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0033 EMILY WAY - Amnesty
�� �� l �.. �y. : ��y o W . . ,. c , �. a, �� o �s � � � 00 � � � d �i �� 0 yl, 7�! CAPE COD INSU.LAT ION liw-�H N R FIBERGLASS SE AILISS SPRAYFOAM SUSPENDED SAT 5 GUTTIRS INSULATION CEILINGS 1-800-696-6611 DIVIS110ilki, Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod 'Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village d /"*/,--- 3 Y Z m 11 V 01191 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes Floors Walls Sincerely a Heossl 'Jr, President Cape Clod Insation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 01 Application #� 0 1,Health-Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 7 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 3 3 L=W1 c C, 1 rW c4 Village I)S'-cYL6 c CC Owner Ogut& + L,4 WL&'L J�0 Address .3 LAM r CY 1.iA Telephone !0�- OC_'� Pe uest 't IkF v&cam A06 (, 406► -T- f4 L F/z,4kA(/U r9AA6F uE Tn Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _3!� 00-6 Construction Type Lot Size 7 `7 Cn Grandfathered: ❑Yes )(No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure .3- Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑W. Ikout ❑ Other N Basement Finished Area(sq.ft.) p Basement Unfinishecj Area (sq.ft) Number of Baths: Full: existin new _ Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric Other VN Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use RA[,r-,:� Proposed Use APPLICANT INFORMATION I ,( (BUILDER OR HOMEOWNER) Name �c l two lJl�1�k���w Telephone Number 7 L 0 L [ Address as po1 License # C S a? �F W i4 L L*`' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �f_ DATE �, L 571 I R' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED . ..r� MAP/PARCEL NO. x� ADDRESS VILLAGE OWNER E DATE OF INSPECTION: 1 l ,k (FOUNDATION FRAME 4 INSULATION- �¢St�14 FIREPLACE ELECTRICAL: ROUGH FINAL 3t� c� r PLUMBING: ROUGH FINAL F k• s -GAS:,,.:,- , ,ROUGH FINAL L • o FINAL BUI.LDIN,Q 1 V t• DATE CLOSED OUT . i� All ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents a 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): Whalen Restoration Services Address: 22 AmPriran Way _ City/State/Zip: 2660 Phone #: 508 760 1911 Are you an employer?Check the appropriate box: Type of project(required): 1.11 I am a employer with 25 4. ❑ I am a general contractor and 1 employees(full and/or part-time). have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition I working for me in any capacity. employees and have workers' insurance.: ❑ Building addition comp.[No workers' comp. insurance p• required.] 5. corporation and its 10.❑ Electrical repairs or additions ❑ We are a rP . 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box#1 must also till out the section below showing their workers'compensation pol icy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Arbella Policy#or Self-ins. Lic. #: 9091320411 Expiration Date: 4/1/13 Job Site Address: -� r L y City/State/Zip: 6 ST-cn c/C I' &_ 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 certif/y,,im/under the pains and peo "nnal�ties of perjury that the information provided above is true and correct. V Signature: Date: :rl ( T Phone#: 508 760 1911 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#: (:Theresa Cahalane-Norkus To:Kathleen, Whalen Res Sery Inc./David & Laurel H (1508760M) 10:11 03/14/13 EST P9 2-2 Client#:245206 WHALENREST 1141 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE IDDlYYYI() 11412013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: HUB International New England HUB International New England PHONE 508-945-0446 FAX 508-945-9136 AIC No Eid: AC, No 265 Orleans Road E-MAIL North Chatham,MA 02650 ADDRESS: 508 945-0446 INSURERS)AFFORDING COVERAGE NAIC Ir INSURER A:Arbella Protection Ins Co. INSURED INSURER B Whalen Restoration Services Inc.; INSURERC: Whalen Services Inc. 22 American Way INSURERD: South Dennis,MA 02660 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMIDDIYYYY MMIDOIYYY LIMITS A GENERAL LIABILITY $500040398 D410112012 04/0112013 EEDAApCCMHHq OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISESOEa oNw D n e $100 000 CLAIMS-MADE F—Xi OCCUR MED EXP(Any one person) $5 000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 POLICY PRO JECT LOC $ A AUTOMOBILE LIABILITY 58243400004 410112012 04/01/201 (CEO,eB�iO.OISINGLE LIMIT $1,000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident 8 UMBRELLA LIAR CCUR EACH OCCURRENCE $ EXCESS LIAB• HO CLAIMS-MADE - AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN 9091320411 410112012 041011201a I WCTORY STATU- LIMITS OTH- R ANY PROPRIETOR/PARTNERtEXECUTIVE E.L.EACH ACCIDENT $500 000 OFFiCER/MEMBEREXCLUDED? FN NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project Address: 33 Emily Way,Osterviile,MA 02655 CERTIFICATE HOLDER CANCELLATION David&Laurel Hallett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE s THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 33 Emily Way ACCORDANCE WITH THE POLICY PROVISIONS. Osterville,MA 02655 AUTHORIZED REPRESENTATIVE XV44 ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S885070IM703151 TC002 t Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-074928 -. I W LLIAM WHALEN 122 POND STREET BREWSTER MA=0263 '� 1 `.�,.G.• �J/e c- irok'` Expiration Commissioner 08/10/2014 e if OJIUltcFJ°°ace°/l/r�Cai/lra�c°c/%cute/C3 License or registration valid for individul use only Office of Consumer Affairs&Business Regulation i -- OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: —_ Office of Consumer Affairs and Business Regulation egistration: 129244 Type: ° 10 Park Plaza-Suite 5170 ` xpiration 7/30/2013 Private Corporatigl. Boston,MA 02116 Whalen Restoration ivices Inc.` i William Whalen _ ! i 22 American Way South Dennis,MA 02660 Undersecretary Not valid without signature a Restoration Services Inc® Fire, Smoke, Soot,Water Damage&Mold Remediation Services Cleaning.• Deodorization Reconstruction ' I Specializing in Fire Restoration ® All Work Guaranteed Access, Authorization and Direct Payment Request For I (we) authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 33 Emily Way, Osterville, MA 02655 to repair damage caused by f ire on 11/21/12 As owner(s) of this property, I (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and 'accept responsibility for payment upon completion. I (we) authorize and direct my Insurance Company Barnstable County)Mutual Policy No. HOM00315977 to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim Specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt`of a copy hereof: L,3 OWNER DATED SIGNED OWNER WI�LtN TORATION REP. SIGNED 1� 22 American Way, South Dennis,MA 02660 Phone: (508)760-1911 Fax: (508)760-9995 • 1-800-244-2598 •E-Mail: restore@whalenrestorations.com Web Page: http://www.whalenrestorations.com OFFICE COPY Main Level 2 car garage needs to be completely gutted due to fire 26 8'. 26 Structure Building Materials For This Project: 640sf of strapping T 624sf of 5/8 the Drywall 4 new double hung windows 2 new 9x7 overhead garage doors 900 sf of wall insulation 380sf of 2x4 framing studs 384sf of 1/2"CDX plywood sheathing 26sf of Soft and Facia repairs 325sf of Siding repairs Z. N W 4 Main Level HA7LLETT_BRDUP 3/15/2013 Page: 1 f FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: ( uiiding Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: HALLETT, David B. & Laurel M. Property Address: 33 Emily Way Osterville, MA 02655 Policy Number: HOM00315977 Type of Loss: Fire Date of Loss: 11/21/2012 File#: 116485 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. S. DEMELO 1 Adjuster 11/26/2012 `Q 4+,.1 s W W c9� ❑Delete ' 2 12-0003477 I 000 change Basic A o1s2o U 11 L.,�1 YI. 2o12J L ► I U p N� -1 FD1D * State* Incident Date * Station Incident Number * Exposure * no Activity I cWok this bog to Indicate that the address for this ineideat is provided on the Wildland Pire Census Tract I i- 8 Location* ❑Nodule 1.Section b"Altornetiw Lx-tion apeclfiwtlen". only fsr Wildlend ®street address 7 _33- IEMILY. WY []Intersection Number/Milepost-Prefix.,Strest,or Highway_ _ J Street Type suffix i ❑In front of i I•-I03TERVI.3,I�E __`7 I L .� 102655 . -1 _ MA ❑Rear of Apt./Suite/Room"'City-- stets Zip Code []Adjacent to I I ' []Directions Cross street or directions as applicable � C Incident Type * El Date & Times Midnight is 0000 E2 Shift & Alarms 111 Iguilding fire I Check boxes if Month Day Year Hr Min Sec Local option dates are the ALaatf always required �1 I ' jvJ2g Incident Type same as Alarm L �_+ Aid Given or Received* Date, Alarm * 11 21 2012 14:48:12 , D Shift or Alarms District Platoon I.®MAtual Bid received ARRIVAL required, unless canceled or did not arrive . l01921 (I I ❑ Arrival L11 1 2111 20121 14:49:42 E3 2 []Automatic aid reev. Their FDID Their State CONTROLLED Optional, Except for wildland fires Special Studies 3 []Mutual aid given 4 []Automatic aid given I I []Controlled LJ Li I (I I Local option 5 Elothex aid given Their LAST UNIT CLEARED+ required except for wildland fires [None Incident Number Last Unit 11LJ speciSpe El Cleared L21J r 2012II . 9ey I Study Special F Actions Taken* GI Resources * G2 Estimated Dollar Losses & Values ❑ Check this box and skip this LOSSES: Required for all fire$ if known. Optional section if an Apparatus or for non fires. ill Extinguishment by fire Personnel form is used. None Apparatus Personnel Property , 015 , 000 Primer Action Taken 1) $u u u ❑ Y ( Suppression 0002 0011 Contents $1 J , 025 , 000 2], ISearah ', II Additional Action Taken (2) EMS PRE—INCIDENT VALUE: optional 321 Ion scene medical I Other L 0007 00071 property1 026 , 200 p Additional Action Taken (3) p Check box if resource counts U 'LJ'� ❑ include aid received resources. Cements 030 000 Completed Modules Hl*Casualti.es❑None $3 Hazardous Materials Release I Mixed Use Property 0 Assembly ed go Fire-2Deaths Injuries N [None 1 Not nibly use QStrueture-3 Sire 1 []Natural Gas: slow Usk,no evamtion of aawab aotlass 20 pducatiOn use I II Q Civil Fire CaS.-4 Service 2 E]Propane gas: <fL sb. t.at ce-is hem.asp g:sul) 33 Medical use r-lFire Serv. Cas.-5 Civilian I 1 002 3 nGasoline: -Mal.feel tank-y-tama seat,nine- 40 Residential use ❑EMS-6 4 Kerosene: feel buv inN evipsent or pertAu stony[]. 51 ROW Of stores R2 Detector ❑ 53 Enclosed mall [IHazmat-7 Required for Confined Fires. 5 ❑Diesel fuel/fuel Oil:.ahioia fxel teak or pertataLe 58 Bus. 6 Residential Wildland Fire-8 6 ❑Household solvents: hem/affix-opus, alemm�p Daly 59 Office use ®Apparatus-9 ❑ 1 Detector alerted occupants 760 industrial use []Motor oil: Eron engine o:pprt o.m ebl. tslnea 63 Military use ®Bersonnel-SO 2 Deteetor aid not alert them 8 [-]Paint: fsga paler sass tetallaq<sa gallxaa 65 Farm use ❑Arson-11 JTJ❑unknown 0 []Other: spd+1 nar:-c eotixa.sea•ited or.pill>aNQal., 00 Other mixed use P1c.e a 00..Ut.thisN J Property Use* Structures 341[]clinic,clinic type infirmary 539❑Household goods,sales,repairs 342 Q Dootor/dentist office 579 ❑Motor vehicle/boat Sales/repair 131[]Church, place of worship 361[]Prison or jail, not juvenile 571 ❑Gas or service station 161[]Restaurant or cafeteria 419Q 1-or 2-family dwelling 599 ❑Business office ! 162 ❑gar/Tavern or nightclub 429❑Multi-family dwelling 615❑Electric generating plant 213 ❑Nlementary school or kindergarten 439[]Rooming/boarding house 629[]Laboratory/science lab 215 ❑High school or junior high 449❑Co:rimercial hotel or motel 700 []Manufacturing plant 241 []College, adult education 459❑Residential, board and care 819 QLivestook/poultry storage(barn) 311 []Care facility for the aged 464 QDormitory/barracks 882 []Non-residential parking garage 331 pHoapital 519[]Food and beverage.sales 891 []Warehouse Outside 936❑vacant lot - 981 Construction site 124 []Playground or park 938 []Graded/care for plot of land 984 [1 Industrial plant yard i 655 DCrops or orchard 946 []Lake, river, stream 669 []Sorest (timberland) 951 []Railroad right of way o0 6ave NoOTnchocter keddrapPrtopperrty 0 ebox: if 807 []Outdoor storage area 960 []otber street Property Use 1881 919 []Dump or sanitary landfill 961[]Highway/divided highway 931 ❑Open land or field 962 []Residential street/driveway (Parking garage, (detached I NSIRs7 Revision 63711 comet Fire District 01920 11/21/2012 12-0003477 I X1 Person/Entity Involved 1508 - 737 - 0979 . i Local Option Business name (if applicable) Area Code Phone Number I LMRR IMatthew I IC I LEyeland I i Check This Box if same addreas as Mr.,Ms., Mrs. First Name MI Last Name Suffix incident location. 7 4 1� I J.B. _ J DR Then skip the three duplicate addressNumber Prefix Street or Highway Street Type Suffix lines. ,MARSTONS MILLS Post Office Box Apt./Saitfl Room City i �I�`r � L 1 02648 -� State Zip Code 1 0 More people involved? Check this box and attach Supplemental Forms (WIRE—IS) as necessary X2 OwnerSame as person involved? ❑Than check this box and skip 508 - 428 - 8300 The rest of this section. Local Option Business name (1E Applicable) Area Code Phone Number i IMSJ jLaurie I " jHallett i ❑ Check this box SE Mr.,M@.o M First Name MI Last Name ra. Suffix same address as i incident location. 33 Emily WAY U Then skip the three duplicate address Number Prefix Street or HigWay Street Type Suffix lines. � JOSTERVILLE � Post office Box Apt./Suite/Room. city IMA 1 026� 55 State Zip Code L Remarks Local Option Caller Name : LT.TAVARES Callen Phone 321 i Caller Address : ON LOCATION OIC : LT.TAVARES Pats. 1 AGR 31Received AGRD COTICOTUIT FD jgifford ; 2012/11/21 14:49:42 - 321 AT EVENT MANNING IS 1 jgifford ; 2012/11/21 14:55:36 - 304 AT EVENT MANNING IS 2 jgifford ; 2012/11/21 14:56:44 - 307 AT EVENT MANNING IS 3 jgifford ; 2012/11/21 14:55:42 - 303 AT EVENT MANNING IS 3. jgifford ; 2012/11/21 14:58:53 - 301 AT EVENT MANNING IS 1 jgifford 2012/11/21 15.01:51 - 305 AT EVENT MANNING IS 3 jgifford ; 2012/11/21 15:12:29 - 326 AT EVENT MANNING IS 3 jgifford ; 2012/11/21 16:43:33 - 317 AT EVENT MANNING IS 1 i jgifford ; 2012/11/21 14:48:37 321 OFF W/2 CAR ATTATCHED GARAGE W/FIRE SHOWING IN THE GARAGE/STRIKE THE BOX i jgifford 2012/11/21 14:58:39 321 REQUESTS DETETIVE YORK & EITHER CAPT.ELDRIDGE OR GREENE TO SCENE/321 REPORTS BULK OF FIRE KNOCKED DOWN,305 TO COVER STA.2,263 TO STA.3 AND HOLDING 303/304/307 jgifford 2012/11/21 15:03:48 L Authorization 18480 j ITAVARES, JOHN M. jILT j lIC I 1 111 LL1j 2012 Officer in charge Iu Signature Position or rank Assignment Month Day Year BOX ® 18480 j I TAVARES, JOIN M. j I LT I I �1J U 2012 same - - Position or rank Assignment Month Day Year y as Officer Member making report ID Signature in charge. .� y COMM Fire District 01920 11/21/2012 12-0003417 • MM DD YYYY 01920 � 11 21 2012 �2 12-0003477 000 coagPl®te FDID * state* Incident Date * Station Incident Plumber* exposure Narrative: Caller Name LT.TAVARES Caller Phone 321 Caller Address : ON LOCATION OIC : LT.TAVARES Pats. 1 i AGR 31Received AGRD COTICOTUIT FD j jgifford ; 2012/11/21 14:49:42 - 321 AT EVENT MANNING IS 1 jgifford ; 2012/11/21 14:55:36 - 304 AT EVENT MANNING IS 2 jgifford ; 2012/11/21 14:56:44 - 307 AT EVENT MANNING IS 3 jgifford 2012/11/21 14:55:.42 - 303 AT EVENT MANNING IS 3 jgifford 2012/11/21 14:58:53 - 301 AT EVENT MANNING IS 1 jgifford 2012/11/21 15:01:51 - 305 AT EVENT MANNING IS 3 jgifford 2012/11/21 15:12:29 - 326 AT EVENT MANNING IS 3 j jgifford ; 2012/11/21 16:43:33 - 317 AT EVENT MANNING IS 1 jgifford ; 2012/11/21 14:48:37 321 OFF W/2 CAR ATTATCHED GARAGE W/FIRE SHOWING IN THE GARAGE/STRIKE THE BOX t jgifford ; 2012/11/21 14;58:39 j 321 REQUESTS DETETIVE YORK & EITHER CAPT.ELDRIDGE OR GREENE TO SCENE/321 REPORTS BULK OF FIRE KNOCKED DOWN,305 TO COVER STA.2,263 TO STA.3 AND HOLDING 303/304/307 jgifford ; 2012/11/21 15:03:48 263 DEVERTED TO STA.3 jgifford ; 2012/11/21 15:18:53 DET.YORK WILL GET PHOTO'S TO SCENE/NO CONTACT W/CAPT.GREENE OR ELDRIDGE jgifford ; 2012/11/21 15:36:26 i ALL UNITS PICKING UP jgifford ; 2012/11/21 16:25:02 ; I COMMAND REQUESTS NSTAR TO SCENE TO SHUT POWER OFF i jgifford ; 2012/11/21 16:25:09 COMMAND TERMINATED AND 321 TO REMAIN ON SCENE jgifford ; 2012/11/21 16:30:33 NS.TAR NOTTIFIED W/NO ETA GIVEN jgifford ; 2012/11/21 17:01:14 CIO ON LOCATION n jgifford ; 2012/11/21 17:27:57 i 317 REPORTS POWER OFF TO LOCATION j d jgifford ; 2012/11/21 20:13:21 321 REPORTS SCENE TURNED BACK OVER TO OWNER AND UNITS CLEAR �pp ' ' 6 CORM Fire District 01920 11/21/2012 12-0003477 j 01920 U 11 21 2012 2 12-0003477 000 Complete FDID * State* Incident Date * Station Incident Number * Exposure Narrative: i 11/21/2012 23:30:22 jtavares While leaving station 2, I was approached by the reporting party of a "garage fire across the street" at which point dispatch was advised and a structure fire response was ordered. Upon arrival I found an appr 20x30 detached 2 car garage with an apartment above that was 100% involved in the garage. I I A 360 revealed that all doors( both overhead and one entry door was closed. The windows were closed, the one window one the Bravo side was blown out and the 2 windows on the Charlie side had the interior pane of the thermal windows broken. At the ground level between the 2 overhead doors the facade and trim was pushed out significantly. There was a window on the second floor(apartment) on the Bravo side that was blown out as well. I attempted to gain access to the apartment through the Delta side exterior stairs but the door was locked and noone appeared to be inside there was not any obvious extension noted either. I inquired from the reporting parties as to if anyone was upstairs or remaining within the garage and they stated in the negative. 304 attacked the fire from the Bravo side entry door with a 1 3/4 utilizing class A foam without much success, the attack changed over to using class B foam that was much more j effective. 305 was ordered to grab the hydrant and lay in, 307 to park on Main Street and to send their men to the fire with tools. 301 met with the reporting parties. 305 to check the j 2 civilians(reporting parties) in the area at time of ignition, once they obtained releases they staged at Station 2 until they were no longer required for the fire and then subsequently stood by at Station 2. 263. covered Station 3. i The electric company was requested to the scene to secure the power and the gas was secured. i I A crew was sent to the 2nd floor to conduct a primary search and to check for extension. both I was found to be negative. An open pan of gasoline was removed and extinguished with a dry chemical extinguisher. I ` The overheand doors were removed and 2 crews conducted salvage and overhaul while the 3rd continued to to check for extension. Detective York was requested to the scene but was unavailable. Capt.s Greene and Eldridge were requested as well but were not avaiable as well. Photos were taken by BCI. It was determined the the reporting parties(the parties checked out by 305) were working ion a '68 Ford Mustang within an eclosed area. They had drained the gasoline from the fuel tank into the aforementioned open container. They then were attempting to disconnect the fuel tank with a hammer and a screwdriver that resulted in a spark ignitited the combustible vapors. c I spoke with the homeowner and gave her a "After the Fire" booklet and advised her to contact her insurance agent as soon as possible. 317 with Lt. Adams stood by on fire watch until appr 2000hrs at which point the building was Comm Fire District 01920 11/21/2012 12-0003471 MM DD MY 01920 U 11 21 2012 U I 12-0003477 ( 000 couplets FDID * 6tate* Incident Date * Station Incident Number * Bxpoaure * Narrative 1 Narrative: j turn over to the homeowner. i I Damge was extensive to the garage with minor to moderate smoke to the apartment above. Essentially all unit narratives are yet to be completed as personnel were released prior to ithe call being closed out as of this time. i 11/21/2012 23:55:47 jtavares I i i. i 1 ; i i i i i i I i i 1 i I I � I i i i i i i I i i 7 COMM Fire District 01920 11/21/2012 12-0003477 V t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Pall�� Application 40a1 to Health Division Date Issued 'Q ! Conservation Division Application Fe 1 Planning Dept. Permit Fee ID Date Definitive Plan Approved by Planning Board 1 olb l/e Historic - OKH Preservation / Hyannis Project Street Address Village el �!G l Owner �.�� .�®� //l�l�d 1/� Address 33 i y AI V ��42� , r-- Telephone :2!244 �i��/ ,Q ff Y� Permit Request Rze ,�B y�/ / �l� � �,91�r3 o��� i���v�� w Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new, First Floor Room Count Heat Type and Fuel:: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION BUILDER OR HOMEOWNER) Name 1,:Qry sv2256 Telephone Number ��© � 72 3 Address '�� .��,�D !�'��i �,�1/ dense # / 9 Home Improvement Contractor# /0�& S 7 Worker's Compensation # cal �' 4 ALL CONSTRUCTPON DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE qw �/ FOR,OFFICIAL USE ONLY APPLICATION# 4 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t OWNER ' DATE OF INSPECTION: • FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofmossachusetts Department of Industrial Accidents 1` I:' Office of Investigations 600 Washington Street i Boston, MA 02111 yy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectriciansT]umbers Applicant Information Please Print LeLyibly Name (Business/Organiza6on/Individual): CA I fl (Ad rM 5y /\ 01 -b «- -DJ C Address: r' City/State/Zip: ( Phone #: V0 S 7 7 Y I Z J Are you an employer?Check th appropriate box: Type of project(required): 1.[� I am a employer with a. ❑ I am a general contractor and I — � 6. ❑New construction employees(full and/ofpaft-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor.or partner- listed on the attached sheet. 7. Remodelin ship and have no employees These sub-contractors have g, ❑ Demolition working for mein any capacity. employees and have workers' 9. Buildin addition comp. insurance.$ g ieqe workers' comp. insurance 10.❑ Electrical repairs or additions required.] 5. ❑ W are a corporation and its 3.❑ I am a homeowner.doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' com right of exemption per MGL P• 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other g+ comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the,sub-contractors have employees,they must provide their workers'comp.policy number. I ain an employer that is providing workers'compensation insurdnce for my employees. Below is the policy and job site information. Insurance Company Name: 14 ("A"m�, C,�CI_f& _ e7 Policy#or Self-ins, Lie.#: co 5-9 0( s Expiration Date: (4 �G 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 S1„500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 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. Ldo hereby certify u e pa" and penalties ofperjury that the information provided above is true and correct. Si nature: Date: / Phone#: 7 Gfficial 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#: � ic � Gs 10 Park Plaza- Suite 5170 Boston, Massachusetts 0211.6 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 77, CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. : .. ..... . .... __.,...... .... --- _.--------.._..------.._._..____. HYANNIS, MA 02601 -- _.—_... _.._..._...._._.... ..__ _ ;.Update Address and return card.Mark reason for change. Ll Address Renewal f Employment Lost Card ;-CAI N 50M-"04G701216 - Uffice o mer Affairs us ae.�Re�_ufl•Lion License or registration valid for irdividu! :se only HOME r�` e �Tl7R"'°id before the expiration date. If-found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration; 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 D INSULATI01 JNC.. HENRY CASSIDY. 455 YARMOUTH RI?;" HYANNIS,MA 02601 Undersecretary t.slid ith t si Lure Mils-sarhusetl.- Ucpatjnu•nt of Puhlir '-�afch Board Ur Building Re!,ulaiion, ant! lrrndard, Construction Supervisor License License'-cS 10098 x Res iicted to: 00 •.i4a'/• 'y.y. HENRY CASSIDY 8: EDP 15t=1 ROW �-: '•<�. ��` 'W'EST MA 02673 rr Expiration: 11/11/2011 Tr#: 100988 I , xogers rt Gray ins. .Yag e uue ' Client#'4597 CCINSUIL ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/01/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this cert'dicate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Rogers&Gray Ins.-So.Dennis NAME: Margaret Young — aCN;ExII:508-760-4602 F 508-258-2102 434 Route 134 we No P.0.Box 1601 ADDREss: youngma@rogersgray.com South Dennis,MA 02660-1601 CUSTOMER ID#: INSURED INSURER(S)AFFORDING COVERAGE NAIC# Cape Cod Insulation Inc INSURERA:Peerless Insurance 18333 455 Yarmouth Road INSURERS:Ohio Casualty Insurance Company Hyannis,MA 02601 INSURER C:Atlantic Charter Insurance INSURERD:Commerce Insurance Company 34754 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE OL EIR POLICY EFF POLICY UP SR NVD POLICY NUMBER MMIDD MMIDD UMITS A GENERAL LIABILITY CBP8263063 /01/2011 04/0112012 EACH UAMAgCCMURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY RENTED PREMISES Ea occurrence $100,000 CLAIMS-MADE a OCCUR MED E)(P(Any y one parson) $51000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICYIFC PRO- PRODUCTS-COMP/OP AGG $2,000,000 LOC $ D AUTOMIJBILELIABILm 11MMBCKVMK ]IM11/2011 04/0112012 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS I BODILY INJURY(Per person) $ X SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS PROPERTY DAMAGE $ X NON OWNED AUTOS (Per accident) $ B UMBRELLA LIAB X OCCUR 0001254514645 04/01/2011 04/01/201 EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE DEDUCTIBLE $1 OOO OOO - -- AGGREGATE $1000,000 X RETENTION 10000 $ — C WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY Y/N WCA00525902 6/30/2011 06/30/201 X We Y I IML _ ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? 7 WA E.L.EACH ACCIDENT $500,000 (Mandatory In NH) It yes.describe under E.L.DISEASE-EA EMPLOYEE $500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATI MIS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Comp Information Included Officers or Proprietors (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Da s for Non-Pa ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD ' #568575/M68179 MEY 1 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) (Property Address) hereby authorize Ca I- ]�S U) (Subco actor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. o ; l Owner's Signat e Date 161 V SEP 2 2 2011 oFtHE r�,, Town of Barnstable Regulatory Services " sa MASS. " Thomas F.Geiler,Director 9 nss. �+, �A i6gq. ♦� rE039 A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 January 31, 2006 Mr. David Hallett 33 Emily Lane Osterville, MA 02655 Re: Illegal Apartments—33 Emily Lane Osterville, MA 02655 Map 118 Parcel 126 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely a Edson Amnesty Program Zoning Officer Building Department gforms:zoning3 oFTHE iph, Town of Barnstable P� ti0 Regulatory Services • saxxsTnsLE, r MASS. $ Thomas F. Geiler,Director �AIE039.�A,6 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 AMNESTY APARTMENT VERIFICATION Re: � ' - d 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. t I P Tom Perry Building Commissioner flectrimc Commonwealth Electric Company 19901120 - � s 1100000054432536832112500000000000 11 1425-721 OD14 15 Fa s_ Your Account Number Commonwealth Electric Company Post Office Box 2000 Cambridge, MA 02239-0001 Please Pay 54.43 AMOUNT PAID(IF DIFFERENT FROM ABOVE) DAVID B HALLETT 33A EMILY WAY GARAGE APT_ OSTERVILLE MA 02655-1652 RETURN THIS PORTION WITH YOUR PAYMENT—PLEASE BRING ENTIRE BILL WHEN PAYING AT OFFICE N bell n#ormatton V1� 7, r �` PR�UIOUS BILL 59ON . 0`2 ' 800 642 7070 odor out* r k s of;statej508 29 a 095Qgr �z �,s r eg 1f1alre@ (TAD#1 8W 368�4141�� ��" nor wTtte4#o 2421ra berr z� ' ���� ,s Hlgh ygWarenarn MA 0257 FOT$efVtC2 r�T a �rg� az r ?r a 1 F a {r e „ 3t 3. sr �g" '.c a �r .� ^'Wz �•zyx x7�F FCa'� ug,�2.� %y g ,ut. ) rad; F', ? s iL r ' 1`��" *., DA�II°IBHALLETT � PAYNIENT £ F 11/20/1990 59 02CR Previous Present From To Days Constant Use Rate Type of Reading Current Charges � Readin Readin 10ib11;1�631 i91'461951 '3b8 86 ACTUA 54.43 ✓ � `& ) a xs .z" lr 'r� �`r�""'���'r���R�a� fix,-�?"s 'ra✓ r ssg �`C �3 � �'"� ," ��� �.^�rt� sin . °Fk3 `� U1rkPAID BALANCE° FROM ABOV �� ` O . Ofl a ti .-' - r } rya �, y?� ' 'r m"` a `"�aa �r a � r AN � 4 '° ` �' Nk- n,��zr' .,+mot- *ax d,✓ ls,F .�k '''its cCS Q sar i,r� Per Month and Pvt ® v v �i 7 12 5 Per KWH y. . a Your Account Number x.. :r""' ,"�"" _r_• bn - yr Budget Current Charge" Season Total Season Balance Budget x $ 14 257 210�0� Data �yrnen t Please Pay 5 4.4 3 . :�. e#Sche�iuled Fieatlirtg h+ r � ectric t Commonwealth Electric Company Co' Mflectric Commonwealth Electric Company 19901120 1100000054432536832112500000000000 11 1425 721VOD14; 15 �l Your Account Number Commonwealth Electric.Company Post Office Box 2000 Cambridge, MA 02239-0001 Please Pay 54.43 D A V I D B H A L L E T T AMOUNT PAID(IF DIFFERENT FROM ABOVE) I 33A EMILY WAY GARAGE APB I OSTERVILLE MA 02655-1652 RETURN THIS PORTION WITH YOUR PAYMENT—PLEASE BRING ENTIRE BILL WHEN PAYING AT OFFICE �Forbll!Informailon �� r � I { tsf sPREi/IOUS BILL „ 2 59.02 , Or f5 OUt i a r t w y 6 Of State (508)293 0950 � t� �b � a s rF rx g -�N 3 W y s. t?, 4 S t x z t r 1 S C a rY. �w ,Heanng lmparred 511 ,�. +2:.q e r 1 4 ,.1 �t 'i k 4 ,"e, r r v3 t �' 1 x r F r'� (TDD#1 S00 368 4]41 ;� �4 NKN ,or wttte to 2421 CranGerry z Hlgfiway Wareham MA 02571 ca 4 3 w , �FOr Ser�nne ���.r,�",>` dry 4� 2.`' �t `"" "ry .F �,,a s I �'x z'•�. ,ea' ,*ircr rx fa DAVID $�HALLETT PAYMENT 1i1201399059 02CR aG5 F t a 33A EM1-L2Y� WAX ilP GARAGErAPA�T '' ts' K ,. 4`X1`424/.23 � t324853 .,, ' Ls� D j @a4 ST: UNPAI BArA NC q 00> - - Previous Present From To Days Constant Use Rate Type of Reading Current Charges Readi Readin fi01b1116 3ik19i�46° 1951 t\ s yak 368 86 ACTUAk fr5.4.43; ' p' 4:: as r � � r� tkUNPAiD BALANCE i=RtlM ABOV 0 . 00 .I c'kK rx•, z � s ' t b� a rc- 5 - r r $sf -+Setif #;^"�s 31 y s i 12Y Y UIA% •t. a�' .G" ii. "�rv' -d r. e "X4 ', r"' g t : a w ,,,a.,l` s s - ,. `Y st. § yq�5xs,rp T r,pp� NNW, y 'w .x� r„ k `. „#- ?p +s. T4 �4 ��i� {.�' }r'1v l'sxt s��' ���YS? .� .z �•°�, YE �, �`?,M�.� 7F y� _t F �*,.t ��• �*a s ,..�x s';. �..�' �q mot.g f r�> 3 your AccountNum6err.a Charge Season Total Season Balance Budget fi s r Budget Current Cha � Payment 1�►j4257 Z1ah�1i Data �,Q CYtz z. B�Ong Dale �' ' Please Pa 5 4.4 3 -- i�<� Ngd,SNreduied C 7 '- '�` nFeaduig Datez'?a,'�..rDC Cif tri riomflecc l Pagel of 3 /V CST Listing Summary Listing #20905401 33 Emily Way, Osterville, MA 02655 a Active (06/16/09) DOM/CDOM:97/97 $585,000 (LP) Beds: 3 Baths: 3 (2 1) (FH) Sq Ft: 1268 Lot Sz: 0.400ac Town: Barn Yr: 1977 Remarks �' A great buy right in the heart of Osterville Village. This �PICtUfe Report Listing Violation house is situated on a private, quiet road just steps away {from downtown.This lovely 3 bedroom Cape includes cathedral ceilings, wide pine floors,and a detached 2 garage with a legal apartment above. Unwind outside on the-open-porch-overlooking-the=manicured grounds. Buyer r . . is encouraged to verify room dimensions. Additional Pictures AN 1 r r r,"rr, i1/hrr'rhlrrtrllr�tr4lirri'l,�ltlilrtl%)ar q�r��r�rl ,Pictures(10) See Map Location Description South of Route 28 Agent Gina F Wood ED (ID:U0445)Primary:508-428-3517 Office Murphy Real Estate(ID:MURP1)Phone:508-428-3517,FAX:508-428-0802 Property Type Single Family. Property Subtype(s) Single Family Status 0 Active(06/16/09) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 0% No Facilitator Comm 0% Listing Type Excl.Right to Sell Owner Name Hallett County Barnstable Tax ID 118126 Beds 3 Baths (FH) 3(2 1) Approx Square Feet 1268 Sq Ft Source Field Card Lot Sq Ft(approx) 17424 Lot Acres(approx) 0.400 Lot Size Source (Field Card) Year Built 1977 Listing Date 06/16/09 All Office Remarks This house is very easy to show! Please call Gina at 508-813-3621 to schedule a showing. Directions to Property Main Street to Emily Way(across from the Fire Station) Listing Page Commission-Other no Showing Instructions Appointment Req.,Call Listing Agent,Yard Sign General Page i Zoning Residential Year Built Desc. Approximate,Renovated http://ceimis.rapmis.com/scripts/mgrqispi.dll 9/21/2009 I Mi Page 2 of 3 Tota ,n 6 Total�,els 2.0 Basement Baths 0.0 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Finished,Full,Interior Access,Walk Out Foundation Concrete, Poured Foundation Width 31 Foundation Depth 42 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Cleared,Gentle Slope Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #2 Garage Description Detached,Door Opener,Storage Above Parking Description Paved Driveway i Year Round Yes Separate Living Qtrs Yes I Sep Living Qtrs Desc Detached, In-Law Apartment,Second Floor,Verif. Legal Aptmt Waterfront No 1 Water View No Convenient To Golf Course,House of Worship,In Town Location,Public Tennis,School,Shopping Miles to Beach .5-1 Water Access Beach,Lake/Pond,Ocean,Private,Public Beach Description Lake/Pond,Ocean Beach Ownership None Street Description Dead End Street,Dirt Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom 13x12 Level:Second Floor iBedroom#2 13x8 Level:Second Floor Bedroom#3 12x8 Level:Second Floor Laundry Room OxO Level: Basement j Living/Dining Combo Yes Living Room 27xl2 Level:First Floor Living Room Features Deck, Dining Area, Fireplace,Sliding Door,,Wood Floor,Wood/Coal Stove Kitchen 12x10 Level:First Floor Family Room 26xl3 Level: Floors Tile,Wall to Wall Carpet,Wood f Exterior E Style Cape Pool No Dock No Energy Saving Feat Insulated Windows Exterior Features Deck, Exterior Lighting, Porch,Fenced Yard,Hot Tub,Yard Roof Description Asphalt, Pitched Siding Description Clapboard,Shingle,Vinyl/Aluminium Mechanical Heating/Cooling Natural Gas,Oil, Hot Water Water/Sewer/Utility Private Sewerage,Cable,Electricity,Gas,Telephone,Town Water Hot Water/Water Heat Oil Warranty Available No http://ccimis.rapmis.com/scripts/mgrqispi.dll 9/21/2009 Ni Page 3 of 3 • Legal/Tax Annual Tax $2398 Tax Year 2009 Land Assessments $201400 Improvement Asmt $149900 Other Assessments $29300 Total Assessments $380600 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed No Mass Use Code 101-Single Family I Title Reference-Book 2548 Title Reference-Page 340 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Asbestos Unknown I Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2009 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:9/21/09 12:00pm � E68�i£b!�q�"M' HR•p too r http://ccimis.rapmis.com/scripts/mgrgispi.dll 9/21/2009 Amnesty Apartments Last Name HALLETT �� First Name DAVID B. 2nd Owner 2nd Owner m �r Last Name _,_---._. First Name Map Parcel 118126 s Property No 33I Property Street EMILY WAY Village OSTERVILLE _JState MA Zip 02655--,_ Status lCertificate of Compliance Action Required _ Assessors Use Group IMult Hses on 1 Parcel Comp Per Issue 9/7/2007 Recorded Date 7,8758� Application# 200802273 Permit Issued: 4/29/2008 C of C Total 1 Program Total 1 Descripton 1 BEDROOM,2 PEOPLE, EXISTING ABOVE DETACHED GARAGE Cert of Occupancy Issued: 5/20/20081 Cert of Compliance Issued 5/20/2008 Notes 1/13/09 HOUSE FOR SALE, LISTING SHEET IN FILE Town 0f Barnstable Building Department - 200 Main Street * BARNSTMLE, * Hyannis, MA 02601 MASS 9�A 16g9. , (508) 862-4038 rFD MA'S A Certificate of Occupancy Application Number: 200802273 CO Number: 20080083 Parcel ID: 118126 CO Issue Date: 05120108 Location: 33 EMILY WAY Zoning Classification: RESIDENCE C DISTRICT Village: OSTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO DAVID & LAUREL HALLETT 240 49 Building Department Signature Date Signed Town of Barnstable Regulatory Services BMNSTAB„ASS. Thomas F. Geiler, Director �A s6;q ♦0 tE16390. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 21, 2008 Mr. and Mrs. David Hallett 33 Emily Way Osterville, MA 02655 Re: Amnesty Apartment Dear Mr. & Mrs. Halilet: Enclosed is the Certificate of Occupancy for your Amnesty apartment. We have prepared the Amnesty Certificate of Compliance and forwarded it to the Amnesty Program Coordinator. Sincerely, Lois Barry Division Assistant Enclosure amnco 1 tNE TOWN OF BARNSTABLE � Tgw Building ti Application Ref: 200802273 p BARNSTABLE, Issue Date: 04/29/08 Permit 9 MASS �p Applicant: HALLETT�DAVID B rF0 MAC a Permit Number: B 20080854 Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration Date: 10/27/08. Location 33 EMILY WAY Zoning District RC Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel. 118126 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village OSTERVILLE App Fee$ License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND AMNESTY APARTMENT THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HALLETT, DAVID B BUILDING SHALL NOT B OCCUPIED UNTIL A FINAL Address: 33 EMILY WAY INSPECTION HAS BE ADE. OSTERVILLE, MA 02655 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY`STREET ALL QR.SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY "PERMANENTLY: ENCROACHEMENTS ON PUBLIC,PROPERTY,NOT SPECIFICALLY PERMITTED UNDER:THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELLAS DEPTH AND LOCATION OF PUBLIC;SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS, THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL 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). nenwu g WjE//f�i'i//o;,/ , :/ t ♦ ®._� ® • NOW S , raj k s ..� ...w. ...�o...• ,. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 q�,q 3` 1 Heating Inspection Approvals Engineering Dept Fire Dept - 2 Board of Health . ... .. ,�. �,:' :.. ..,. .....:- ,. ... .. •,."°..'uwr:w�!Y.^-�r^z} 'Yv"X`'�" »- .t5'm`- '^'1."'.'^r' :ems$:;i^�`':�x .,rF'o-.v '�,,1wt'e"'� sx'r�S. A..rn .E"F'�'.y>rn,mmvt ?=:. mod' :,..«• .»�. � .. i'.,'o- ;.: .:",.r., ;,,..: �3s a .:};::'.t t k 4"x`: 'E. , •F!S �., �v ,.er ..�, 3a ",+„ .�7,-i>i°- �f.. 7 - .�:;-, g�t�r,,`•. �,,. Qi �r':�;�_. ;e<r s�i:' ,va�5♦. ..•, 5: �4w.': -.. .".. y ::��' ..+, i ,r•�:(,., ,.v c,.fi :x,.. �„� t.f Nye+ `r ,,C',e.t _..:: ,� + 4. ::, ,,,. �,�.,A,. v� .. .,w...Mom.-. ��" ,:\:,::1 _.'. -<, s�1•.. ^�.,�'r .0 i�� ry f�{;ri C b :{Sf,3: „$�a+eC' k F��T��'•,,�'yS,... 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L nl ,:i•^a ,;�•'<S'srr ',r, "r d L ,yF, .. 1• , :r t 4a \ g kr% .h •: { Y _ r ri_'N;! n, .f ! as !G a' s�x <.. i 7 }; � Certficateof =Com fiance x i This certificate.indicates'acce Cable:miniinum:habitabI -rd uiremerits; er Massachuse`t p q p i s Stateuilding Code ^,;. -:. , •' .... . . - 4,,. �:agd Town of Bamstable;:ionmg ordinances m`accordance wtth:'the Amnest ro'ram, , „.� ..t �,' e_ a r: Owner David &,Lau"rel Hallett t F L"ocatiori 33 Emily,:Way,, Osterville MA U' ll nit Capacity ,. t, ..One Broom:no r o.exceed two w eo le' 77 Inspector h M%P No 11812, - 520/2000 G , - • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ills Parcel ��(/ Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Ur Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Ownerkwa( A114 Address Telephone Permit Request 6 " Square feet: 1 stflfl9oor:existing proposed D 2nd floor:existing proposed � Total new _ Zoning District 1DG Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size �"I Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Famil Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes CXNo On Old King's Highway: ❑Yes Zo L ent Type: ❑Full ❑Crawl W alkout ❑Other ent Finished Area(sq.ft.) /Z�( Z Basement Unfinished Area(sq.ft) �er of Baths: Full:existing new Half:existing new er of Bedrooms: existing newoom Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0-Yes ''0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exis ing ❑new size Co r„ Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization/Appeal# d 0(� Record Commercial ❑Yes ((❑No If yes, site plan review# Current Use Proposed Used ByUIILDER INFORMATION L� Name n�y��� � / Telephone Number Address License# 45�51 Home Improvement Contractor# A,4i ®),/, S Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Oa I FOR OFFICIAL USE ONLY ? PERMIT NO. Y. DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: t a 'FOUNDATION FRAME INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E DATE CLOSED OUT ASSOCIATION PLAN NO. t BARNSTABLE 3`"B '07 SEP —7 P 3 :57 ,65 Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2007-080—Hallett Decision-Chapter 40B Comprehensive Permit Applicant: David B. &Laurel M. Hallett Property Address: 33 Emily Way, Osterville,MA Assessor's Map/Parcel: Map 118,Parcel 126 Zoning: Residential C Zoning District Applicants: The applicants are David and Laurel Hallett,who reside at 33 Emily Way, Osterville,MA. Mr. and Mrs. Hallett were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on July 19, 1977 as recorded in Book 2548,Page 340. Relief Requested: The applicants have applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the Town of Barnstable,more commonly termed the"Accessory Affordable Apartment Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9- 14 of the Code—Amnesty Program to permit an accessory apartment unit adjacent to a single-family owner-occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment attached to the principal residence. Locus and Background: The property at issue is a 0.49-acre lot located at 33 Emily Way in Osterville,MA. The lot was developed in 1977 with a single-family cape style home. The effective living area of the main residence is 1,685 square feet. The accessory apartment is a one-bedroom unit located above the detached garage. The square footage of the rental area is approximately 400 square feet. The lot is served by public water and on-site septic, and is located within a Wellhead Protection Overlay District. The Town of Barnstable's Public Health Division reviewed the application, and on July 10,2007 approved a total of three(3)bedrooms at the property with the existing on-site septic system. Procedural Summary: A site approval letter was issued for the property by Town Manager John Klimm on July 10, 2007,in accordance with MGL 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 then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on July 27,2007 and August 3,2007 and notices were sent to all abutters in accordance with MGL Chapter 40B. On August 22, 2007 Hearing Officer Gail Nightingale presided over the public hearing. The applicant, Laurel Hallett was present at the hearing. Madeline Taylor of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicant to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on August 22,2007 the Hearing Officer made the following findings of fact: 1. The applicants are David and Laurel Hallett who reside at 33 Emily Way, Osterville, MA. They are requesting a Comprehensive Permit to convert an existing one-bedroom apartment located above the detached garage into an accessory affordable apartment. The conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the"Accessory Affordable Apartment Program." 2. David and Laurel Hallett were granted title to the property by deed recorded in the Barnstable Registry of Deeds on July 19, 1977 as recorded in Book 2548,Page 340. 3. On July 10, 2007 a site approval letter was issued for the property by Town Manager John Klimm, in accordance with MGL 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,and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 400 square feet, and is located above the detached garage. 5. The applicant is 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 and is in an identified Wellhead Protection Overlay District. The proposal has been reviewed by Thomas McKean,Health Director,and he has approved a total of three(3)bedrooms at the property with the existing on-site septic system. 7. On December 25,2006 the applicants signed an Accessory Affordable Apartment Program Agreement 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 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 their principal 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 monthly household income of a household earning 80%of the median income, adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of August 22, 2007, 6.63%of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. 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. 2 l_ Finding Summary: Based upon the findings,the Hearing Officer ruled that the applicants 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. Ruling and Conditions: Based upon the findings, a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B to the applicants,David and Laurel Hallett. It is issued to allow for a one-bedroom accessory affordable apartment unit in accordance with the following conditions: 1.Occupancy of the affordable unit shall not exceed two persons. 2. The total number of bedrooms on the property with the existing on site septic system shall not exceed three(3). 3.The property owner shall occupy the principal dwelling as their principal residence. 4.This unit shall not be occupied by a family member of the owner(s). 5.All parking for the accessory apartment and the main dwelling shall be on-site and no lodging shall be allowed for the duration of this 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 single individual 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. 8.The Growth Management Department shall serve as the monitoring agent for the accessory apartment. 9.The applicants must apply for a building permit for the accessory unit,whether the unit is new or pre-existing. Before securing an occupancy pen-nit and certificate of compliance,the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 10. The applicants may select their own tenant provided the tenant meets 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 individual. 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 income eligible individual or family. Whenever a vacancy occurs,notice must be given to the Growth Management Department and the unit must be listed with the Town. 3 L 11. Every twelve months the applicant shall review the income eligibility of the individual 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 an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicants shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 12. 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. 13. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit 2007-080 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen(14)days from that transmittal the Members of the Zoning Board of Appeals takes rio action to reverse the decision,this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Chapter 241, section 11 of the Town of Barnstable Administrative Code,the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on August 22, 2007. Fourteen(14)days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. W&icer G Nightingale earing 0 Date Sipe 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 bee4 filed in t office of the Town Clerk. Signed and sealed this day of under the pains and penalties-o'i'perjury. Linda Hutchenrider,Town Clerk 4 0=0 2-Oy u-2 0_00_ 3 a 1 0 2 = 0 8 p� REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this /I dap of rlhV 1JdQ ,2007,by and between David B. Hallett and Laurel M. Hallett of 33 Emily Way, Osterville,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 33 Emily Way, Osterville, MA as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 2548 & Page 340. B. The Project located at 33 Emily Way, Osterville,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. 2007-080 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 d &Page 17 0 D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS, COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan Statistical Area (MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation, or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, L mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income(AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND 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 Authority shall be deducted from the rent. i IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry-of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number.of the Agreement. 2 V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or,to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold 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 2548 & Page 340 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 2548& Page 340. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 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. 3 l_ } B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merely personal covenants of the Owner, and(iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs.and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this day of i! 20(e OWNER OWNER BY: BY: Signature Signature Printed:David B.Hallett Printed:Laurel M.Hallett COMMONWEALTH OF MASSACHUSETTS County of Barnstable, ss: On this 41- day of 007 before me,the undersigned notary public,personally appeared DAVl� -t- �-"cu is 14 AIT the Owner(s),proved to me through satisfactory evidence of identification,which were R I tj , .-� i I&6T✓L-L ,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. ,1 f` �j- Notary PublicPamela Hallett NotarPublic Printed: An\ �`I rk I' r t l M Commission Expires: C0MM =Ex y P yrtsmission Expires March 27,20t)9 4 TOWN OF BARNSTABLE BY: TO AGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: 0 0 Q On thiAay o efore me,the undersigned notary public,personally appeared the f/ Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,wht were ,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: LINDA R.WHEELDEN NOTARY PUBLIC 'COMMONWEALTH OF MASSACHUSErtS My Cw=.Ex0=Feb.7,2014 5 _ . , . � o -� `;�,� ? W i �—. � �-= � . � �� � , , � � ; � 1 �` �- �= 1 { ` .: ��� f. L ;r � � � C��lE�- � 1 � �_ � � E�� .: ,N.... �� �. C - � � � r°...-._ I' � `� ..... �� i j:. ./ \` f �� � � t I l �S s!j L f i ii I1 i . L I i j - i : 4 J l Barry, Lois From: Dillen, Elizabeth Sent: Tuesday, April 29, 2008 11:40 AM To: Barry, Lois Subject: RE: 33 Emily Way, Osterville Yes-thanks! Beth.Mllen Special.Proje,ts Coord.6nator Growth Management Department Town of Barnstable 367 Main Street, Nyan.nis MA Tel 508,862.4683 7x 5,08.862.4782 -----Original Message----- From: Barry, Lois Sent: Tuesday,April 29, 2008 10:01 AM To: Dillen, Elizabeth Subject: 33 Emily Way,Osterville Beth, We have a bldg permit application for this property. Okay to sign off for you? Lois 1 l cFTHE r�, Town of Barnstable �O BAMSTABLE,•* Regulatory Services 9Q� 39. ,•� Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 12, 2008 Mr. and Mrs. David B. Hallett 33 Emily Way Osterville, MA 02655 Re: Proposed Accessory Affordable Apartment Dear Mr. &Mrs. Hallett: 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, i I Lois Barry Division Assistant amnbp Edson, Linda To: McKean, Thomas Subject: 33 Emily Way Osterville I measured the room in question, the 113rd bedroom" in the main house. It is not a bedroom it is less than 70 sq. ft. I believe there is a walk in closet in question. That too is under 70 sq. ft. There are only 3 bedrooms total at this property. Linda Edson 1 L Certified M gS5ail#7005 116`0 0000 01.Y 2144 Town of.Barnstable Regulatory Services ZUH FEB 24 414, 9: 56 znrsrAa Thomas F. Geiler, Director Public Health Division-—----- biviSION Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 David B. Hallett February 23, 2006 33 Emily Way Osterville, MA 02655 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REOUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE The property owned by you located at 33 Emily Way, Osterville is being advertised bdy Frank Sullivan Real Estate as a 5 bedroom property. It is listed as "three bedrooms on the 2n floor"; "finished walkout basement...bedroom"; and "heated garage with separate guest quarters...bedroom" The following is a violation of the State Environmental Code: 310 CMR 15.214: Nitrogen Loading Limitations: 5 bedrooms are being advertised for said property, which is located within a Zone 2, Wellhead Protection Area with less than one acre of land. On August 31, 1977, Septic permit 77-540 was issued for "2 + 1 future" bedrooms. You may have no more than three bedrooms total at said location. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice or prior to the transfer of property, whichever comes first. You are ordered to correct the violation by eliminating the two extra bedrooms so that a total of only three bedrooms are present at said location. The Town of Barnstable Health Department has a policy to eliminate the privacy of being considered a bedroom by installing a minimum five (5) foot cased opening with no doors, and no beds or people sleeping are allowed in the room. You and your realtor may only advertise the property as a 3 bedroom property. Please call Health Inspector David W. Stanton, RS to schedule an inspection, of the property when the two extra bedrooms have been eliminated at(508) 862-4647. You may request a hearing before the Board of 'Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation._ Each day's failure to comply with an order shall constitute a separate violation. QAOrder letters\Sewage violations\33 Emily Way.doc t f i r i 1 .. r n t • e - ` p d z , E n H , - A -A z a �r • _ ' #� .,.�' ..fir.. _ r � 4' I_ t i se h; Osterville Home -Frank Sullivan Real Estate - Cape Cod Page 1 of 2 FRANK U LL.I�/AN _ � V/ (� 32 WIANNO AVE.,OSl 9 • i tl n 'i • t � / R E A L E S T A T E �p� tel: 508.428.4400 fax: email: sales@franksullivani HEM W—Sbylft F1LFMl� 1#t r� ate® WW" IR '#� A M bw r b . r - 6 �• d11 r i y Off Main Street, Osterville-Located on a private lane off of Main Street.Relax on your open porch after a short stn from the village.This Cape style home has a cathedraled ceiling family room,a front to back living/dining room,and three bedroc 2nd floor.The finished walkout basement is perfect for guests since it has its own living room, bedroom,bathroom,and cooking addition to all of this,there is a large two car detached,heated garage with separate guest quarters on the 2nd floor.This guest bedroom,living room,kitchen,full bathroom and its own side entrance.The owners have made significant renovations within the years that include:new windows,vinyl siding,a new roof,and a new furnace. Bring your customers to see all that this property h; $699,000 jd�� http://www.osterville-real-estate.com/offmain749.htm 1/30/2006 Osterville Home - Frank Sullivan Real Estate - Cape Cod Page 2 of 2 ;+tea��i {ju. fit' 1 t �� } i q�4 � ggJ}4�; •�1 < *a . HOME MLS LISTINGS I HOMES FOR SALE FEATURED PROPERTIES LAND FOR SALE VIEW OUR SOLDS! CONTACT UE 32 WIANNO AVE.,OSTERVILLE,MA tel:508.428.4400 fax:508.428.4431 email:sales@franksullivanrealestate.com Osterville Home - Frank Sullivan Real Estate - Cape Cod Page 1 of 1 Off Main Street, Osterville-Located on a private lane off of Main Street. Relax on your open porch after a short stroll to and village.This Cape style home has a cathedraled ceiling family room,a front to back living/dining room,and three bedrooms on the 2nd flo. finished walkout basement is perfect for guests since it has its own living room, bedroom, bathroom, and cooking area. In addition to all of large two car detached, heated garage with separate guest quarters on the 2nd floor.This guest area has a bedroom, living room, kitchen and its own side entrance.The owners have made significant renovations within the past five years that include: new windows,vinyl sidirn and a new furnace. Bring your customers to see all that this property has to offer. $699,000 http://www.osterville-real-estate.com/offinain749.htm 1/30/2006 °FTME T°y, Town of Barnstable Regulatory Services ♦ s BMWSTABLE, Thomas F.Geiler,Director �ATf1639. &,O Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 31, 2005 Mr. Frank Sullivan Real Estate 32 Wianno Ave Osterville, MA 02655 Re: Illegal Apartment 33 Emily Lane Map 118 Parcel 126 Dear Realtor: A review of our records, including the permitting history and the Zoning Board of Appeals database, indicates that the present use of the property located at33 Emily Lane Osterville MA. is limited to that of a single-family home; any other use, specifically an independent accessory dwelling unit is illegal. Your property listing clearly indicates that there is a fully equipped or easily modified independent living area in the basement/upstairs/above the garage. Two (2) illegal units. Work performed in order to create this living area may have been done without the benefit of permits and municipal inspections. The resulting liability issues are serious and should be of great concern to you as the listing agent and to the new property owner. As you may be aware, subsequent owners have the right to seek the zoning relief necessary for a legitimate family apartment in accordance with the criteria as outlined in the Zoning Code Chapter 240 Section 47.1 or in the alternative seek approval through the Town of Barnstable's Amnesty Program. Staff is always available to discuss any of these options with you should you require additional clarification. Sincerely, Linda Edson Amnesty Program Zoning Enforcement Officer PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Cc:'Building Dept. ) Frank Sullivan RE. QAOrder letters\Sewage violations\33 Emily Way.doc Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 Emily Way . Osterville. MA Owner: David Hallett Date of Inspection: Al2ri116, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. -- -- -- -- ----- ----- GArASL A_ oust. � 3 y 3 (� O O O , A 4 s a 3) 3 `/9 30 to Barnstable Assessing Search Results Page 2 of 2 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,797.39 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.4 Year Built 1977 Appraised Value $ 191,800 Living Area 1436 Assessed Value $ 191,800 Replacement Cost$ 155,783 Depreciation 10 Building Value 193,600 Construction Details Style Cape Cod Interior Floors Wide PineCarpet Model Residential Interior Walls Drywall Grade Average Plus Heat Fuel Oil Stories 1 1/2 Stories Heat Type Hot Water Exterior Walls Clapboard AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 1/2 Bathrms Total Rooms 6 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 144 $900 $900 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) http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=1181... 1/31/2006 ., _.._USA� �E�I�hl `DA,T�4 I+.ALL.a r-AMILy +Jo G�+231�c•c, G21+�D��.. -1 FLnv-/ = I lO' 3 33o G .F'v, cl1.L>� I 5=?rIG T�aNIL - 31ok15o`/0, Act SGFrD 'DiSP�S,.�L. PIT I r?O SF x 'Z.S S"IS 6'Po fc/U. So S F: x l ' : SD G PD - sePr76. `roTAt- 'D E.516 .I :_ 4-L S G r-D �T rA v� C' 'TOTA L, 'D N%L y : F t,o - 7,�0 !.P� �� Sr Box. Pt-2c TEST ... l„_l _t,L nMi N OZ. La55 qOT A ya LiAXTER <'►S'TEt;�p� V ��`�Qiuh��/•rIR ..ems /A!I y w. 7 sG-i'!7G/ao v /0 ' e 9S,o rdAle .I i G.aL S,a,�b CGRcN ' Per • EG=90 cull o'4uc- tor-ATIOT-1 1,7 ynrroti� - S� Ho wArEe • ��-^^ tJ �-A F..1 R i-��tZ.G�l C.C. Tti-•lAT TI-1G5ua'� w1F `'4= I �iJ GavlPt_ti/S W1TI-� -('l-lL. �t�E..�It~C l.;✓T Awv Ise i UI�ENta"TS bF -rN "(Co vu Q OF B 1�\ .►�� �pTEU �1,:\c'G e-1 -1 i�j�1 f GA.`�E �2�(1 ' �„� C'� ��a .`+,��-'r'"". 13 Q.?CTC'<Z �,.r u�lC�•1�-1C.. _L tZcGlSrc-lz � �.�,�Io 5UI'— t-llS D't-Ak�l lS UdT �:�.SF'o ' Jr'� 41-lrjU.(l-'r-> At-j-t•7I 10- t-1- Assessor's offioe (1st floor): / / C MUST as I E Assessor's map and lot number ....... //! ....d(�j�..... c SYST + � Board of Health (3rd floor): ";�, ����������� fO�Q��� �♦� Sewage Permit number ....... :..,�.. �. .,. ................. !91T TrLE 5 SAUSTA1DLE. : Engineering Department (3rd floor): tl �o rasa House number �,y � Ie,°': 0,,�03Y.a\0� APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO E/..!L`f��� �a /X . . •, �/� ��✓ TYPE OF CONSTRUCTION .....�4� ......... /, .................................................................... ......... ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... �......... '/�jL}� ..... �'. ........... ',el�� �.. -...�................................ ProposedUse ..............................................................................................................................(./f............................................ Zoning District ........K ......................................................Fire District .......r.:..0."'..l.te....................... ............. Name of Owner 1.!/.....�.1. � J. .!!..................Address .... ....... Name of Builder \J./..?�.!!. ..... ` l Gi.�v. ......Address ./...�.. ....Z.......V 1 ::.v.f.4l /...1.. . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms / Foundation .../C�............. �f-� � ••..•...............••.. Exterior ..... /�!1`�s A&.......................................Roofing .... /././f. ............................................ Floors ......................................................................................Interior ....................... Heating ....xeeh .o................I.......................................Plumbing ` Fireplace ..................................................................................Approximate Cost ....W ��,.L/..G.� ...o.. Definitive Plan Approved by Planning Board _______________________________19________ . Area .....«�� "'f. ..................................... Diagram of Lot and Building with Dimensions Fee V................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town o Barnstable regarding the above construction. Name ................. ���� ....................... Construction Supervisor's License ... ��j HAIULE-TT, DAVID No ... 7. Permit for ...:�qq-i.t.io.n............ Sincile Family Dwelling ..............-'.-.........................................j.......... .Location ...3.3....Emily..'..s...Way......................... . . ....... I. • . ..... Osterville . ............................................................................... David Hallett Owner .................................................................. Type of Construction ......................Frame.................... ............................................................................... Plot ............................ Lot ................................ J- 87 Permit Granted ....... ..........1.9 Date of Inspection ...............19 Date Completed ....... .................19 .7 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �(C�"J IL DATA I o 3 - 33 0LV - 5 r-Ic rraNlt. 33a,Lt5o"10- agsGRD 1 -4,1� u5� l�o GAL. I I l Dt�PtrS,��. PIT - 1000 31 S GPD RortOm MEA 5o Sr- 's111 .� 60 SF ,C (,O So GPD �- s � } `TOTAL. 'D ES tG t..i 'TOTS,t, -1:)N%L.Y fiLo--� 3 o Grpl `N) E2 TEST Iu I" Z. M04 OF- L-tK7$ i 'lfi�i 2-- �9r" �7S-7 - T&-57- -- — 1-.10e AC 61/31 77AIV llvv L5.0 54-7i� C cacy PiT I- —EGr 9D wj/sro ^�� YrTTvti4 C6tZTCFIED Pl.cS'r PL-4,j �5 F/o WATER • T t 4 AT' T l-1 G �0.'�a C; t t c�1 5 lo�.cJ I J I PZ_la V-1 R G F W-i_t1?c GcAAPL VG W ITIA -_ h1J SETts3laCl! !?C-4vIIZE,t/tcNTS DF -r14 :�0Ww ot~ Tt-1ts p�Atit lS tot t'�ASE[� vim► Au G I ASS 15t ci k-,.G T ���VL=`( TIDE= C��= �r�1 S if(GL��117 APPI_l GAI"1 us -D To L.I.-iC_S Z�A�. IJo G/11,Z3A40a Gea ObC---z.. 5'�T'I: TA►•lIL t 33DIC 1�70�0' d�SGr'D � u5t IC ca GAL i Di<PMAL- PIT - 1000 G,aL- IZ41 ACEA Igo SF• i (150 BoTTom ALEA - 5o So SF x (, O So G PD (37- -TOTAt_ 'D EStGLA 42 5 (; D q A " 1 'Tort.�- - ra%LY. F I.D� o pt) �� G — �) l Disr Bvr PE2G TESTOT � 7 Rt( A +�'ASTER OQ 4^• ,� �. T&'ST - ---- e,/i3/77 AVV Sig �-� /ao o �-.:;•,•r_ I T .5;4 A4D CGAC�t/ P'r cu/i u� CEIZTtF1ED ptwc5•r P�..._.!-�� l ci:G5 Pr�2G 7$ f/o WATEe .� T(4 A-r T I-1 G 1 a ��c,�� ;c��'. 5 Llcy.v I-J _�•t..i 1Z ^� a C.+=. WITH TI-IC_ jIDE.I_t► '�, is I.1 J SET13/aCl! 4?C-Qu I IZE,c/t uTS OF T t-; i A coA.-,E -1 tZcGIS t�rzt.� �-�.I�rp Sul;v�.Y� �t-{l5 C7LAtiI lS LIOT t?!}SFD U� Au OSTEV-viL.LI_ o /�l:��S• �-TIRE-- APPt_I C-A,"'► .I-;t tie uscc� Y� ucrcv "= t_r� c t►� s Assessor's offioe (1st floor): / � y4G SYSTEM MUST BE 0*INEtO -Asse`ssor's map and lot number .... .0..... ! 4-ASTALLED IN COMPUAN •, `, 1. 0 Board of Health Ord floor): ''Sewage--Permit number .......�... �.. ........�.........9 WITH TITLE S • BA$39TADLE, Engineering Department (3rd floor): ENVI RONMENTAL NNENTAt CODE Q rasa .V d/ TOWN REGULATIONS °'moo�pY House number1639. a`e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING ANSPECTOR APPLICATION' FOR PERMIT TO ........ .' .—............................. TYPEOF CONSTRUCTION ........... ....................................................................................................... ....................%.......Z:z......._..19.. � ! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informatio : Location ........33..... e214. ........'0 K.......... .!/l l .. ............11125.:5............................................ Proposed Use ......... ,-.....L_ 1. ........Ltd? ................................... .......... �/ s ..........6 .................... Zoning District 1 �.................................Fire District C. ( ..................... .... ... ............. ................ . ... ................................ Name of Owner .AU ......3... ..........Address �7 j� ...................... Name of Builder ( ...Address I Nameof Architect ..................................................................Address ................................................................................... Numberof Rooms ...................................................................Foundation ....................................................I......................... Exterior ..............................Roofing ................................... Floors !!`..`.. .. .( .1... .....:.........................Interior. . ...................................................... Heating ...........................................................Plumbing Fireplace. ..................................................:...............................Approximate Cost c'........... .......................... .................. Definitive Plan Approved by Planning Board -------------------------_-------19________ . Area .....V..Pl-'.�....................... Diagram of Lot and. Building with Dimensions Fee ....:.. .t........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH + 2 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town o Barnstable regarding the above construction. Name ....... Z.ex Construction Supervisor's License ............. HALLETT, DAVID B. BUI GARAGE Permit for ........................... ...... .....§i.ngle Family Dwelling . ........................................... Location Emil 33 Em............. .. ............................... . 0sterville ........................................0............................ .......... Owner ...........avid Bi Hallett .......................................... Type of'Construction ....Frame...................................... . .................... ......................................................... Plot ............................ Lot .................................. Permit Granted ....Qg.tqbpx,A ............. 86 Date of'Inspection ................................. 19 ,Date Completed ........ ............ 19 -10 - :3 44 i 's V,14 T41.I lL--...-33a:iC (�7D"�o- d�S Gr'D• 4;�(D USE �Cb. 6; s PIT 151T7EW/aw 1=50 I C?o s F` x 'Z;S 3'15 G D Jo'•1.. Fvv. l3orrom Awn = 5 o S r- ,>; 50 •SF x . !r�0 � ! SD GPD � � s ;;; i � SePri� -TOTAL 7r->i:.e 1 _, 42 5 r'°.u� *,sr Box. !L M1 hl oZ. $ .� sty �;�— ..� .►. / ©� RIC. ARO GN s . , _L—�8��' /'/ vOAXC�3 T ZA ,s b O Ga,IAj �, -- EL-`IG•S .. =� ��� zvsr w1�e-__.._. &K. 9-63 GaL S�,vb C�Acy :...... .. .. ... Per EG='90 tu/i sn £'aTTo ti4 - s,�.vb �9•0 B5 .PEA', 7&5,- ''.: � //o wArEe R.i�F� ` t_I:-iZ T tJ=,q T I:4 AT T 1-1 G �WT,; D F T t-a UpTS-L7 AAA!zG t 1 i:�A.`r E ��24�1 ,.,.. C'� �V�'a t`�,y�-'.--• �3,4�C�'C�Z �R�- u�t'c-����.a c.. pSTEQVtLLE Tt 1t V A�.1 lS 007 • �:"�SF'p . ........ ..... v Fis..... ` THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH OF . ..l��!i,...--------------- ------ Applirtt#iutt for Dispuiittl Works Toustrurtturt ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ;1... . �t :.. 1 .......� %...... `.r�.�:T `.......... ............................ ._...... ... .....L.o.cation-Address f� . 1Z Z•�-•-- or Lot N�o. �l..----•-...... ....:_ : L Owner _Address a �� ... -•-••• ....--•-......... Installer > Address -r- _ . Type of Buildin % tip. ; t - Size Lot ....Z,!.:_`_?.__�7_._.Sq. feet Dwelling�No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( �a) a44 Other—Type of Building No. of persons............................ Showers YP g ------•-•---------------•-•- P ( ) — Cafeteria ( ) 04 Other fixtures --------------------------------------------------------•-•--•-•----•-•----•-••-•-••-••---•-••---••-•---•---•-_____.__.....__._.....- W Design Flow...................��., ...............gallons per person per day. Total daily flow......._._.-f-/ ..............gallons. WSeptic Tank 4 Liquid capacity............gallons Length................ Width._ ............. Diameter................ Depth................ x Disposal Trench—No..................... Width _. _. :Jam_ Tot en Total leaching area... ft. Seepage Pit No......-_j..__..__.. Diameter../7�... h elf ...... Total leaching area..................sq. ft. Z Other Distribution box ( /) " Dosing tank , I; � . 7�Y" ` ~' Percolation Test Results Performed by............ 1....f��^,... ._€ ............... Date........................................ . Test Pit No. 1................minutes per inch Depth of Test it.................... Depth to ground water.......................... f=, Test Pit No. 2................minutes per inch Depth of Test Pit......... s Depth to ground water._:. __ __._ O - , _.f �{•y 1'�^-�.,. , ..� �f, ^.+*'(i� ,mil!. Description of Soil................�: 1� _..lf...----••--------.f.....-- ---...-�--=('-- -•-..............................l�___•..... ..------•--- � W -••---••--••-----------------------------------•--•----------------••------------------_____-•----••----•-....----------------------._-------------..----....-_-........----------•-•---------- U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ---------------------------------------•--•--------------•--------------------.._...-•-•-•------.......•••••-------------------•--••-----------•---•----------•-•--•--•--.....---•--••-___--•--•--•-••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the board of h�ea ign �------ S s D ae Application Approved By......- �Z ; t ................. i _..._ I ./ Date Application Disapproved for the following reasons:------------------------------------•........................................................................... --•-•-•...-•--•-••-•___.....__-•--•._.......-•-••-----•-.._..•----•..._..----•-•_________________________.......__.__._.....•.------•------------•---•-•-----•-------------•----•-" ----...-•----- Date � PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD. OF HEALTH ......:O F........ 4 ................................................ (Irrtiftrtttr of (9umlifitt"r T IS TO C F ' That the-Indlvi wz e I S o S stem constructed ( ) or Repaired ( ) f� y...__.. .b _ !i dns 1 ♦ b - has been installed in accordance with the provisions 5 o he State Sanitary de as described in the application for Disposal Works Construction Permit N ................ dated _. "" , "`: 7. .___....._.._.THE ISSUANCE OF THIS CERTIFICATE SHALL.NOI BE CONSTRUED AS A GUARANTEE.THAT THE SYSTEM WILL FUNCTION. SATISFACTORY.; w DATE••= ........... Inspector:•-------------•---__._.........._ ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD HEAL { .; .O F.: - No.......:: ................ F.EE.. .... Per < " �iu�ruu�tl ��, to Consm> Sion ereby granted _.. . . ----- l ----- •... •-- •----•-•--------- t i t ( pa> ( lvHU S�a� e Dis sal System r • A treet ; "• , as shown on the application for Disposal \1 bo s Cons ructi :P t No Dated... ZI. ------ oard of"Health DATE.. ........... FORM 12SS HOBBS,&.WARREN, INC.. PUBL°MSHERS.