOCIATION PLAN NO. J 'y r Bk 24730 Psr316 4383902 u r. - n r:. �_G SNE 1T AI` Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2009-074— Mayne Chapter 40B Comprehensive Permit Applicants: Michael Mayne and Barbara Mayne Property Address: 401 Route 149, Marstons Mills MA Assessor's Map/Parcel: Map 079, Parcel 011 Zoning: RF Zoning District Deed Reference: Book 24389 Page 29 Applicant- The applicants are Michael Mayne and Barbara Mayne, who reside at 401 Route 149, Marstons Mills, MA. Mr. and Mrs. Mayne are the owner occupants of the property as evidenced by a deed recorded in the Barnstable County Registry of Deeds on February 26, 2010 in Book 24389, Page 29. Relief Requested: Mr. and Mrs. Mayne have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with §9-14 of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program". The permit is sought to allow for an apartment accessory to a single-family owner-occupied dwelling as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) Principal permitted uses in a RF Zoning District to permit an accessory apartment unit adjacent to the single-family dwelling. The issuance of this Comprehensive Permit would allow for a separate, approximately 300 square foot, studio living unit as an accessory affordable apartment unit adjacent to the single-family dwelling. Locus: The subject property is a 0.75-acre lot located at 401 Route 149 Marstons Mills, MA. The lot was developed in 1932 with a single-family Cape Cod style home. The living area of the main residence is 2,043 square feet. r Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2009-074—Michael Mayne and Barbara Mayne Background: The lot is served by Public Water and private on site septic. The town of Barnstable's Public Health Division reviewed the application, and on April 28, 2010, approved a total of three (3) bedrooms at the property. Procedural & Hearing Summary: A site approval Fetter was issued for the property by Town Manager John C. Klimm on May 12, 2010 in accordance with MG.L Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was filed at the Town Clerk's Office on May 25, 2010. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on May 28, 2010 and June 4, 2010, and notices were sent to all abutters in accordance with MGL Chapter 40B. On June 23, 2010 Hearing Officer Laura F. Shufelt opened the public hearing at 6:00 p.m. The applicants, Michael Mayne and Barbara M. Mayne were present at the hearing. Cindy L. Dabkowski of the Growth Management Department was also present. Laura F. Shufelt reviewed the file with the applicants to assure compliance with all of the program requirements. 1.. The hearing officer made the applicants aware of the proposed conditions and the applicants consented. 2. Michael Mayne and Barbara Mayne gave their testimony. 3. Members of the public were requested to comment. None spoke in opposition of an accessory apartment. 4. The June 23, 2010 hearing was closed by Hearing Officer Laura F. Shufelt at: 7:00 p.m. On June 23, 2010 the hearing officer granted the comprehensive permit with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal on June 25, 2010 as required by the Town of Barnstable Administrative Code Chapter 241, section 11 of the Town of Barnstable Administrative Code. If afterfourteen (14) days from that transmittal the Members of the Zoning Board of Appeals take 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 June 23, 2010 the Hearing Officer made the following findings of fact: 1. The applicants are Michael Mayne and Barbara Mayne who reside at 401 Route 149, Marstons Mills MA. Mr. and Mrs. Mayne are requesting a Comprehensive Permit to allow for a studio accessory apartment adjacent to the owner occupied home as an accessory affordable apartment. The allowance for the unit as an accessory affordable unit qualifies for the "Accessory Affordable Apartment Program." 2. Michael Mayne and Barbara Mayne were granted title to the property by deed recorded in the Barnstable Registry of Deeds on February 26, 2010 in Book 24389, Page 29. 3. On May 12, 2010, a site approval letter was issued for the property by Town Manager John Klimm, in accordance with MGL Chapter 40B and 760 CMR 56. Notice of the site approval 2 , Town of Barnstable,Zoning Board of Appeals Decision and Notice, Comprehensive Permit No. 2009-074—Michael Mayne and Barbara Mayne 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 300 square feet, and is located adjacent to the right side of the principal dwelling. 5. The applicants are aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on-site septic. The proposal has been reviewed by Thomas McKean, Health Director, and he has approved a total of three (3) bedrooms at the property. 7. On March 10, 2010 the applicants Michael Mayne and Barbara Mayne each 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 at the Barnstable County Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as the applicant's primary residence. 8. The applicants understand that the affordable unit will be rented to a person or family whose income is 80% or less of the Area Median Income.(AMI) of the Barnstable Metropolitan Statistical Area (MSA) and further agrees that rent(including utilities) shall not exceed 30% of the monthlyhousehold income of a household earning 80% of the median income adjusted g J � 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 April 27, 2010, 6.7% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. Summary- The Hearing Officer ruled that the applicants Michael Mayne and Barbara Mayne have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is also deemed consistent•with local needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. 3 r Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2009-074—Michael Mayne and Barbara Mayne Conditions: Hearing Officer Laura Shufelt ruled to grant the Comprehensive Permit in accordance with MGL Chapter 40B and Article Ii of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program to the applicants, Michael Mayne and Barbara Mayne. It is issued to allow for a studio accessory 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 three (3). 3. The property owners Michael Mayne and Barbara Mayne shall occupy the main dwelling as their primary residence. 4. ' The accessory unit shall not be occupied by a family member of the owners. 5. All parking for the accessory apartment and the main dwelling shall at all times be on-site and no lodging shall be permitted for the duration of this comprehensive permit. 6. To meet the requirements of affordability, the cost of housing (including utilities) shall not exceed 30% of 80% of the median income for a one person household for the Barnstable MSA. In the event that utilities are separately metered, the utility allowance established by .the town of Barnstable shall be deducted from rent level so calculated. 7. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the Accessory Affordable Housing Program. 8. The Growth Management Department of the Town of Barnstable shall serve as 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 and inspection of the accessory unit shall mirror the fee charged by the Health Department for the rental registration program. Currently that fee is $90 annually. 9. The applicants shall apply for a building permit for the accessory unit, whether the unit is new or pre-existing. Before securing an occupancy permit and certificate of compliance, the Building Commissioner 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. " 10. The applicants may select their own tenant. The tenant shall meet the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the town of Barnstable as a qualified tenant. The' applicants will be required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an 4 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No. 2009-074—Michael Mayne and Barbara Mayne income eligible individual. Whenever avacancy occurs, notice must be given to the Growth Management Department and the unit must be listed with the Town. 11. Every twelve months the applicants shall review the income eligibility of the tenant occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit, the applicants shall file with the Growth Management Department of the town of Barnstable, as Monitoring Agent, an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicants and/or tenant shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. 12. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 13. 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, the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 14. 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 2009-074 has been granted with conditions. 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 applicants have the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. IaJA, /r ko 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 �Vday of .20/0 under the pains and penalties of perjury. 01, Linda'Hui enrider, Town Clerk 5 ° Bk 24730 P:u 321 v389�a3 0 --0--20 .0 a 0:3 = 45 REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this day of ,2010,by and between Michael Mayne and Barbara Mayne of 401 Route 149,Marston Mills MA 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 401 Route 149, Marston Mills MA as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 24389 Page 29. B. The Project Iocated at 401 Route 149,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 comprehensive permit Appeal No. 2009-074 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book Page D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. 11. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW: 1 In receiving.the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in 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 rented in perpetuity to a household with a maxui um income of 80% of the Area Median Income (AM) of Barnstable MBA 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 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 instriunentality 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 pinning with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income(AMI)of Barnstable Metropolitan Statistical Area(MSA)and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENAN`5 AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income(AMI) of Barnstable 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 Authorityshall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereirtafter 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 theremaining 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. VIL HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorney's fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A This Agreement shall constitute.the entire understanding between the parties and any amendments or ,changes hereto must.be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 24389 Page 29 and shall be binding upon the Owner and all successors in tide. 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 this County Registry of Deeds Book 24389 Page 29. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case maybe,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 f X SUCCESSORS AND ASSIGNS: A The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns @ 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 andinure to the benefit of the Municipalityand its successors and assigns for the term of the Agreement. 'U 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 paynnent of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable Couary. 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. MI. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to :he 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.2 day of Owa 1,ZI 2010. ONVNER BY: a,, Printed: i&l COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On th zX1 day of J- 2010 before me,the undersigned notary public,personally appeared the � er(s),prow d to me through satisfactory evidence o en ' ication,wEch we P-6115 ,to be the person(s)whose name(s) is signed on the precedint or attached document and acknowledged to be that he/she signed it voluntarily for the stated,purposes. Notary Public 4 Printed � MyCommission Expires: IN WITNESS WHEREOF,we hereunto set our hands and seals this day of .4g_v,s � 2010. OWNER BY: Printed: c 'L.�4 COMMONWEALTH OF MASSACH"USETIS County of Barnstable,ss: On thib�day of 42010 before me,the undersigned notary public,personally appeared the Owner(s),proved to me through satisfactory evidence of identification,which were" ,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. Notary Public. _ t/VV l Printed: � � My Commission Expires: ,. 5 . I . TOWN OF BARNSTABLE BY: T WN'MANAGER COMMONWEALTH OF MASSACHUSEM County of Barnstable,ss: On this_,:5 day of us r2010 before me,the undersigned notarypublic,personally appeared 1t)L, C. ���,�,,,,the Town Manager for the Town of Barnstable,proved tome through satisfactory evidence of identification,which were +-so k a/�� kUvw to be the person whose name is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public Printed: My Commission Expires: e�. /Ya0/6 -fgbtary Public" dc"A.Persuitte Comm weo C mmachusem Feb. 24 6 My co ns*c Bx mon 6 The.Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostoit, MA 02111 - www.mczss.gov/dia - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Businessiorganiz2rion/Individuan: 1 GkoLe— O' A`e ' Address: p v�� City/State/Zip: fo'-5 I L IS , hone.#: Are you an employer? Check the appropriate box: Type of prof ect(required): 1.❑ I am a employer with 4- ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub contractors 2❑ I am a"sole proprietor or pariner- listed on tine attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition employees and have workers' Building working far me in any capacity. 9. ❑ g addition • [No workers' co .'m mpsurance comp.t r-ornce. S. ❑ We a are a corporation and its 10.0Electrical repairs or additions rCqutrt ] officers have exercised their 11.❑Plumbing repairs or additions 3. I am a homeowner doing all work [No workers' comp. myself: right of exemption per MGL 12_❑Roof repairs c. 152, §1(4), and we have no insurance regnuEd]t employees. [No workers' 13.❑Other rs comp.insurance required] 'Any applicant that eheclo;box#1 must also fill out the section bclowshowing their workers'cornpabsatian poficy infatmatioat t Homeownat:who submit this affidavit indicating$bey are doing all work and then hire outside contrtictors must submit a new afaavit indicating such. IContractms dbat check this box must attached an additional Chat showing tlbc name of the sub-mntr2rtcn and stair,whctha or not those mfitics have employers if the sub-contractrns have employees,they must provi&their workcn'comp.policy number. I am an employer that is providing workers'compensation fsurance for my employees. Below is the polity and jab site information. Insurance Company N;?-m Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/StAtIzip: 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 crimTtial penalties of fins 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 statrmcrit may be forwarded to the Office of Investigations of the ILIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct Si Data: ' c: Phone Official use only. Do not write in this area, tb be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health-2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: I Town of Barnstable woe 1He ray Regulatory Services (BARNSLULE, " 'Thomas F.Geiler, Director MA53 �* g, 1619. Building Division PTf° � Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 R'wty.town.b ar nsta b l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: q JOB LOCATION: �© ( `O ( U L number r + street village .HOMEOWNER": VL4LW I MQY1 , -e e 7 tyC/ SDS 7 'pYa�. name home phone# work phone# CT-M-RENT MAILING ADDRESS: U��ors A0 IS 0'14 (Ogg- 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 Hermit. (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 nir=UM inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homc er 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. IIOMEOWNER'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 Iog.I.I-Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such work„that such Homeowner shall act as supervisor." Many homeowners who use this exemption&e 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 Aith 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[he homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by _..__., v—T. v rarr.t amend and adopt such a fom>/ccrtification for use in your community. oFYHEr Town of Barnstable Regulatory Services BARNSTABLE HAS Thomas F.'Geiler, Director $' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must k. Complete and Sign.This Section , If Using A Builder S , as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address off ob) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeoamers License Exemption Form on the reverse side. q z re a F � SSC � j i 5 � a I SMOKE DETECTORS REVIEWED k 3t ro BARNSTABLE ILDINCI DEPT. j FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING CARBON MUST E INSTALLED PER MASSACHUSETTS BUILDING COD IMPORTANT - UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE:.A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS—THE ELECTRICAL PERMIT DOES N T SATISFY THIS REQUIREMENT. f/O rn:4 `" gee ' _V i -.....--.,-jl k Cr tp C�� ' o o x 1 j i i p 7 ,. �. Go a i; I i 1 t A 9 ?f f� I Barnstable •(eaxrrsrasca, a AH-Amefica City � �,� The Town of Barnstable- Growth Management Department Jo Anne Miller Buntich 2007 Director MEMORANDUM TO: Lois Barry Building Department FROM. Arden R. Cadrin / Special.Projects Coordinator, Affordable Housing DATE: August 24, 2010 RE: AAAP Occupancy Permit Please consider this approval to issue an occupancy permit for the Accessory Affordable Apartment at 401 Route 149, Marstons Mills. Should you have any questions regarding this matter, do not hesitate to contact me. 367 Main Street, Hyannis,MA 02601 (o) 508-862-4678 (0 508-862-4782 200 Main Street,Hyannis, MA 02601 (o)508-8624786 (0 508-862-4784 0 0/0 6 Z//�2_ �oFIK Tati Town of Barnstable *Permit# Expires 6 months fror i issue rlate Regulatory Services Fee Ss gARVBA XLE. + 161 - bJS Thomas F. Geiler, Director 64 $ATE MP'�A Building Division / Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 9 — ® � Property Address_ v te- t. q Residential Value of Work-07 00. 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address /( Contractor's Narne 14v,.l Telephone Number �M$• 7 7 Home Improvement Contractor License#(if applicable) Construction Supervisor's License# (if applicable) b ❑Workman's Compensation Insurance Check one: AUG g 0 �01Q I am a sole proprietor I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane_nailed)(not stripping. Going over existing layers of rood ❑ Re-side #of doors ( Ci replacement Windows/doors/sliders. U-Value (maximum .35) #of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is req u'red. SIGNATURE: Q:\WPFILESIFORMS\building permit forms\EXPRESS.doc Revised 072110 t'' w 77ii Cofr moiriveahly of Alassachusetts -- Depart rent of Industrial.Accidents ©gce of byvesfiq,otions yti; 600 Washington Street . --, Bostort, 1'V4 02111 r Pit wt1."lass gov1dia -Workers' Compensation Insurance Mfdavi#: Builders/Conti-.-tctoj-&/Electiicians/Plumbers Applicant Information Please Dint Legiblti Name (Business/Orgauinhondndividual):_�o r 1,4 i f l a t/✓l Address ac v l 6- City/Statejzip: r a t I ionc �.jp7 C/,;? Are you an employer?Check the appropriate boa.: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I eruployees(full and/or part-time). * have hired the sub-contractors 6- ❑New construction 2..❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship.and have no employees These sub-contractors have 8- ❑:Detnolition working :for me in any capacity. ernpl�ees and Have workers' [No workers' comp.insurance comp.insurance. $xqw 9. ❑Building addition ed.] 5. ❑ We are.a corporation.and.its 10.❑Electrical repairs or additions 3.YI am a.homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'Gump. right of exemption per ViGL 12.❑Roof repairs insurance required.]T c. 152, §1(4),and we have no employees. [No workers' comp.insurance.required.] applicant i+Any ll out the.section below showing their workers'compensation policy informatiaa- t Homeowners who submit this.afiidauit indicating they are doing all tvoak and then hire outside contractors must submit.anew efdavit indicating such- ICaatractors that check this boat mmst attached an additions!sheet showing the came of the sub-contractors anal state whether or not those entities have employees. Ifthe sub-c.oulmdorstave employees,theymust provide their workers'comp.policy number. I am nit eutplo}er tltrtt is pro�idirtg ttrorr;ers'cotrrperesrthort i►lsrarrrrce for rr{y etttploy=ecs. Belort-is file poltcp and job s2te n fornzalYwL 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(xh•owing the policy number and eapu-ation 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 NORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verif cation. I do hereby certi U der tlts nts and penaties of per�tr.ry Mat the informatian prm ided above is true and correct: OR Si: ture: Date: t ' �9Dia Phone M Offin'til fuse only. Do riot ivrite in this area,to be coMpleted by city ar town officiaZ City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 3.Building Department 3.Cityfromm Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9 6 xti Op THE r, O + BARNSrABLE, " . Town of Barnstable pTfD MA'I A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA.02601 www.town.barnstable.ma.us Office: 508-862-40 Fax: 508-790-6230 Property O M p Ywner st Co plete and Sign T s Section If Using.A B lder I, s Owner of the subject property hereby.authorize to act on my behalf, in all matters relative to work authorized this building pe t application for: (Address of Job) F Signature of Owner Date Print Name Tf Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. r QAWPFILESTORMSIbuilding permit formsTXPRESS.doc Revised 072110 s r Rt Town of Barnstable Regulatory Services 9 XL'`�1Ayss '$` Thomas F. Geiler, Director ,679. A�6 ra,,,Ar Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnsta ble.ma.us Office: 5D8-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: S� L0 JOB LOCATION: .{._ [/ I RC9 V 1`- L Ll lj�6ng number street c �+ �/ village-7�T'7— f, .HOMEOWNER" �eC kcje' 1/✓�'� S g�,3S 1 Tq �1 br 1� 1, A'T��t, name home phone At work phone# CURRENT MAILNG ADDRESS: 01. 0(3 ')(( 1 1 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 an requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control, HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.L l -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 2.1.5) 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:\WPFILESIFORMS\building permit formslEXPRESS.doc Revised 072110 �pIKE Town of Barnstable BARNWABLE, : Regulatory Services 639. ,m� Thomas F. Geiler, Director ren Nay" Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 5, 2010 Mr. & Mrs. Michael Mayne 401 Route 149 Marstons Mills, MA 02648 Re: Amnesty Apartment Dear Mr. & Mrs.Mayne: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant . x 4 amnbp i °PIKE l Town of Barnstable Regulatory Services + BARNSTABLE, r v MASS. Thomas F. Geiler, Director 039. ;p�A�` Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rn sta bl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: 401 Route 149 Marstons Mills MA 02648 Date May 10, 2010 After reviewing the street file of the above named property, I verify to the best of my knowledge that the apartment was in existence before January 1, 2000. This property is now eligible to apply for the Amnesty Program Tom Perry Building Commissioner q:form s/amnestyaptverification, -� Town of Barnstable YHt:r Regulatory Services ��� 'o Thomas F.Geiler,DireaO'04q " Y Building Division + BARNS`rABLE, " y Mass. g Tom Perry,Building Commissioner ,`E ;: i639• ♦0 °tentitp'tA 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 t 5 ,` ® Fax: 8-e-79Q 6730AJ0 Approved: d�u7) Fee: Permit#: HOME OCCUPATION REGISTRATION � - Date. ?AV V Name: Plioue #: �Q 1t /72 7_w s� Address: v� '� Village: Name of Business:--- Q{�OT/[ -------------------------------- Type of Business: ap/I ot: 0 7 ! 0 INTENT: It is[lie intent of this section to allow the resideu, of the Town of Barnstable to operate a(tome occupation within single Family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the chvelling: there shall be no increase in noise or odor;no Visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration math [fie Building Inspector,a customary home occupation sliall be permitted as of right subject to the following conditions: • `I'lte activity is carried on by the pernianent resident of a single family residential dwelling unit,located within that dwelling unit.. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, noel there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,Vibration,smoke,(lust or outer particular-matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. o There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quaritities. • Any need for parking generated by such use shall be inet on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is uo exterior storage or display of materials or equipment. • "There are no commercial vehicles related to flue Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the sanne lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupatiou. • If the.Customary Home Occupation is listed or'advertised as a business,the street address shall nol be included. • No person shall be e.nnployed in the Customary Home Occupation who is not a pennnauent resident of the dwelling unit. 1, the undersigned, have read and agree rtitli the above restrictions for my home occupation I aun registering Applicant: Date: 5 4� a-69 l U [[omcoc.cloc Ro.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTER S YOUR NAME in town which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's-Office, 1"FL.(367 Main Street, Hyannis, MA 02601 (Town Hall) f" xai �rnW DATE: Fill in please: 1+ � s Rz Q APPLICANT'S YOUR NAME/S: i BUSINESS YOUR HOME ADDR SS: D -737-(o5aS '4yfi F• ,, M ., ,�, . .TELEPHONE #, Home Telephone Number NAME OF CORPORATION:-- NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? X Y S NO ADDRESS OF BUSINESS ems' MAP/PARCEL NUMBER / (Asse.ssing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. k 1. BUILDING COMMISSIONER'S OFFICE This individual has been informefP any permit requirements that pertain to this type of business. Auth rized Signature COMMENTS; !l/i� C� 2. BOARD OF HEALTH This individual ha be mformedbf permit requirements that pertain to this type of business. Authorized Vgnature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has kin inf f.the licensing requirements that pertain to this type of business. COMMENTS: Authorized Signature* w YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. i m' DATE: / Fill in please: APPLICANT'S YOUR NAME/S: - lot 0 ''' "'' " js BUSINESS YOUR HOME ADDRESS: S6ff'72,7-(oSc�S c . gri,t,, *txr TELEPHONE # Home Telephone Number NAME: CORPORATION ur NAME OF;NEW BUSINESS TYPE OF BUSINESS. c IS THIS A HOME OCCUPATION?: YES NO ADDRESS OF BUSINESS `I MAP/PARCEL NUMBER —",�, (A ; '�� ssessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO R'S OF CE This individuh iR#or o an er it requirements tha t at pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION COMMENT Au horize Si natu�`* RULES AND REGULATIONS. FAILURE TO RE=9WI=T- IN FINES. 2. BOARD O 1=ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3, CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable til Regulatory Services o f st+e ram, . P� o Thomas F.Geiler,Director Building Division . * BARNSTABLE, yQ MASS. Tom Perry, Building Commissioner , °tE1 39.3.tA 200 Main Street, Hyannis, MA 0260 t www.town.barnstable.ma.us Office: 508-862-4038 Eax:r)8-790-Q30 Approved:— dev Fee: r�o�is• — Permit#: 4 HOME OCCUPATION REGISTRATION Z. O Date: ! Name: Phone #: L�Q 7'/tJ 7"'(n Address: U� �� Village: _�s Name of Ilusiuess:__—L�Q/�C1 _ Type of Business: ap/Lot: 0 7'� INTENT: It is the iuteut of this section to allow the resideu, of the"1'oi"vu of Barnstable to operate a home occupation «Rhin single family&,ellings,subject to the provisions of Section 4-L4 of the Zgiii ig ordinance,provided that the activity shill not be discenaible from outside the dwelling: there shall be no increase ill noise or odor;no Visual alterUion to the premises which 4vould suggest anything other thwi a residential use;no increase ill traffic above normal residential volumes; and no increase in air or ground ater pollution. After registration with the Building Inspector,it.customary lionae occupation shall be permitted as of right subject to the following conditions: • The activity is carved oil by(lie permanent resident of it single family residential dwelling unit,located�vitliiit that dwelling unit.. • Such use occupies no more than 400 square feet of space. • There are no extenaal alterations to tile-dwelling which are not customary"in residential builcliugs,and there is no outside evidence of such use. _ • No traffic-,will be generated ill excess of norriial-residential volunies. • '1he use does not-involve the production of offensive noise,Vibration,suuzke,;lust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or himirdous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use s11a11 be met o❑the same lot containing the Custotaiary Home Occupation,aril not v«thin the required front yard. • There is uo exterior storage or display of materials or equipment. • "There are no commercial vehicles related to the Customary Home Occupation,other than one van or one Pick-up truck not to exceed one ton capacity,and one truler not to exceed 20 feet in length and not to exceed 4 tires, parked on the same lot containing the Customary Home Occupation. • No sign shall-be clisplayecl indicating the Customary Home Occupation. • If the.Customary Home Occupation is listed or advertised as a business, the street address shall not be included. • No perscin shall be employed in the Customary Home Occupation who is not it pernrraneut resident of the chvelliug unit. I,the undersigued, have read and agree mth the above restrictions for nay lionae occupation I iuii registering Applicant: l Date; 6 Ile G iU Hoineoc.doc• Rcv.01/3/08 Amnesty Apartments Last Name First Name 2nd Owner 2nd Owner Last Name First Name Map Parcel if079011 I Property No 401 Property Street ROUTE 149 Village MARSTONS MILLS _ State MA Zip 02649 Status Prospective i Action Required Assessors Use Group ITwo Family Comp Per Issue _ Recorded Date Application# Permit Issued: C of C Total Program Total Descripton Cert of Occupancy Issued: Cert of Compliance Issued Notes 3/3/10 MTG:HAD SITE VISIT. OWNER NEEDS TO SUBMIT DOCUMENTS AND WILL BE IN REVIEW PERIOD. 5/10/10 AMNESTY APARTMENT ELIGIBILITY VERIFICATION. 6/2/10 MTG:ON AGENDA FOR 6/23/10 HEARING. Barnstable Assessing Search Results Page 1 of 2 Home:Departments:Assessors Division:Properly Assessment Search Results New Search New Interactive Maps» Owner: 2009 Assessed Values: LYONS,DONALD G 401 ROUTE 149 Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $190,600 $190,600 079 /011/ Extra Features: $2,400 $2,400 Outbuildings:.$0 $0 Mailing Address Land Value: $156,200 $156,200 LYONS,DONALD G Totals $349,200 $349,200 401 ROUTE 149 Residential Exemption Received=$100,964 MARSTONS MILLS,MA.02648 2009 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $51.38 Fire District Rates Town Residential Barnstable FD-All Classes$2.37 $6.90 C.O.M.M.-All Classes $1.08 Town Commercial C.O.M.M.FD Tax(Residential) $377.14 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $1,712.83 Hyannis-Commercial $2.77 W Barnstable-All Classes $2.11 Community Preservation Act 3%of Town Tax Total: $2,141.35 Construction Details Building Property Sketch &ASBUILT Cards Building value --$_190 600 Interior Floors Hardwood Property Sketch Legend Style Duplex Interior Walls Plastered Model Heat Fuel Oil �r Grade Average Heat Type Steam % Stories 1 1/2 Stories AC Type None �k•s i Exterior Walls Wood Shingle Bedrooms 3 Bedrooms R � � 3 Roof Structure Gable/Hip Bathrooms 3 Full I Roof Cover Asph/F GIs/Cmp living area 2043f Replacement Cost $238259 Year Built 1932 / 06 Depreciation 20 Total Rooms 9 Rooms /V Land �� x`��' v 1�� ✓� CODE 1040 AsBuilt Card N/A !/ Lot Size(Acres) 0.75 Appraised Value $156,200 http://www.town.b amstable.ma.us/assessing/2009/displayparcelO9map.asp?mappat=079011 1/19/2010 Barnstable Assessing Search Results Page 2 of 2 Assessed Value $156,200 `:' View Interactive Maps >> Sales History: Owner: Sale Date Book/Page: Sale Price: LYONS,DONALD G&MARY F Oct 23 2001 12:OOAM 14355/268 $1 LYONS,MARY F Jun 7 1990 12:OOAM 7187/155 $1 LYONS,DONALD G 2675/090 $0 Extra Building Features Code Description Units/SO ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,400 $2,400 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) I http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=079011 1/19/2010 a � [ ] [R079 011 . ] LOC] 0401 ROUTE 149• CTY] 03 TDS] 300 CO KEY] 41403 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 LYONS, MARY F MAP] AREA] 12 DC JV] MTG] 0 0 0 0 RTE 149 SP1] SP21 SP31 UT11 UT21 . 75 SQ FT] 2628 MARSTON MILLS MA 02648 AYB11932 EYB11960 OBS] CONST] 0000 LAND 26300 IMP 71600 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 97900 REA CLASSIFIED #LAND 1 26 , 300 ASD LND 26300 ASD IMP 71600 ASD OTH #BLDG (S) -CARD-1 1 71, 600 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 401 COTUIT RD (RTE 149) TAX EXEMPT #RR 1391 0158 RESIDENT'L 97900 97900 97900 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE106/90 PRICE] 1 ORB17187/155 AFD] I A LAST ACTIVITY] 10/31/90 PCR] Y I � R079 011 . sk P P R A I S A L D A T O KEY 41403 LYONS, MARY F LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 26 , 300 71, 600 1 A-COST 97, 900 B-MKT 83, 900 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 2628 JUST-VAL 97, 900 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 12DC ----------------------------- NEIGHBORHOOD 12DC MARSTONS MILLS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 263001 LAND-MEAN +0% 979001 64985 IMPROVED-MEAN +100 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] � 1 R079 011 . P E R M I T [PMT] AC*N [R] CARD [000] KEY 41403 • 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT TowN OF 3AS STA 3LE SEPOBT f P�MENT�T/CONTINII ON $zPOBT NAME (LAST,-YIRST. MIDDLE) DIVISION /02" NOTE DETAILS i OHSER ATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. 71/30 • ,T �S ��N P� C(� -OPERTY ADDRESS I I ZONING IDISTRICT CODE SP-DISTS.I DATE PRINTED STATE CLASS I PCS I NBHD 0401 HAUTE 149 0:3 RF 300 03C0 07/09/95 1041 -�0 120C RU79 011. 4140 PARCEL IDENTIFICATION N KEY 3 LAN D.'OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T LYONS r '`1A RY F L aid By/Da�e sae Drtnensmn LOC./YR.SPEC.CLASS ADJ. COND. vPe PRIICE IT ADP RIC ENIT ACRES/UNITS VALUE Description MAP- / cD FF"De INAcres r7 LAN D 1 26o,300 CARDS IN ACCOUNT — 10 18LDG.SIT l x .75 =10 117 29999.9 35099.99 .75 2630J #aLOG(S)—CARD-1 1 7i,6DD 01 OF ACCOUNT #PL 401 COTUIT RD CRTE 149) -- BATHS 3.0 U x C= 1001 10500.0 10500.00 1 .00 110.500 8 dRR 1391 015E kARKET 83900 ��PLACE U x C= 100 3100.0` 3100.00 1 .00 310u 3 NCOME A `w S E D APPRAISED VALUE 97P900 PARCEL SUMMARY u AND 26300 T S LDGS 7160C M -IMPS E TOTAL 97900 IN CtiST N I DEED REFERENCE Type DAT.E Racprtlaa K I U R YEAR VALUE Book Page Insi' MO. Yr.D Selee P.io. ` AND 26300 S 7187/155, L06/9C A 1 LDGS 71600 2675/90 00/00 OTAL 97900 BUILDING PERMIT i Numbee De Type Amount LAND LAND-ADJ INC E SE SP-SLDS FEATURES dLD-ADDS UNITS 26300 13600 Class Con st. Total Base Rate Ad, R.I. r BI I� qge Norm. Obsv. CND Loc n R G Repl Cosl New AO Re value Slorie_ Meigni Rooms Rms Batna •Fia. Putyw.I'Foc. Uni!s L'ni:s A I .. I peer. GOntl I PI I 0 1 C 000 100 100 56.05 56.D5 32 60 34 56 100 0 56 127886 71600 1 .5 9 3 3.0 11.0 "TI Rale Square Feet Repl Cosl MKT.INDEX: 1 00 IMP_BY/DATE'. / SCALE: 1100.58 ELEMENTS CODE CONSTRJCTION DETAIL 1U0 56.05 93b 52463 i FSF 90 50.45 756 38140 N *----20----* iTYLE OG O.D FMP 55 5.50 300 1650 FMP ESTGN-A_D-JMT -00 - ----- -- 815 42 23.54 936 22033 15 15 -TTcR.-4W LS-- JU-------------------- ' ' EAT/AC-TYPE 30 i.0 0 *--10—*----20--32+------* INTt,4 F_ITIISH- JC ------------ 5 ! INTcR.LATOUT- -QO -------------------U.O *---------36--------* I NTtR=DUALTY- -(J0 ------------------7.-o ' 815 ------------------ - ! 13 LOJR S0--V-E QO ----- O _ W! 13 ! r tOJR CJVER i)U ------------------- D - =0 E ' ROOF TYPF - OL -------------- O T _ Areas .— . 3 B,�p . 1 6 9 2 ! ! F S F . _ T 3UILDING DIMENSIONS 26 B A S F 2 6 ' C c-C T R I EWE L JO TT.O 6A5 �J�b N E 6 FSf N E fMP y2----------* Ot"tNDATIN- i)0 --------- ----9Y=9 A N15 E20 S15 u2 0 __ FSF E32 S18 -------------- - _-- ----------------____-- L W N1.3 .. BAS S26 315 N26 ! ! -----NEi lrUORH OD 1ZDC-1'tARST-OWS-MTLL L W36 36 S26 E36 .. ! ! LAND TOTAL MARKET *---------36--------x PARCEL 26300 97900 AREA 2096 VARIANCE +0 +4570 STANDARD 25 RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 401 Cotuit Rd. (Rt@ 149) Marstons Mills SUMMARY 79 11 Ci-0 73 LAND -- Of BLDGS. a 7 U o 0 OWNER �K �a •-�Ly le" 4- /ntiy• TOTAL v LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: O BLDGS. royal L ons Donald G. b Mar F. 3-17-78 2675 90 ( 35900 LAND Y . - r; Y rn BLDGS. / n J J TOTAL LAND - c- �t7 n K � �,/ �T�P.� � l�� 'CYO i2 G'� i v. 01 BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 01 TOTAL LAND BLDGS. INTERIOR INSPECTED: // T �Z pl TOTAL DATE. // �' /- • LAND ACREAGE COMOUTATIONS rn BLDGS. ND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HODS OT. 87'. yf I p00 /0 S�5� /O y O LAND CLEARED FRONT rn BLDGS. REAR - - TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND O BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND J8 s ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. ra ND SWAMPY NO RD. rnDGS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING . LAND COST Dane.Wells Fin.Bsmt.Area Bath Room v Base _ p_a� 41 O� 0 BLDG. COST Cone.Bik.Walls r/ Bsmt. Rec.Room St. Shower Bath Bsmt. PURCH. DATE lConc. Slab Bsmt.Garage St. Shower Ext. Wells PURCH. PRICE. Brick Walls Attic Fl.&Stairs Toilet Room Roof RENT tons Walls Fin.Attic ✓ Two Fixt. Bath Floors iers INTERIOR FINISH Lavatory Extra amt. f 2 3 Sink ✓ 3.S r/= r/4 Plaster Water Cie. Extra Attie Q 0 O EXTERIOR WALLS Knotty Pine Water Only O 'IX— 4, 0 ouble Siding Plywood No Plumbing Bsmt.Fin. ingle Siding Plasterboard v ✓ Int. on. KA.-Shingles !/ TILING one. Blk. G F P Bath Fl. Heat St7 �S ace Brk.On Int.Layout v ✓ Bath&Wains. y ✓ Auto Ht.Unit 0 s!� Veneer Int.Cond. / Bath Fl.&Walls Q Q Fireplace K 1`• om. Brk.On HEATING Toilet Rm. Fl. Plumbing V �S olid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. Tiling U Steam a �/ Toilet Rm:Fl.&We _. . _T ._ of io �Y . lanket Ins. (/ Hot Water St. Shower oof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS L G sph.Shingle Pipeless Furn. S.F. O /n �c 2• ood Shingle No Heat S.F. 0 an, � sbs.Shingle Oil Burner S.F. 3 O 1341 y r late Coal Stoker o S.F• 660 3 ile Gas OUTBUILDINGS ROOF TYPE Electric able r/ Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED ip Mansard FIREPLACES S.F. Pier Found. Floor lr— ambrel Fireplace Stack / ✓ Well Found. 0.H.Door LISTED FLOOR Fireplace / Sgle.Sdg. Roll Roofing one. i/ LIGHTING_ NG Dble.Sdg. Shingle Roof girth No Elect. DATE ine r Shingle Walls Plumbing Hardwood ROOMS Cement Bik. Electric sph.Tile Bsmt. lst.,I",A TOTAL 3 3 Brick Int.Finish AWE 1) Single 2nd f 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dell. ACTUAL VAL. DWLG. c„ s , Y I�.__ S� �y�2{ C �' 0 a U/ O ....� oZ'O d O 1 2 3 4 5 6 B 9 10 TOTAL i, f f f t sue. --logy_ - �A�TFI+ef�.