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0013 THIS WAY - Amnesty & MULTI-FAMILY
1,7 - y f � 4 r �P 1 1 r - A I Town of Barnstable 0/C, : t Regulatory Services FTHE rOk, Thomas F. Geiler,Director ti Building Division 1 '11` " r,;W f .�1: 61 E s�xwsTnsi e. Tom Perry, Building Commissioner 1639. � 200 Main Street,Hyannis,MA 02601 Argoy s www.town.barnstable.ma.us 1O``~ Office: 508-862-4038 'Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is M LL I'�y:rP�-t I am the owner/resident of the property located at: ,4- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 3 A54Ze,!1 /�)a,T/,11 -bAu Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this R 7* day of-?�Nl)A. 2007. r r r Jm'Y Y Signature ' Phone Number Print Name /nJ G C /30U Ig Q/bldg/forms/famaffi d Rev:1/03 Town of Barnstable i6 Regulatory Services pF'THE Tqy Thomas F.Geiler,Director Building Division ill's"I`i I`" 11` i0L * BARNWAB Tom Perry, Building Commissioner A 200 Main Street,Hyannis,MA 02601 ? FEB — I � ' 3` 35 A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is /bl EL RAJ6 k• A✓i /rya 496I I am the owner/resident of the property located at: /. 7` / /,yy. D Sri yi G(E� J���• D-p a3 Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: J #671 i �1If Name &relationship to owner: M ILA AEL /71AT66 Fv Sam'!— iiv -Z4 kJ The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of Ant U g 2006. ndLL�_� k' Signature Phone Number Print Name /21 6C ,6h ilo-Al t' Q/bldg/forms/famaffid Rev:1/03 � Ok Town of Barnstable Regulatory Services pF11HE Toy, Thomas F. Geiler,Director •.-� ;r�1 HP� °•� Building Division w s�xtvsTna�e Tom Perry, Building Commissioner" .€' . -. _ MiJ MASS. ,0$ - 200 Main Street,Hyannis,MA 02601 ArfD f11°�a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is m���°y'Q� /� A o'Ck)6,023M I am the owner/resident of the property located at: 7`'��5 IJ A U 1Q,57MQJ J. e 4 c) 6 Map and Parcel Number / The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: S g� 14 ^4_r91'g y ��y�thTz2 Name&Vrelationship to owner: t'66 ilf G 14kr 461co _--�trn, ZA) 44� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and pe lties of perjury this�_day of Je;6Ayogl 2005. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable � Regulatory Services Ft►+e Tqy Thomas F.Geiler,Director Building Division 0 snaxsrns in mmissionerm' B LE. Tom Perry, Building Co r� MASS.9 ,0�' 200 Main Street,Hyannis,MA 02601 .etFO MA'S A �-___-^---•-'_' Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is /h60601W& �' ,i1 t�Cl��2 I am the owner/resident of the property located at: /J Ti+"-5 lJA y p� /r i i,.��+lh Map and Parcel Number t `� The ZBA granted me a Special PermitNariance on� �, uo� 01 y U Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �L Name &relationship to owner: 11 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the,pains and pe alties of perjury this 191 day of J�QV v,4 64- 2004. L Si atu e Phone Number Print Name M 6_A;vjL,u e ��• W L'e E43 21 Q/bldg/fotms/famaffid Rev:1/03 Bk 17322 PO 290 07-24-2003 & 10 = 14cx "Ilk TOWN Ci r- : .�, .� • -BARNSTABLE mAsg, Z( 3 UN 17 AN 11: 20 Town of Barnstable' Zoning Board of Appeals Decision and Notice Appeal 2003-074-Nickerson Section 3-1.1(3)(D),-Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Melbourne IY,Nickerson Property Address: 13 This Way,Osterville,MA .Assessor's Map/Parcel: Map 121,Parce1142 Zoning: Residential C&Wellhead Protection Overlay Districts t Background&Relief Requested: at 13 This Way,Osterville,MA,is a panhandled lot developed with a two-story singlehas -family The liproperty . dwelling built ur 1976. The dwelling is 1,368 sgft.m��attached to dwelling byan ooPepn�az�'deck- The one-storygarage of 576 sgft.built in 1994. The garage property is located in a Residence C Zoning District. According to the application,the applicant is see O�an�permit °�to b i developed apartmentas un second floor accordance with Section 3-1.1(3)(D) of the Zoning addition over the existing garage. According to plans presented,the apartment unit is to be a 660 sgft.one- bedroom unit. The second floor will overhang the first floor by4 feet on one side. Access will be from an exterior sway. An exterior 10 by 12 foot deck is also being proposed. stairway. The applicant:is Melbourne K Nickerson,who according to the llAssessors and���records Mathieu, and son the property with - Carol Nickerson. The apartment unit is to be occupied by Shelley in-law to the owners. _ Procedural&Hearing Summary. This appeal was filed at the Town Clerk's Office and o the Office was duly advertised dve tine andnoticetipsoon�r� . 25,2003. A public hearing before the Zoning Board of Appeals Y abutters in accordance with MGL Chapter 40A. The heanng Meernbers dec ding this appeal cweree R n Board found to grant the family apartment special permit. Board S.Jansson,Gad Nightingale,Richard Boy,Jeremy Gilmore and Chairman Daniel M.Creedon. ' applicant Melbourne K.Nickerson represented himself at the hearing. He stated that the apartment the unit. unit was to be addition over the existing garage and that his daughter and son-in-law would occupy for a family apartment and would abide with those requirements. He cited that he has read the conditions tank .Nickerson stated that the on-site septic system would be upgraded with the addition. I-le stated that the Health Division approved of the PP . . but that the existing leach pits wouldof the use a has been issued building permit but that in ordei tti secure a / n e ansio g He also cited that the expansion kitchen within he would need this permit for the f amily apartment. t TOWN GLER ' . BAMU BM . BARNSTABLE, MASS, Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2003-074-Nickerson Section 3-1.1(3)(D),-Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Melbourne K.Nickerson Property Address: 13 This Way,Osterville,MA .Assessor's Map/Parcel: Map 121,Parcel 142 Zoning: Residential C&Wellhead Protection Overlay Districts Background&Relief Requested: + The property at 13 This Way, Osterville,MA,is a panhandled lot developed with a two-story single-family dwelling built in 1976. The dwelling is 1,368 sq.ft.in area and has two-bedrooms. The property also has a one-story garage of 576 sq.ft.built in 1994. The garage is attached to the dwelling by an open-air deck, The property is located in a Residence C Zoning District. According to the application,the applicant is seeking a special permit for a family apartment unit in accordance with Section 3-1.1(3)(D) of the Zoning Ordinance. The unit is to be developed as a second floor addition over the existing garage. According to plans presented,the apartment unit is to be a 660 sq.ft. one- bedroom unit. The second floor will overhang the fast floor by4 feet on one side. Access will be from an exterior stairway. An exterior 10 by 12 foot deck is also being proposed. The applicantds Melbourne K Nickerson,who according to the Assessor's records owns the propertywith Carol Nickerson. The apartment unit is to be occupied by Shelley and Michael Mathieu,daughter and Bon- in-law to the owners. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 25,2003. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 04,2003,at which time the Board found to grant the family apartment special permit. Board Members deciding this appeal were;Ron S.Janson,Gail Nightingale,Richard Boy,Jeremy Gilmore and Chairman Daniel M.Creedon. The applicant Melbourne K.Nickerson represented himself at the hearing. He stated that the apartment unit was to be addition over the existing garage and that his daughter and son-in-law would occupy the unit. He cited that he has read the conditions for a family apartment and would abide with those requirements. Mr.Nickerson stated that the on-site septic system would be upgraded with the addition of another tank but that the existing leach pits would be used. He stated that the Health Division has approved the system. He also cited that the expansion of the garage has been issued a building permit but that in order to secure a kitchen within he would need this permit for the family apartment. Public comment was requested and no one spoke in favor or in opposition to the request. Findings of Fact: At the hearing of June 04,2003,the Board unanimously made the following findings of fact: 1. Melbourne K.Nickerson has applied for a FamilyApartment Special Permit in accordance with Section 3-1.1(3)(D). The family apartment is to be developed above the existing detached garage located on the property. The property is shown on Assessor's Map 121,Parcel 142 addressed 13 This Way, Osterville,MA in a Residential C Zoning District and a Wellhead Protection Overlay District. 2. The unit is to be developed as a second floor addition over the existing garage. According to plans presented,the apartment unit is to be a 660 sq.ft.one-bedroom unit. The main building is 1368 sq.ft. in area and has 2 buildings. 3. The family apartment meets the following requirements of Section 3-1.1(3)(D) of the Zoning Ordinance in that: The apartment unit is under the 50% size limitation. The unit will be developed in a manner that'retains the existing residential character of the dwelling and the area,and plans of the proposed family apartment addition have been submitted to the file. The additions to the garage building would not infringe into any required setbacks. The apartment unit is to be in an existing accessory structure and is attached by an open-air deck to the dwelling. 4. The application falls within a category specifically excepted in the ordinance for a grant of a Special Permit and after evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: Based on the findings of fact,a motion was duly made and seconded to grant the family apartment special permit with the following conditions: 1. The family apartment shall comply with,and be maintained in accordance with,all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board entitled "Modifications to Existing Garage @ 13 This Way Osterville,Mass." consisting of two sheets as drawn by Terry Luff Architect,dated March 02,2003. 3. An occupancy permit for the family apartment shall not be issued until the proposed improvements represented in the above plan and on the septic improvements plan entitled"Plot Plan of Land located at##13 This Way Osterville,MA prepared for Kempton Nickerson" dated Apri114,2003 and drawn by Yankee Survey Consultants is implemented to the satisfaction of the Building Commissioner. 4. The locus shall complywith all State Building Code,Town of Barnstable Board of Health regulations without variance and State Fire Prevention Regulations. 2 f - ' - ✓�, PW The vote was as follows: AYE: Gail Nightingale,Richard L.Boy,Jeremy Gilmore,Ron S.Jansson and Daniel M.Creedon NAY: None Ordered: Family Apartment Special Permit 2003-74 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized byd- s decision must be exercised in one year. Appeals of this decision,if any,shall be made pursuant to MGL Chapter 40A,Section 17,within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. yz A-Af el M. Creedon,Chairman Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed.in the office of the Town Clerk. Signed and sealed this day of "� unde e pains an enalties of per}ury. . Linda Hutchenrider,Town Clerk 3 A Amnesty. Program Helping to make affordable housin . ossible. p g gp k 1 own of Bamstable � g I 9 I Certificate of ComplianceI This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. Owners Martin Flynn Location 13 This Way, Osterville Unit Capacity One Bodroorn, twt to exceed two people. Inspector M/P No. 121/142 - 8/28/2015 t Town of Barnstable Building Department - 200 Main Street ASTABLE. * Hyannis, MA 02601 9 MASS. q, 16 9. (508) 862-4038 CFO MA'S A Certificate, of Occupancy. .Application Number: 201502267 CO Number: 20150184 Parcel ID: 121142 CO Issue Date: 08/27/15 Location: 13 THIS WAY Zoning Classification: RESIDENCE C DISTRICT Proposed Use: SINGLE FAMILY HOME Village: OSTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RCOO CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT S--z 7S"— Building Department Signature Date Signed r l 1HE TOWN OF BARNSTABLE Buildi n" g 201502267 BARNSTABLE, Issue Date: F 05/21/15 Permit y MASS 1639. Applicant: FLYNN MARTIN G Ark p A Permit Number: B 20151212 Proposed Use: SINGLE FAMILY HOME Expiration Date: 11/18/15 Location 13 THIS WAY Zoning District RC Permit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 121142 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village. OSTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 1,900 Remarks APPROVED.PLANS MUST BE RETAINED ON JOB AND BUILD SECOND ERESS STAIRS FROM EXISTING DECK TO APART ENTrHIS CARD.MUST BE KEPT POSTED UNTIL FINAL CREATE AMNESTY APARTMENT INSPECTION HAS BEEN MADE. WHERE A c CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FLYNN,MARTIN G ` ' BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL• Address: 86 MILL STREET It INSPECTION HAS BEEN NDE. NORTH EASTON,MA 02356-2621 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.:ENCROACHMENTS ON PUBLIC PROPERTY,NOI SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST.BE APPROVED BY THE JURISDICTION. STREET OR ALLEY:GRADES'AS WELL AS DEPTH AND LOCATION OE P,UBILIC SEWERS MAY BE OBTAINED'FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION. RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN-SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 `` 1 Heating Inspection Approvals Engineering Dept 1 Fire Dept 2 Board of Health / 1 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel `mil Application # C-11 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address � �� �c/ Village Oc, --(6g Owner I 1A 2. -fl 1,4 1/L VAN Address /�s /7` Telephone 6Z Z 1�f Permit Request u/C SeCGN D �►iSS s'-fn/g M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay G Project Valuation ! 7 G0 Construction Type Lot Size ` &6 74C e'✓l S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2r Two Family ❑ Multi-Family(# units) Age of Existing Structure /� r Historic House: ❑Yes &lqo On Old King's Highway: ❑Yes Flo Basement Type: C/ct Full Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) ZSSV Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new_7 --g Number of Bedrooms: existing _new F :i Total Room Count (not including baths): existing new First Floor Room Count`t�13 `1 Z� Heat Type and Fuel: C(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes &'No Fireplaces: Existing New Existing woolcoal stcVb: s ❑ No Detached garage: dexisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 6 LI 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 Im► -C Telephone Number / 7 Address 1_5 TVI S License # Home Improvement Contractor# Email° : 3 O- qVt C,co Worker's Compensation # ALL CONSTRUCTION PEBRIS RESULTING FRO THIS PROJECT WILL BE TAKEN TO a(k) QL�( �. MV�_ owl SIGNATURE DATE " 4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ,S r � } I ADDRESS VILLAGE ^ i OWNER ) ' 4 DATE OF INSPECTION: FOUNDATION FRAME INSULATION I� - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable F O� r ti r o Regulatory Services -Thomas F.Geller,Director Building Division g ATED `� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Yirmv.town.b arnstabl e.ma.us i Office: 508-862-4038 Fax: 508-790-6230 H%itOWNFER LICENSE EXEMPTION Please Print DATE: � � V JOBLOCATIO 3 -1w/J 0 * n street vtl lage uAmber C� "HOMEOWNER": 1��; 1A � name { home phone# work phone# CURRENT MAILING ADDRESS: //✓ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwa&gs of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as ` supervisor. DEFINrrION OF HOMEOWNER Person(S)who owns a parcel of land on•which.he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling,attached or detached structures accessory to such use and/or'farm structures. A person who constructs more than one home in a iivo-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that heJshe shall be responsible for all such work performed under the building nermst. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowne r'certifies that helshe understands the Town of Barnstable Building Department mini inspection pro es and requirements and that he/she will comply with said procedures and mum re me Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOwNER'S EXEMPTION The Code states that; "Any homeowner perfomung work for which a building permit is required shall be exempt from the provisions of construction Su pc provided that if the homeowner engages a person(s)for hire to do such Liccnsin P of this section Section 1 t)9.1.1- g ( work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption ai'e unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly roceed against the unlicensed person as it would x ith a licensed when the homeowner hires unlicensed persons_ In this case,our Board cannot p Supervisor. The homeowner acting as Supervisor is ultimately responsible. " . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that heshc understands thc rrsponsibilitics of a Supervisor. On the last page of this issue is a form currently used by l ......I v,.,.,,,a,caret amend and adout such a fomr/certificadon for use in your community. t` Town of Barnstable Regulatory Services Y Y uxresrAsr Thomas F. Geiler,Director MASS. �.�b. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstible.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign. This Section If Using A Builder X , as Owner of the subject property hereby authorize to act on my behalf, in a1matters relative to work authorized by this building petmit application for: (Address of job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeov,nets License Exemption Form on tb'e reverse side. I I A -)�C Gtr.irle fo Y-Vood CvllstrUGtion bi Hi*ggh ll'ii7.d Af'eas�: I1O llLpll I-Yi»d w,7.e n'Iassacli11setts Checl�list I'oz- Cbmpliance (780 CIIR 5301.2-1.1)' a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16" and be installed as follows: L Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below: Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to shoe (generally, south of Rte. 28 or north of Rte. 6) b)vertical addition=not required unless there is extensive renovation to the first floor c) replacement windows— needs energy conservation compliance only(chap 93) 6. Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. -wI YETI T}itS EDGE RESTS ON FRAMING UsE Ed W+1C S A76'oL --- fl 11 11 i II 1 ' u II r �i ii II 1 I w t 11 1I 1 �Q p i 11 it 11 0 1 r ZQ r t: O H i ,Q r 1 1 I I Il It r Ir II 11 b I IOO ( 1 F II 11 m �J 1 1 151 11 Q 1 1 1 I II b �I 1 1 f :E 1 ll 11 uJ i i AVE ffCy MEMBERS EDGE Kdi�Ri.{EDIATE I' 1 ' 1 I IL I I d I I 1 1 y�j I I 1 ti I 1 JI 11 11 I I I +I I I I STAGGERED NAIL PATTERN PANEL PAtJEt_ — y PA95-EDGE C DOUBLE NAIL EDGE SPACX4G DETAY- See Detail on Next Page Detail Vertical and Horizonial Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment r Affl'C Guide to Wood COI1St1'Llctloll ill Hl'lgh /hind Areas: 110 ulph Wiled Zone ' Massachusetts CheclOist for Cornpizance (780 CN-I}25301.2.1:1)' Loadbearing Wall Connections ' Lateral (no. of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral (no. of 16d common nails).......................... .....(Table 8) .................... ......•••... Load Bearing Wall Openings (record.largest opening but check all openings for corn pliance to Table 9) HeaderSpans ..._.....................................................(Table 9).........................:........ ft_in.<-11' SillPlate Spans ........................................................(Table 9).................................._ft_ in.5 11' Full Height Studs (no. of•studs).............................. .....(fable 9).................................................:...... • Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9)' HeaderSpans.............................................................(Table 9)..................................—ft_in.5 12' SillPlate Spans...........................................................(Table 9)................................... ft—in.5 12" Full Height Studs (no. of studs)................. ..................(Table 9)...................._.......I.......................... Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV Minimum Building Dimension, W Nominal Height of Tallest Opening2 ...............................................................................—5 618' SheathingType..............................................(note 4)....:...._..........................._............... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. FieldNail Spacing........................................... able 10 .................................. in. Shear Connection (no. of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing Table 10 ...................... ............... 5%Additional Sheathing for Wall with Opening > 6W(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2.............:..........................................................._�6'8" Sheathing Type..............................................(note 4)............._........... .............. ...... ......... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing able 11 ....................................... in. Shear Connection (no. of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing.......................(Table 11)............................................:....... _% 5%Additional Sheathing for Wall with Opening > 6'8" (Design Concepts)...........:........ Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... ;.1 ROOFS. Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. . ft 5 smaller of 2' or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)......:.....................................U= plf Lateral...........................:.................(Table 12).............................................L= plf Shear...............................................(Table 12)...........:..................................S= plf Ridge•Sfrap Connections, if collar ties not used per page 21... (Table 13).................... ...............T= plf Gable Rake Outlooker..........................................(Figure 20) ............._ft 5 smaller of 2' or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.............:..................................(Table 14)............................................ lb. Lateral (no. of 16d common nails)...(Table 14).......................................L= . 1b. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59) ......:..... Roof Sheathing Thickness.....................................:..... .............................................—in. >-7/16" WSP Roof Sheathing Fastening able 2 ......................................:.................. rtes: I his checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with .he requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5' b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b Exception: Opening heights of up to 8 ft- shall be permitted when 5% is added to th'e percent full-height sheathing requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. A TYC Grride to YYood Corrstructiorr if' Higir .IlVilzd Areas: 11O rl ph PKiru1 Zorr.e MassachusettS CheCklist f0T Compliance (780 Cl%IR5301:2.1.1)' Check Compliance a 1.1 SCOPE - Wind Speed.(3-sec. gust)................................................................... ........................................... ..... 110 mph WindExposure Category................................................................... ...................................................... ......B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch ....................:.........:......................_.....................(Fig 2) .................•...:........._............ s 12:12 MeanRoof Height ................................ ......(Fig 2)................................................. ft 5 33' BuildingWidth,VJ ............................................................:-(Fig 3).................................I. ............ _ft s 80' BuildingLength, L ..............................................................(Fig;3)................................................. 'ft <_80' BuildingAs'ect Ratio L/W ....................(Fig 4)................................................. 5 3:1 Nominpl Height of Tallest Opening .........................:.... 5 618" ...:.(Fig 4)..................................... 1.3 FRAMING CONNECTIONS General compliance with framing connections......................(Table 2)................................................,.............. 2.1 FOUNDATION Foundation Walls meeting requirements of 780•CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry ..................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION''' 518" Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general .........................................:.(Table 4).......................I....................... in. Bolt Spacing from endrjoint of plate.............................(Fig 5)..................:................. in. 5 6"-12', Bolt Embedment-concr=Vo .......:..............(Fig 5)................................................._in. >:7" Bolt Embedment-mast .......................(Fig 5)...................................... in.> 15" Plate Washer................. ............:............(Fig 5)....................................... .......> 3" x3'x'/." 3.1 FLOORS Floor framing member spans ......................(per 780 CMR Chapter 55).....:._........................... . �:. . Maximum FloorDpening bim ..............................(Fig 6)..................... ............................._ft s 12, Full Height Wall Studs at Floo Is less than 2' from Exterior Wall (Fig 6)...............I........................ Maximum Floor Joist Setback. Supporting Loadbearing 1 )r Shearwall .........(Fig 7).................................................... ft. <d Maximum Cantilevered Floor, Supporting Loadbearing V .Js•or Shear-wall................(Fig 8).................................................... ft <d FloorBracing at Endwalls....................................................(Fig 9)................................................_.................... Floor Sheathing Type .........:...........................:'..................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)....................... in. ' Floor Sheathing Fastening.............. ................................. .(Table 2).._d nails at in edge/_in field 4.1 WALLS Wall Height Loadbearing walls......................................:.........:........(Fig 10 and Table 5)........................... ft s 10' Non-Loadbearing walls ................................................(Fig 10 and Table 5)........................_.._ft 5 20' Wall Stud Spacing . ..............................I..........................(Fig 10 and Table 5)................... in. 5 24'o.c. WallStory Offsets .........................................................(Figs 7&8)............................................ ft 5 d 4.2 EXTERIOR WALLS Wood Studs Loadbearingwalls........................................................(Table a)............................... -—ft—in. Non-Loadbearing walls ................................................(Table 5)..............................2x—-_ft_in. Gable End Wall Bracing Full Height Endwall Studs........................................... (Fig 10 WSP'Attic Floor Length.................:................•..........:..(Fig 11)............................................ ft>W/3 Gypsum Ceiling Length (if WSP not used)................ ..(Fig 11)............................................ ft>_0.9W and 2.x 4 Continuous Lateral'Brace @ 6,ft. a.c. .. (Fig 11)............................:................................ or 1 x 3 ceiling,furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.,spacing in end joist.or truss bays. Double Top Platte Splice Length ..:...........:......................:..................(Fig 13 and Table 6)...........4........................ ft Splice Connection (no. of 16d common nails)..............(Table 6)..........................:.......,...................... • The Commonwealth of Massachusetts Department of Ittdustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insnrance Affidavit: Builders/Contractors/EIectricians/Plumbers A hcant Information yf Please Print LeQib1Y Name (Businessloria izationllndividue): �f 91 I ' ��• / '� ' " Ad ie&s: l 3 1 W ' 1 CI /State/ZI SQL/�U I LL.�. '' hone tY P Are you an employer? Check the appropriate bar: r6. ype-of project(required): 1.❑ I am a e loyer with 4. ❑ I am a general contractor and I ❑New construction employees(full and/or part-time).* have lured the sbb-m IItC3etor52.❑ I am a•salt proprietor or partara- listed on ijae attached sheet . ❑1Zemodeling ship and have no employees These sub-contractors bzve S. ❑Demolition cmployces and have workers' wo36ng for main my capacity. 9. ❑Building addition . [No wolktx , mrop.•innnancr Wr,a i a Dorp[r,$ S. ❑ We an a corporation and its 10_❑Electrical repairs or additions rbquirt&] officers have exercised their l l.❑Plumbing repairs or additions 3. 1 am a bameowncr doing all work right of exemption per MGL myself:[No workers comp. 12.0 Roof repairs insurance insurance regard.]t [ and c. I52, §1(4o have no 13.©Otlter2, I wl10#Als, cmployt;es. No workers"ep�,insurance;mquffed.] � , *Any applicant that ch=lz box 01 mutt also 5Il out the section below rhowing their wm=%'=rnpm=tion policy inforrmfim-L t Homeowners who rubmat this affidavit indicating Ibry an doing all work and then hire outside contactors must rubmit a nrw a$davit indicating rue'. tCs that ebcek f'i,box umtt arfached an additional shoat rhowing floc name of thr sub-=tractor and stain whether or not those rntitia have ontractar coployers if the sub-u nfi-Ar ats have=mployces,they=d provi&their worm err'rcrtnp.pol'cy amber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Inninu p Company Name:- -Policy# or Self-ins.Lie-.#: Expiration Date: Job Site Address: City/Statclap: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverago as required under Smfion 25A of MGL c. 152 can Imd to the imposition of criaarial penaltcs of a fine tip to S 1,500.00 and/or ono-year imprison=nt, as wrU as civil pcmltits in the form of a STOP WORK ORDER and a frno of up to$250.00 a day against the violator. Be advisod that a copy-of this stat=iit may be forwarded to the Office of Imestiostions of the t)A for inmramr,coverer r verification. I do hereby certify under the pai d penalties of perjury that the information provided above is true and correct Si c: Data. Phone#: J 1/7 Official use only. Do not write in Wr area,to be completed by city or town offtciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person• Phone#: i vyl V` y • _ y • SIG � ! � ✓� ���✓��{'�� �r ! -q r i I Mi . lu PEE to� MISS' S!`r_ U i .j-III Ell, i DD sdwQ yaB� �r Q T o, -1 f 1 { i .ti. � I I-]El \ " I SIG ! ✓O ! `� {�1H - �r _) ✓ 'CO j PEE 1 ; t 1 No. _ F j A-21 IL C `� 'i •ri Ll U Guv T. OWL-. ear r� { \ I dro ti H Z I A�v 5►earF L. x6'�� �'ac ' l p ` JtiV'G Ll_. o ftai wzN SLa:X L !!v C)rL ���y,A-ILA i.JB� N col vo-ire�aT l n LI ova, aT� I "� - N �.�► i�► ��,; Ui NT2r -i r 1 a'.o" , a •I'. s itH l: 28x6 e a-IN 7 O 'l fz k(RGFyf} �: �. c� j ' I � 4 �y �j r _ --, -�. ,`�� 1 1 i 314o f T \ � � I f I � ' Fill . N � ;ram aor MvuS� rL�, ?1.A� �`sr Town of Barnstable Geographic Information System March 29, 2012 #2157 o^" r FF t. .�s+a, 1210922 121015006 #319 #<250 f 121141001 121004 #16 1033.,#251 9 F t I 1204#260 ' t " R 121015005' p #242 121032 121141002 FF'� - `^'#2 32 �� ..121003 fi p #235 ,121031 iJ a "ram 121026 #226 a. L q J r 121030 ilk" r°f 121044 121142 pp 121043 , � t 121001 :yu " #21 B , #215 ; ^ is t E 121025 6° r #214 S 120005 H 6 f #.162210 121042 121045 ipm s , d #234 #51 120004t' t '� 121027 f`�` //f #23 9 #201` f #208 #239 1 1 Y 1 ��, Y is r /�, +, F>"°`�en.• F F r 120051002 YtF . #140 t z 4 8' e�03001 p ¢' 5 120 1#250 120 '.�" #193 k "r M1` #249 Y[ #39 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:121 Parcel:142 boundary determination or regulatory interpretation. Enlargements beyo 1"=100'may not meet established map accuracy standards. The parcel lines on this map nd a scale of Selected Parcel Owner:NICKERSON,MELBOURNE 8 Total Assessed Value:$337000 >... yet, ,'`�'� are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.66 acres Abutters '{��`�. =.E boundaries and do not represent accurate relationships to physical features on the map ��'� Location:13 THIS WAY }such as building locations. Buffer 12Pr , G/G .c7 jls2 � � i C40. LT- MUsua TOWN OF BARNSTABLE t LOCATION SEWAGE # VU-LAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. J' i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS f j BUILDER OR OWNER PERMITDATE: `'— ! ✓ COMPLIANCE DATE: 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private.Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i lilt, 2 I • I I % \ ` s i • I, TOWN OF STABLE BY TOWN GER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this 31 Odayof T&W 2008 before me,the undersi ned not u g aryp bhc,personally appeared the wn Manager for the Town of Barnstable,proved to.me through satisfactory evidence of identification,which were a r I � � 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 Pub Printed: My Commission Expires: SHtRCEEAYsEAt OAICL NOTARY PUBLIC �INMONWFALTH OFUASSACHUSF7TS My Comm.EXP- 3/28/2008 i I i I i I 5 I �! 1- ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL - I H I J WAY LEGEND Iul BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 20•Qp PROPOSED CONTOUR OF THE STATE ENVIRONMENTAL CODE,TIRE V.AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. EXCEPT AS REQUESTED BELOW: S68.08'22"W ® PROPOSED SPOT GRADE - 310 CMR 15.405 (1) (B): - -- EXISTING CONTOUR ROUTE 28 1)A 1.67 F7. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE 4.67 FT(MAX) BELOW GRADE VS REO'D 3 FT. + 96.52 EXISTING SPOT GRADE (H20/VENT PROVIDED) �7I/ `so 3.THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR -W-- EXISTING WATER SERVICE SN\S TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE CIO LOCUS DESIGN ENGINEER. TEST PIT (may 4.ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Z �'• ENGINEER BEFORE CONSTRUCTION CONTINUES. N 0M'OS 5.ALL.ELEVATIONS BASED ON ASSUMED DATUM. 6.THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF -` 0 ROgO��R THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF - YQ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. CO 7.WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. LOCUS MAP 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. LOCUS INFORMATION . 10. EXISTING LEACHING TO BE PUMPED,CRUSHED AND FILLED PER TITLE V. ' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION UPPOLE LOT 1 PLAN REF: 321/33 12.THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY T- PARCEL ID: I TITLE REF: 2366/197 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY ' 121/026 U W N LOT 3 i PARCEL ID: MAP 121 PAR. 142 13.NO PRNATE WELLS WITHIN 100 F(.OF PROPOSED LEACHING I FLOOD ZONE: "C" 14. ALL PIPING TO BE 4" SCH 40 O 1/8-/FT (UNLESS SPEC. OTHERWISE) COMMUNITY PANEL: 250001-001 6-D DATED:07/02/92 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW I PARCEL ID: FOR THE USE OF A GARBAGE GRINDER 121/141-2 16. NO WETLANDS WITHIN 100'FT. OF PROPOSED LEACHING ' tS SEPTIC SYSTEM 180 2'24„E\ REPAIR PLAN Ln �p3 LOCATED AT: I I -__2-- 13 THIS WAY W _ -- Nao OSTERVILLE, MA. T*i ^ _ --_ Gcx� - 22 24"E PREPARED FOR = _ �� s' 99.18 KEMTON NICKERSON ODD i I1.3 = -W G�O�\�. G I� JUNE 16, 2012 i DWELLING = _ SCALE 1" = 30' INSN�O.; TANK® OF -____-_ ON•': `1� OF M/sf G^R 3p= 14"P 15A= -- .DE i g' c TOFm55_56= 12'•P PARCEL ID: EX15T. I,500G q, _-=a pNc ,y0 121/025 p 5 C BM'• T gA 5 / / ?058.00 GI) SIHItAR\1a G.:I'Uj'b'V EXIST.LEACH PITS I\ PARCEL ID: GARDEN (�24"p` 0 121/015-4 LOT 4 \ -I - o� ,--- -flrtcE - _ 14.0 �� MEYER. & SONS, INC. h PARCEL ID: y� 121/142 2 O-- saw' lnsp poTtstti P.O. BOX 9 81 AREA-28,788f S.F. TP- ' G Vent 16 P t2.0 EAST SANDWICH, MA. 02537 . � S68.09'16"w 200.00 59.5 59.4 CB/DH (508)362-2922 PARCEL ID: 120/005 SHEET 1 OF 2 J 1434 4 _ i • I NOTE: 'TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:54.33 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=59.00 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. --{ lNsrALLED I- �F.G. EL.=58.0t F.G. EL.=57.5/59.0f FLENGTH .G. EL:59.0t F.G. EL: 59.00(MAX.) I S I i P OF A( 9,4s" DAR N ry R VENT L- 10'f 9"MIN COVE/� L-83'� M 0 S-IX(PVC) '16"MAX COVER Ol S-1T (MIN.) Se1X(�M�) INSTALL.TWO INSPECTION PORTS(MIN.) 4"SCH40 PVC 4"SCH40 PVC 1TJ7• O. 1140 1°INV. 55.28 u :®INV._ 55.03 ° 10.38" TO ® = �.LloulB INV.= 5 .7 INVERT �HITARI� ®INV.- 57.0 LEI`n INV.= 53.87 COUP R D TAI aAs eAPT'LE ROPOSED P U/ 111 D-BOX 4 ROWS OF 4 UNITS 0 5'/UNIT+ 3 COUPLERS O 1.16'/UNIT- 23.48'/ROW 'm M INV.=54.20 DB-s{H-2o) INV.=54.02 SOIL ABSORPTION SYSTEM (,PROFILE) (2) EXISTING 1,500 GALLON SEPTIC TANKS EXISTING OUTLET RESTORE VEGETATIVE COVER BACKFILL WATH CLEAN PERC SAND NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING .t. TO TOP OF CHAMBERS 60' .. PIPE INVERTS PRIOR TO CONSTRUCTION .. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BREAKOUT-TOP ELEV.=54.33 GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.- 53.87 INCH CRUSHED STONE BASE, AS SPECIFIED IN - BOTTOM ELEV.= 53.00 EXISTING SUITABLE 310 CMR 15.221(2) 2.88 MATERIAL 3) REPLACE EXISTING 1,500 GALLON SEPTIC TANKS 5' MIN. ABOVE BOTTOM OF WITH 1500 GALLON SEPTIC TANK IF FAILED, T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH 4 z 2.88' 11.52 - DAMAGED, OR UNDERSIZED. (5.00' PROVIDED) USE 4 ROWS OF 4-ADS ARC 36HC 4) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL.=48.00 r (H20) UNITS - IJO STONE W/ 3 COUPLERS ,. GAS BAFFLE AS REQUIRED - IN EACH ROW ' s) PLACE TEE IN D-BOX. SEPTIC SYSTEM PROFILE TYPICAL SF;CTION N.T.S. e.rs le' SOIL LOG P#: 13652 DESIGN CRITERIA DATE: AAY 23, 2012 ne SOIL EVALUATOR: ARREN M. MEYER, R.S., CSE. #1614 SECTION lNy£RT NUMBER OF BEDROOMS:, 3 BR DWELLING H WITNESS: ON DESMARAIS, BARNSTABLE BOH E/CHT SOIL TEXTURAL CLASS: CLASS I END CAP' I, DESIGN PERCOLATION RATE: <2 MINAN Elev. TP-1 Depth III Elev. TP-2 Depth ADS = ARC 36HC CHAMBER ( 20 LOAD 59.0 0"I 59.20 0' I DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.D. p/A/E FO/A/ELOAMY SAND MY SAND MODEL ARC 36HC GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 10YR 3/ IOYR 3/ LENGTH 63" NOTE: UNIT CONFICURATON AND AVAILABILITY SUBJECT SEPTIC TANK:330 gpd x 200X 660 gpd RE-USE BOTH E%isP. t,500 GALLON SEPTIC TANKS Sb.t7 B4" 58.874" EFFECTIVE LENGTH 60" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LOAMY SAND MY SAND DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. iota e/e rn s/eSIDE WALL HEIGHT 10.38"DISTRIBUTION BOX: 5 OUTLETS (MINIMUM)(H20 LOADING) 56.33 C 32"I 56.37 34" OVERALL HEIGHT 16" PRIMARY S.A.S. MEDIUM sAND OVERALL WIDTH 34.5" 4' TRUEA�AN BLVD zsr M 1 10.7 CF H/LLIARD, OHIO 4JO26 USE 4 ROWS OF 4 - ADS ARCHC 3616 H 0 UNITS-NO STONE MEDIUM SAND CAPACITY Is AND EXTENDED 1,16' W/ COUPLERS IN BETWEEN EACH UNIT PERC O 54.75 2.5Y 7/3 (80.0 GAL)I ADVANCED DRNNACE SYSTEMS.INC. BOTTOM AREA: .(GENERAL USE APPROVAL FOR 4.80 SF/LF OF CHAMBER) j PROPOSED SEPTIC SYSTEM SITE PLAN (CHAMBERS: 4/ROW)16 UNITS x 5.0 LF x 4.80 SF/LF = 384.00 SF ae.o 1321 48.20 132" (COUPLER: 3/ROW) 12 UNITS x 1,16 LF x 4.80 SF/LF = 66.82 SF. 13 THIS WAY, OSTERVILLE, MA TOTAL AREA = 450.82 SF PERC RATE <2 MIN/IN. ("C2" HORIZON) Prepared for: Nickerson DESIGN FLOW PROVIDED: 0.74GPD/SF(450.82SF) = 333.60 GPD > 330 GPD req'd NO GROUNDWATER OBSERVED f Engineering by: Surveying by: SCALE DRAWN •I,Ddrr•n M.Meyeq R.S.,C3E,henby aw mat I am u Inly a MEYER S SONA INC. dreaboeyell S-mv, NTS D.M.M. b c PPraved by MADEP pursuant to 310'CMR 15.017 po BOXPBI to eX,t Boll ovaluotlone and that the above a lyele hneleeen performed by me ooneletenl rim me EAST64NOW/CN,AIA 02597 (508) 419-1086 DATE: CHECKED SHEET N0. requirements of 310 CMR 15.017. 1 further certify that I hex Poeeed the Sall Eval.Exam In October, 1999. / / ET O. 50J-M-2922 06 16 12 f J c ONwEALTH OF MASSACHUSETTS E.. MASSACgiJSETTS TBARNSTABLE' (ILOtHl�1FLHtE Upgraded( ) (�Q�tificatf Of Repaired(6Y r e Disposal system Constructed that the On Sewage THIS IS TO CERTIFY, �-- ( has been constructed in accordance r �a I dated j 'cloned( )by Construction Permit N� � stem Constru 6 w gPd d the for Disposal Sy DesignerWonflow I 2.A the provisions of Titl 5�' Approved I tiler stem as esi ed. Idrooms t e c ristrued as a guarantee that the sy - o inspector - n P 11 -- a - 'h - s this e ---- --_ 4 c oft P -- r f �%EA Town of Barnstable Aft Growth Management Department oa1� www.town.barnstable.ma.us/growthmanagement Jo Anne Miller Buntich Director MEMORANDUM TO: Martin Flynn 13 This Way FROM: Arden R Cadrin /IG' - Housing Coordinato DATE: January 12,2015 RE: Accessory Affordable Apartment In order to be in compliance with the terms of your comprehensive permit at 13 This Way,the accessory unit must all health and safety code requirements, as per the inspection performed by the Building Commissioner. You must provide this office with a copy of the occupancy permit for the unit in order to document compliance with the Comprehensive Permit no later than June 1,2015. Also,please provide this office with a copy of the building permit once it is issued. Failure to meet these deadlines will result in recission of the comprehensive permit. - - - — Should you have any questions regarding this matter, do not hesitate to contact me. 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(fl 508-8624782 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(D 508-8624784 Message Page 1 of 1 Coyle, Brenda From: Cadrin, Arden Sent: Tuesday, April 28, 2015 9:59 AM To: Coyle, Brenda Subject: RE:Accessory Affordable Apartment 13 This Way Osterville Hi Brenda, Building Permit signed off on. Arden Arden R. Cadrin Housing Coordinator C+RoVSP H MANAGEMENT Town of Barnstable 367 Main Street Hyannis,MA 02601 arden.cadrin@town.barnstable.ma.us (508)862-4683 -----Original Message----- From: Coyle, Brenda Sent: Tuesday, April 28, 2015 9:31 AM To: Cadrin, Arden Cc: Buntich, JoAnne; Anderson, Robin; Barrows, Debi; Perry,Tom Subject: FW: Accessory Affordable Apartment 13 This Way Osterville Good Morning, I am still holding the mentioned building permit application awaiting for sign off on MUNIS. Please let me know if there is anything I can do to assist. Thank you, Brenda Coyle -----Original Message----- From: Coyle, Brenda Sent: Friday, April 24, 2015 8:43 AM To: Cadrin, Arden Cc: Buntich, JoAnne; Anderson, Robin; Perry,Tom; Barrows, Debi Subject: Accessory Affordable Apartment 13 This Way Osterville Good Morning Arden, I just received a building permit application for 13 This Way, Osterville permit number 201502267. Could please sign off in MUNIS so I am able to submit the application. Have a wonderful day. Thank you, 4/28/2015 oP� Town of Barnstable MASS Growth Management Department �a,79. a www.town.barnstable.ma.us/growthmanagement Jo Anne Miller Buntich Director MEMORANDUM TO: Martin Flynn 13 This Way FROM: Arden R. Cadrin Housing Coordinato 4dy DATE: January 12,2015 RE: Accessory Affordable Apartment In order to be in compliance with the terms of your comprehensive pel nit at 13 This Way,the accessory unit must all health and safety code requirements, as per the inspection performed by the Building Commissioner. You must provide this office with a copy of the occupancy permit for the unit in order to document compliance with the Comprehensive Permit no later than June 1,2015. Also,please provide this office with a copy of the building permit once it is issued. Failure to meet these deadlines will result in recission of the comprehensive permit. - -- - —— Should you have any questions regarding this matter, do not hesitate to contact me. 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(fl 508-8624782 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(fl 508-862-4784 CF THE Tp� * BARNMBLE, MASS9�p 639. A•`� The Town of Barnstable Growth Management Department www.town.barnstable.ma.us/Ilrowthmana2ement Jo Anne Miller Buntich Director In accordance with the attached request of Martin G. Flynn of 13 This Way, Cotuit, MA dated May 21, 2014 regarding Comprehensive Permit No. 2012-066, and upon the decision of the Zoning Board of Appeals Hearing Officer given at the public hearing on June 11, 2014, a six month extension of this appeal is granted. The original decision on Appeal No. 2012-066 was certified by the Barnstable Town Clerk on May 14, 2013. Mr. Flynn was unable to complete the required building safety upgrades in the required timeframe. Therefore, the extension is necessary in order that Mr. Flynn may apply for a building permit and receive an occupancy certificate for the accessory unit. Said Comprehensive Permit No. 2012-066 Flynn is hereby extended until November 14, 2014. Signed, C> *d 1 Larson .Z* Hearing Officer Zoning Board of Appeals Dated: rr ,( 367 Main Street, Hyannis, MA 02601 (o) 508-862-4678 (f) 508-862-4782 ' r Message Page 1 of 1 Coyle, Brenda From: Buntich, JoAnne Sent: Thursday, June 26, 2014 11:12 AM To: Coyle, Brenda; Perry, Tom Cc: Jenkins, Elizabeth; Cadrin, Arden; Girouard, Kathleen; Traczyk, Art; Anderson, Robin Subject: RE: 13 This Way Comprehensive Permit Extension Hi Brenda, We will look into this. Thanks for the heads up. Jo Anne Jo Anne Miller Buntich Director I Growth Management Department Town of Barnstable 1367 Main Street(Hyannis,Ma 02601 p 508 862 4735 1 e-mail ioanne.buntich(a)town.t-arnstable.ma.us Town Website I Business Barnstable I HvArts I Barnstable Forum -----Original Message----- From: Coyle, Brenda Sent: Thursday, June 26, 2014 10:19 AM To: Buntich, JoAnne; Perry, Tom Subject: 13 This Way Comprehensive Permit Extension Good Morning, I just received the notice that 13 This Way, Cotuit Comprehensive Permit 2011-066 Flynn, has been extended until November 14, 2014. However, this property is not located in Cotuit, should be Osterville. If you have any questions please feel welcome to contact me at 508-862-4039. Thank you, Brenda Coyle Building Dept. Admin. 6/26/2014 Town of Barnstable Regulatory Services ■ sAMSTABLE, + MAW. �, Thomas F. Geiler, Director 1639n.�FOMA.�p 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 16, 2014 Martin G. Flynn 13 This Way Osterville, MA 02655 Re: Amnesty Apartment Dear Mr. Flynn: The Comprehensive Permit for the Amnesty apartment at 13 This Way, Osterville, was issued in July 23, 2013. Condition 13 of the Ruling and Conditions states: "This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it will expire (July 23, 2014)." A building permit is required whether the unit is new or pre-existing. As of May 16, 2014, we have not received a building permit application from you. Are you planning to go forward with the apartment? Please contact me at 508-862-4039 as soon as possible to bring us up-to-date on your Amnesty application. Sincerely, Brenda Coyle Building Dept. Ad in. ssistant cc: Robin Anderson Zoning Enforcement Officer amnstatus oFWE� Town of Barnstable BA NSTABLF, Regulatory Services Richard V. Scali, Interim Director SEC MA'S A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 8, 2013 Martin G. Flynn 13 This Way Osterville, MA 02655 Re: Amnesty Apartment Dear Mr. Flynn: We have received the recorded 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, Brenda Coyle Division Assistant amnbp Town of Barnstable Regulatory Services g Y BMWSTABLE, ,Kass. Thomas F. Geiler, Director .1639 ♦0 'OrF1639 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 October 31, 2012 Martin G. Flynn 13 This Way Osterville, MA 02655 Dear Mr. Flynn: Our records indicate that you are now the owner of the above-referenced property. Therefore, the former owner's request for an Amnesty Apartment is void. What is the status of this area of your property? You must contact this office by within 14 days (November 20, 2012)to either: • Apply for a building permit to restore the property to a single-family home. • Apply to Zoning Board of Appeals for a variance, or • Apply to the Amnesty Program. • Apply for a family apartment. Please call me at 508-862-4039 to discuss the necessary steps towards compliance with the Town of Barnstable Zoning Ordinance. Failure to comply will result in enforcement action. Sincerely, Brenda Coyle Building Division Assistant cc:Robin Anderson Zoning Enforcement Officer e Bk 27564 Po347 `42983 07-23-2013 0'� 03 ' !9w a A d Town of Barnstable Zoning Board of�Appeals. Comprehensive.Permit Decision and Notice Comprehensive Permit No. 2012-066 Flynn Chapter 40B Comprehensive Permit Summary: Granted with Conditions' Date: March 13, 2013 Applicants: Martin G. Flynn Property Address: �_ 13 This:Way Osterville NIA _ Assessor's Map/Parcel: Map }21, Parcel 142 Zoning: RC Zoning District a Zone of Contribution: WP Wellhead Protection'District i Recording Information: Deed Reference: Book 26800 Page 108 I Date Application Filed January 22, 2013 Date Hearing Opened March 13, 201'3 Date of Decision(Closed): March 13, 2013 P Property Ownership: The applicant is Martin G. Flynn, theowner and occupant of 13 This Way.Osterviile as evidenced by a deed recorded in the Barnstable County Registry of Deeds on October 26, 2012 in Book 26800 Page 108. A copy of which has been submitted for the record. v Relief Requested: # Mr. Flynn has applied for a Comprehensive.Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Fernit to be issued is that of a variance to Section 240-13 (A) Principal permitted uses ina RC Zoning`Distr�ictto permit an accessory apartment unit within the new addition area of the home. The iM.ance°of.this Comprehensive Permit would allow for a separate, approximately 650 square feet, one bedroom accessory affordable apartment. Locus: The propert ,at issue is a:0.66 acre lot located at 13 This Way in Osterville. The lot was developed in 1976 with a single-family.saitbox style home.The effective living area of the main residence is 2,298 'r f Town of Barnstable,Zoning Board of Appeals Decision.and Notice,Comprehensive pemift No.1012=066-Flynn square feet. The accessory apartment is ;a one-bedroom unit located above the detached garage. The square footage of the rental area is approximately 650 square feet: The lot is served by public water and on-site septic, andlis located within;a Wellhead Protection Overlay District. The town of Barnstable's Public Health`Division reviewed the application, and on August 28, 2007, approved a total of three(3) bedrooms at the property with the existing on-site septic system. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on January 16, 2013 in accordance with MGL Chapter'40B and 760 CAR 56.00. Notice,of the site approval letter was sent to the Department of Housing and Commun,ityltDeveI6pment in accordance with the requirements of CMR 760 56.00. An application fora Comprehensive Permit was filed at the'Town Clerk's Office on January 22, 2013. A public hearing before the Zoning Board of Appeals Haring Officer was duly advertised in the Barnstable Patriot on January 18, 2`013 and January 25, 2013, and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened.on February, 13, 2013 at 6:00 p.m. by the Hearing Officer Laura F. Shufelt. The applicant Martin G. Flynn was'present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. Shufelt read the proposed conditions to the applicant. Mr. Flynn consented to thejconditions*. Mr. Flynn gave testimony as recorded in the hearing minutes-filed with the Town Clerk l The Hearing Officer opened the hearing1p public comment. No one commented. The February 13, 2013 public comment period was closed by the hearinglofficer at 630 p:m. On February 13, 2013 the hearing officer granted comprehensive permit No. 20'12-066 with. conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen (14)days from that transmittal the Members of the Zoning Board of_Appeals.takes no action:to reverse the.decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. l Findings of Fact: 1 At the hearing on February 13, 2013.the Hearing Officer, made the following findings of fact: 1.. The applicant is Martin G. Flynn who is,the owner=occupant of the property located at 13 This Way Osterville,MA. 2. Martin G. Flynn was granted-title to the property by-deed recorded in the Barnstable County Registry of Deeds on October 26, 2012 in B6ok126800 Page 108. 3. On January 16, 2013, a.site approval letter was issued for the property by Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and 76.0 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing;and Community Development, in accordance with the 'requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular,application. l s i 2 1 fi R Town of Barnstable,Zoning Board of Appeals Decision and-Noticei Comprehensive Pemrit No.2012466-Flynn- [ . 4. The proposed accessory affordable unit is approximately 650 square feet in living area and i located above the detached garage. The Accessory Apartment was previously permitted with Comprehensive permit no.2007-110-Nickersor. 5. The applicant has been informed that the AAAPunit`shall meet all appli cable rhealth and building codes to be occupied and that the Building Division and'Fire Department will also be inspecting the unit for compliance with all'applicable building and'fire codes;. 6. The house is served by public waterand private on site septic. The proposal has been reviewed by Thomas McKean, Health Director1 .,'and he,stated no objections to a total of three (3) bedrooms at the property. 7. On November 21,'2012 Martin G:Flynn signed an Accessory Affordable Apartment Program affidavit that commits,, upon the receipt of a Comprehensive Permit, to he recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at:the Barnstable County Registry ' of Deeds. These:documents restrict the unit. in perpetuity as an affordable rental unit. 8. The applicant is aware that the affordable unit shall be rented to a person or-family whose income is 80% or less of the Area_Modian Income(AMI) of the Barnstable Metropolitan Statistical Area.(MSA)and agrees that rent(including,utilities) shall not exceed 30% of the monthly household income of a household earning.80% of the median income, adjusted by household size In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from,rent level.so calculated, i 9. According to the Massachusetts Department:of'Housing and Community Development, as of January 3, 2013 6.62%.of the town's:year round housing stock qualifies as affordable housing units. The town has not reached the statutory Minimum of affordable housing under MGL Chapter 40B Section-20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encouragesAhe adaptive use of existing housing stock.to create affordable units and the dispersal of these units throughout Barnstable. t Summary: ; The Hearing Officer ruled that the applicant Martin G: Flynn have standing to apply for a Comprehensive Permit under MGL`Chapter 40B and the Town of Barn stable's.Accessory Apartment. Program. The proposal was deemed consistent with local needs..because,itadequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing thehealth and safety of the occupants provided_all conditions d the Comprehensive Permit are strictly followed. 9 i Conditions: Hearing Officer Laura Shufelt ruled to,grant Comprehensive 'Permit!No..2012-066 with conditions in accordance with.MGL Chapter 40B and Article II of.Chapter Nine of the Code of`the town of Barnstable, more commonly termed the"Accessory:Affordable Apartment:.Program" to the applicant, Martin G. Flynn who is the owner and.occupants of the, roperty.located at 13 This Way Osterville. As seen on map 121 as parcel 142. This Comprehensive Permit allows fora one bedroom accessory apartment.unit in.accordance with the:followi'ri&conditions 1,. Occupancy of the affordable unit.shalI not,exceeld two (2) people. 2. The total number of bedrooms on the property shall,not exceed three (3). 3. The accessory unit shay) NOT atany ti me.be-occupied by a family member of the owner. 4. All leases shall have,a minimum term of one yeaf and have provisions that require the::tenant to provide any and alt information necessary to verify eligibility with the AAAP 3 4 I� Town of Barnstable,Zoning Board of Appeals Decision and.Notice,Comprehensive Permit No.2012.066-Flynn 5. On November 23; 2012, the applicant was sent written copy of the inspection findings, submitted:for record, that the unit must meet all applicable health:and building codes to.be occupied and that the Building,'Division and Fire Department will also be inspecting.the unit for compliance with all:applicable building and f ire.codes. 6. All parking for the accessory,apartment,and the°principal dwelling shall at all times be on-site. On street parking for ail structures and...uses on.this property is expressly prohibited 7. Lodging or renting of rooms is'prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements,the_rent.charged (:including utilities)shall not exceed 30% of 80% of the median.income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are separately metered, the:utility allowance established by the town of Barnstable shall be.deducted from rent Level so calculated. 9. AAAP"Coordinator:shall be the'monitoring agent for the accessory apartment. Annual monitoring,shal I include verification oftenancy,+affordability,and compliance with Housing Quality Standards (HQS). The.cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is$90.00 per unit. 10. The applicant shall apply fora building permit for the accessory unit, whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine.that the unit conforms;to the approved plans as submitted with the building permit'application and meets state building a6d fire.codes. The Health Division shall determine that the dwelling is in compli;anue with applicable on-site:wastewater discharge requirements. 11.The,applicant may select his own tenant from the prospective tenants.supplied by the Administrator of the Ready to Rent List The tenant must meet the.requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed,and approved by the Growth Management Department. The applicants shall work with theAA-AP Coordinator to provide necessary information an&d documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual.. Whenever a vacancy occurs, notice shall be given,to the<Gr°...owth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay All fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is-not in effect as of the date that theBuilding Department issues its occupancy permit, the;applicant may select.the tenant after open iand fair marketing,,providing that documentation-of the same is given to the AAAP Coordinator.and the AAAP Coordinator Approves the tenant selection process. 13.Should the accessory affordable apartment.become vacant the.property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator.The property owner shall also notify the AAAP Coordinatorof.their request for potential tenants from.ffie. Ready to Rent List administrator: k 14. Every twelve months the,'applicant.shall review the income eligibility of the AAAP unit tenant. No later than,a year from the date of issuance of this Comprehensive Permit, the applicants shall file with the,AAAP'Coordinator„as Monitoring Agent; an annual affidavit statingthe rent charged and income of the unit tenant. The'prope,rty'ownem and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit-and annual monitoring documents. 4 I Town of Barnstable;Zoning Board.of Appeals Decision and Notice;{;oinprehensive Permit No..2012-066-Flynn 15. Upon any report from, the Monitoring Agent that the'terms.and conditions of this permit are not being upheld, the Zoning Board of Appeals.or its Hearing-Officer may hold a hearing to show cause as:to why this permit should not be revoked. 16.. This Comprehensive?ermit shall NOT be transferable to any other person or entity without the prior approval of the'-learing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive'Covenants.and all other necessary documents shall be recorded atthe Barnstable County Registry of Deeds I 17. Should ownership of-he subject property transfer thepermit holder identified herein shall notify the AAAP Coordinator and provide, withinn 60 days.of the date of'transfer,,the name:and. current contact information for the new owner of the subject property: 1. 18.This Comprehensive Permit shall be: exercised,.,all conditions met, and the unit occupied within twelve (12) months.of its issuance or it shall expire, Ordered: Comprehensive Permit number 2012=066 has been granted with conditions. I A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable.Adrr�inistrative code. If'afterfourteen(14) days from that transmittal the members of the Zoning Board of Appeals takes no action toxeverse the decision, this decision shall become final and a copy shall be filed in the office of the-Town Clerk Appeals.of the final decision, if`any, shall be=made to the Barnstable Superior Court pursuant o tvIGL 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. i Laura F. Shufelt, Hearing Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (.20) days have.elapsed since the Zoning;Board of Appeals filed this decision and that no appeal of the decision ha's bee filed in the office.of'the Town Clerk. Signed and sealed this day 0� r"? under the pains.and peaefti s of-O&ju�yg��'!+� i mda Hutchenrider,Town Clerk UU o z I "il�C�j'•. p •'n� _ I MRNSTABtE REGISTRY OF DEEDS 5 i Imo_ L ul/ LJ/ LULL/ 111u UU J I AM U.U.IYI• I% I-li U .1JCY6 1'AA iru, JUU LUU LJUJ 1. UU1 TOWN OF 9-RENSTA�.a r CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT O>: FIRE-RESCUE & EMERGENCY SERVICES 1875 Falmouth Road, Rte. 28 Emergency Number: Centerville,.MA 02632-3117 9-1-1 Business: (508)790-2375 John M.Farrington Facsimile: (508)790-2385 Fire Prevention/Administration Chief of Department Facsimile: (508)957-8239 Dispatch Center FAX COMMUNICATION MESSAGE DATE: o� TO: cn PHONE: ATTN a tX4, ZALV Z--PLj uc,( FROM: lyL WE ARE SENDING ( ) PAGES, INCLUDING THIS COVER SHEET. PLEASE CALL (508)790-2375 IF YOU DO NOT RECEIVE THE TOTAL NUMBER OF PAGES.. CONFIDENTIALITY NOTICE: This fax transmission may contain confidential information belonging to the sender and, such Information.is legally privileged and is intended only for the use of the individual or entity named above. Any copying,disclosure, distribution or dissemination of this information or the taking of any action based on the contents of this communication is strictly prohibited. If you have received this transmission In error, please notify us immediately by telephone,and return the original. transmission to.us by mall or delivery at our address above. We shall cover the.cost of return mail. Thank you( •� a a..aa ♦La ••� VV . I •uu a.v uvry - aaaa . JVV IVV LJVJ . UVL CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1926 1875 Route 28-Centerville, MA 02632-3117 508-790-2375 x1 • FAX: 508-790-2385 John M.Farrington,Chief Martin O'L.MacNeely,Fire Prevention Officer Philip H. Field,Jr„Deputy Chief Michael G.Grossman;Fire Prevention Officer ca October 23, 2012 rz.�, TO: Tom Perry, Building Commission er Building Department Town of Barnstable 200 Main Street Hyannis, MA_ 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville- Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review.and/or interpret8tion of same. NAME/BUSINESS: Residential ADDRESS: 13B This Way, Osterville OBSERVANCE: Amnesty apartment found on 2nd floor as part of detached structure. Only one means of egress noted during inspection. Section 3603.10.1 of the 6th edition of the State Building Code requires 2 means of egress.. Martin MacNeely I Fire Prevention Officer C.O.M.M. Fire Distri CC: Jeff Lauzon, Building Inspector °Commitmentto Our Community" 9 £ { i is �Ky, �� 41 Am nesty .Pro ram g ( a1 HeI rn to amake affordable. housrn a ossilbFle. . p g, g p s R f 4 i pI�t A. ar n. ow RN dl.e b - — t - .. w • • • �5A. �t Certificate of Com Nance "A" d, M r �: x This certificate indicates acceptable minimum habitable regmrements per Massachusetts State Building Code ' and Town of Barnstable zoning ordinances m accorda�ce_with the Amnes[y program. . Owner .Melbourne &.Carol;Nickerson Location. 13 This Wd ' 'Osterville; MA' Unit Capacity One bedroom,.not to exceed two people - Inspector M/P No. 121;142 3/17/2008 DIME Town of Barnstable do Building Department - 200 Main Street t BARNSTABLE. * Hyannis, MA 02601 9 MASS. i639. . (508) 862-4038 ''�'Fo r�u►'�a iOccupancy Certif cate f o Application Number: 200801345 CO Number: 20080051 Parcel ID: 121142 CO Issue Date: 03117108 Location: 13 THIS WAY Zoning Classification: RESIDENCE C DISTRICT Village: OSTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO MELBOURNE & CAROL NICKERSON 71 ��. r� Building Department Sig tore Date Signed TOWN OF BARNSTABLE Building Application Ref: 200801345 BARNSTABLE, Issue Date: 03/13/08 Permit 9 MASS. �A i639• ��� Applicant: NICKERSON�MELBOURNE& rFG Mph A Permit Number: B 20080471: Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/10/08 Location 13 THIS WAY Zoning District RC Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 121142 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village OSTERVILLE App Fee$ License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING 1 BEDROOM APT ABOVE DETACHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: NICKERSON, MELBOURNE& BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 13 THIS 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,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY PERMA NTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED B HE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF-PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC,WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF 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. r PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). Oe 3 r BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �(7/0�/ 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel Application# o20O g0/.�yS Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee ✓� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 13 Village ��- OwnerMel4-(�'arSM Address PIN— Telephone Permit Request 0 (mot IJ t t Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Alatie- Total new 4044F' Zoning District Flood Plain Groundwater Overlay Project Valuation O Construction Type Lot Size 0_1 Up Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family/ Two Family ❑ Multi-Family(#units) Age of Existing Structure ql Historic House: ❑Yes ®-116" On Old King's Highway: ❑Yes ❑No Basement Type: 8<II ❑Crawl ❑Walkout ❑Other a Basement Finished Area(sq.ft.) 4-"OA � Basement Unfinished Area(sq.ft) i t Number of Baths: Full:existing new Half:existing nevw. _ Number of Bedrooms: existing new Total Room Count(not including baths):existing 3 new 4-rA- First Floor Room Gount Hs u Heat Type and Fuel: r3Gas ❑Oil ❑Electric ❑Other "' Central Air: ❑Yes U"No Fireplaces: Existing New Existing wood/coal tove: 0 Yesf�-Pd'o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Cr existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Au orizatio Appeal# ?06-7- 110 Recorde� Commercial ❑yYYes /�,, ,o �If yes, site plan review# h Current Use (WAS" ���� Proposed Use (NIL, BUILDER INFORMATION Name PL) Telephone Number H� Y zFf Address �3 `T��fS License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE h2, FOR OFFICIAL USE ONLY i a PERMIT NO. r DATE ISSUED F MAP/PARCEL NO. f) ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION t FIREPLACE r i' ELECTRICAL: ROUGH FINAL 9 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL j FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. ofIM�o Town of Barnstable &MMSPABLE : Regulatory Services y MASS. 1639• �� iOrF039 Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM Beth Dillen FROM: Lois Barry DATE: 3/1$/08 RE: AMNESTY CERTIFICATES Here is the Amnesty Certificate of (original oninal for Compliance applicant P and copy for your records) for: 13 This Way, Osterville J030623a 1 I FINE Town of Barnstable BARNSTABLE. x Regulatory Services 169• ,0� 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 20, 2008 Mrs. and Mrs. Melbourne K. Nickerson 13 This Way Osterville, MA 02655 Re: Proposed Accessory Affordable Apartment Dear Mr. &Mrs. Nickerson: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant amnbp h t BAM4STARLE '07 NOV 26 P 1 :18 IMF Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2007- i0-Nickerson Decision- Chapter 40B Comprehensive Permit Applicant: Melbourne K.Nickerson&Carol A.Nickerson Property Address: 13 This Way, Osterville,MA Assessor's Map/Parcel: Map 121,Parcel 142 Zoning: Residential C Zoning District Applicants: The applicants are Melbourne K.Nickerson&Carol A.Nickerson,who reside at 13 This Way, Osterville,MA.Melbourne and Carol Nickerson were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on July 8, 1976 as recorded in Book 2366 and Page 197. 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 H 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 unit above the detached garage. Locus and Background: The property at issue is a 0.66 acre lot located at 13 This Way in Osterville. The lot was developed in 1976 with a single-family saltbox style home.The effective living area of the main residence is 2,298 square feet.The accessory apartment is a one-bedroom unit located above the detached garage. The square footage of the rental area is approximately 650 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 August 28, 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 September 25, 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 October 12,2007 and October 19,2007, and notices were sent to all abutters in accordance with MGL Chapter 40B. On November 7, 2007 Hearing Officer Gail Nightingale presided over the public hearing. The applicants,Melbourne and Carol Nickerson,were present at the hearing. Madeline Taylor of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicants to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on November 7,2007 the Hearing Officer made the following findings of fact: 1. The applicants are Melbourne and Carol Nickerson who reside at 13 This 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. Melbourne and Carol Nickerson were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on July 8, 1976 as recorded in Book 2366 and Page 197. 3. On September 25,2007 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 650 square feet,and is located above the detached garage. 5. The applicants are aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on-site septic 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 August 13, 2007 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 November 7,2007, 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 2 i Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. 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,Melbourne and Carol Nickerson. 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 owners 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 permitted for the duration of this comprehensive permit. 6.To meet the requirements of affordability,the cost of housing(including utilities) shall not exceed 30%of 80%of the median income for a 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 permit 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 3 family. Whenever a vacancy occurs,notice must be given to the Growth Management Department and the unit must be listed with the Town. 11. Every twelve months the applicants shall review the income eligibility of the 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 Deedg. 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 2007-110 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 no action to reverse the decision,this decision shall become final and a copy shall be the filed in the office of the Town Clerk. 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 November 7,2007. Fourteen(14)days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. 467 Gal ightingale, earing Of er Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and That no appeal of the decision has befiled ' ffice of the Town Clerk. Signed and sealed this day o� 7�—�S antler the pai and penalties of perjury. Linda Hutchenrider,Town Clerk 4 02- 19_20 C,L a Z t REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS TFUS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this day of ,2008,by and between Melbourne K. and Carol A.Nickerson of 13 This Way,Osterville, an its uccessors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"M ipality"),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 13 This Way, Osterville, MA as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 2366 & Page 197. B. The Project located at 13 This 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. 2007-110 and any plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book / &Page . D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. II. 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, 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 Y imposition of an 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. 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 Pro)ect 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 l 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 attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26,which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 2366 & Page 197 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 2366&Page 197. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case maybe,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors 3 and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii, are not 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 thi52,Cdayof 2008. OWNER OWNER BY: BY: Signature Signature Printed:Melbourne K.Nickerson Printed:Carol A.Nickerson COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this day f 2008 before me,the undersigned notary public,personally appeared the Owner(s),proved to me through satisfactory evidence of identification,which were ,to be the person(s)whose name(s) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. otary Public Printed: My Commission Expires: EL.IZABETH ANN DILLEN Notary Public 4 CommonyieaM of Massachusetts My Commission Expires October 27,2011 TOWN OF DARNSTABLE BY: TO AGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: St On this 31 day of�ti1MLv 2008 before me,the undersigned notary public,personally appeared Un C.1=.1:i r nM ,the T-6wn Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were 49M10ger O•XY% Mr) ,to be the person whose name is signed on the preceding or attached document and acknow edged to be that he/she signed it voluntarily for the stated purposes. ^ Notary Public/ Printed: ; n My Commission Expires: OFFICIAL gFAL SHIRLEE MAY OAKLEY OOyTHOFMASS mNOTARY CHUSMS My Comm.Expires 3/21/008 5 ` Barry, Lois From: Dillen, Elizabeth Sent: Thursday, March 13, 2008 10:44 AM To: Barry, Lois Subject: RE: 13 This Way Yes'thanks. ae1,h.Di8ou Spm�a{�nojeuz[onwbmzto, � Gnowtkmmma0vwevitDen�,.rtnocwt � � Tnvvwcfamnmuxhh � 367w unreet, *gm*mbmA 1e/508.862468-3 pwxsoa.8oz.478z -----Original Message'-- p,om: Barry, Lois Sent: Thursday, March 13, 20089:17AM To: 0Uen, Elizabeth Subject 13This Way Hi Beth, VVe have the b|dg per app. Okay bu sign off for you? Lois � | 1 |� r � ` x %X1110 a Appeal or Permit Nor 2003-074 Appeal Special Permit Status { Family Apt 4 tE Last First ,p ' ..r -W.r as - }ta4- . r.. Applicant Nickerson IMelbourne K. Addr2: 13 This Way ° Village: Osterville MA 02655 , `1P £, a�� a Aff,Received 01125/2007 � Map Para 121142 Zoning + RC If m Decision Book 17322 Page 290 CO issued 1/8/04 YY� a � , ° Notes. ''Apt:Shelley&Michael Mathieu(daughter&son-in-law) � - �,�:,T IV ,. 8/13/07 L. Edson: daughter moving out,they are applying to �. a Amnesty. . , Closet T t e —` TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 121 142 CEOBASR'fD 6492 ADDRE. S -R�13 THIS WAY �_ PHONE �:.a OSTERVILLE ZIP — LOT t .4 BLOCK LOT SIZE . TUBA DEVELOPMENT DISTRICT 00 PERMIT 70437 DESCRIPTION ADD IT TO FAM APT ZBA: 2003---074 .PERMIT TYPE BMISC TITLE MISCJLANEOUS PERMIT F CONTRACTORS: NICKERSON, R.K. Department Of g ARCHITECTS,: po P Regulatory Services TOTAL FEES BOND $.00 CONSTRUCTION COSTS $.00 I' 753 MISC, NOT CODED ELSEWHERE 1 PRIVATE BA ffrABLE, MASS. 1639• 1 BU IN:_ D. ISION BY DATE ISSUED" 07/29/2003 . EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED I, FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR I; 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. -OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I, A 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH 4: OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I I i I I { 1 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_/Z,/ Parcel Permit# 3�,6 � Health Division 2003- f��7 'J125163 Q 6 JP_M Date Issued --U Conservation Division 7 L/rs Application Fee age Tax Collector iF4- Permit Fee R5,_ Treasurer e3 SEPTIC SYSTEM MUST BE :LEp Planning Dept. INSTA IN COMPLIAN Date Definitive Plan Approved by Planning Board SM THE 5 EMONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGIILAn. ONS Project Street Address 119 T W I3 1414V Village ()._15 r C—r2 DILL Gy/A Owner N(C aso n) Address 1_3 `7 WIS IyAv Telephone Z Sr Q I k q Fs.� Permit Request Pd'i !i✓ 1217V-H r✓ -P Pneo t- Square feet: 1 st floor: existing .'5' 2k proposed 9?X 2nd floor: existing _15-Z proposed &7 Z Total new 46 Zoning District Flood Plain Groundwater Overlay Project Valuation ►-(Ooo Construction Type Lot Size, '7$d' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure C2 6 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other a 6 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existingJ1 neuu Number of Bedrooms: existing O new C, U7 Total Room Count(not including baths): existing new_ First Floor Room ount t! Heat Type and Fuel: ❑Gas 21 it ❑Electric ❑Other C r rn Central Air: ❑Yes Er o Fireplaces: Existing New Existing wood/coal stove: ❑Yes EM 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# 2 bo o?y Recorded Commercial ❑Yes L9'Ifo _ If yes,site plan"review# - Current Use - C4VZ4,bEF _ Proposed Use P -r h'i -IV% BUILDER INFORMATION Name Mc/ -(F-2 5""'1 Telephone Number 1"0S 2S- Address t? -Ffls �IAL� License# 0/r( 36 c9.SZAE9 P ICC 97 bla • Home Improvement Contractor# o o (i0 Worker's Compensation# w ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12&L22 SIGNATURE 11M DATE 9 - Q3 i FOR OFFICIAL USE ONLY �PEAMIT NO. "� DJATE ISSUED A t� MAP/PARCEL NO. ADDRESS, l VILLAGE lj OWNER—� _ DATE OF INSPECTION: { ✓J FOUNDATION • FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH; : `` FINAL FINAL BUILDING 0 a DATE CLOSED OUT ? � ASSOCIATION PLAN NO. , a 1'k 17322 tr s 290 r : 1 07-24-2003 a 10 2 140L `J f R -BARN ST;,��ii r- r, trr p { 13 1' I 17 Al II: 20 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2003-074-Nickerson Section 3-1.1(3)(D),-Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Melbourne K.Nickerson Property Address: 13 This Way,osterville,MA Assessor's Map/Parcel: Map 121,Parcel 142 Zoning: Residential C&Wellhead Protection Overlay Districts Background&Relief Requested: The property at 13 This Way,Osterville,MA,is a panhandled lot developed with a two-story single-family dwelling built in 1976. The dwelling is 1,368 sq.ft.in area and has two-bedrooms. The property also has a sgft.built in 1994. The garage is attached to the dwelling by an open-air deck. The one-story garage of 576 property is located in a Residence C Zoning District. According to the application,the applicant is seeking a special permit for a family apartment unit in accordance with Section 3-1.1(3)(D) of the Zoning Ordinance.The unit is to be developed as a second floor addition over the existing garage. According to plans presented, b the 4 fe apartment one side. Access will be is to be a 660 from an bedroom unit. The second floor will overhang theY exterior stairway. An exterior 10 by 12 foot deck is also being proposed. The applicanVis Melbourne K Nickerson,who according to the Assessor's records owns the propertywith Carol Nickerson The apartment unit is to be occupied by Shelley and Michael Mathieu,daughter and son in-law to the owners. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 25,2003. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 04,2003,at which time the Board found to grant the family apartment special permit. Board Members deciding this appeal were;Ron S.Jansson,Gail Nightingale,Richard Boy,Jeremy Gilmore and Chairman Daniel M.Creedon. The applicant Melbourne K.Nickerson represented himself at the hearing. He stated that the apartment unit was to be addition over the existing garage and that his daughter and son-in-law would occupy the unit. He cited that he has read the conditions for a family apartment and would abide with those requirements. Mr.Nickerson stated that the on site septic system would be upgraded with the addition of another tank but that the existing leach pits would be used. He stated that the Health Division has approved the system also cited that the expansion of the garage has been issued a building permit but that in order,to secure a kitchen within he would need this permit for the family apartment. j` TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 121 142 GEOBASE ID 6492 ADDRESS 13 THIS WAY PHONE OSTERVILLE ZIP — LOT 4 BLOCK LOT SIZE ABA DEVELOPMENT DISTRICT CO PERMIT 74067 DESCRIPTION FAMILY APT #68441 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND CONSTRUCTION COSTS $.00 tt1E 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE 1 , I i * BARNSTABLE, • BUIN�GD d.ISION BY r; . DATE ISSUED 01/08/2004 EXPIRATION DATE TOWN OF BARNSTABLE Y PARCEL ID 121 142 GEOBASE ID 6492 ADDRESS 13 THIS WAY PHONE OSTERVILLE ZIP ; — LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 72819 DESCRIPTION APT OVER GAR/#68441 #70437 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY tl CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: > BOND $_00 CONSTRUCTION COSTS :y $.00 a 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE . 0 * BARNSTABLE, MASS. 039. C ArFO MP'�a B I ISION B f DATE ISSUED 11/06/2003 EXPIRATION DATE / D TOWN OF BARNSTABLE 4 f�UII,DIN'"I PER.M.11' C Jot! PARCEL; ID 121 142 GEOBASE D b432 ADDRESS 13 THIS WAY � PHONE OSTERVILLE s; - ZIP - i LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 68441 DESCRIPTION REMODEL OVER GARAGE PERMIT.' TYPE BREMOD TITLE RESIDENTIAL ALT/CONV �. CONTRACTORS: NICKERSON, M K DepartmentOf �`r ARCHITECTS: Regulatory Services TOTAL FEES: $222-85 BOND $.00 Off s CONSTRUC'1'TON COSTS $46,082.00 434 RESID ADD/ALT/CONY I PRIVATE -1*4>> vsrAs�, MASS. 034. �Frg AAA A BU I,DING-D ` ISION By DATA, ISSUED 04/29/2003 EXPIRATION DATE 9 h L�"�C>- i ` UNDDER �� OR r �V�J , �' �MM YYE II APPRV` E® FANYA IS A P� TOWN OF BARNSTABLE LANS M 1 VED ❑ GAS E1 WIRING PTP TOWN OF BARNSTABLE ❑ PLUMBING ,BUILDING °TIEPIN ❑ GAS O'WIRING ❑ PLUMBING ❑ BUI DING BUILDING INSPECTION APPROVALS PLUMB�IING INSPECTI 1�,o,,-o4v" �) V 1-e �7'�-0 1 P 8 O G f7 Owe��, 1 l� 2� ��t{�r 1 Ur Cstiev� Nll\ 2 2 /////�� M In Gl�- 3 , 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMI NT 2 ARD OF HEALTH OTHER: , SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCE D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i 1 l C ,QD "4 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map • L9 Parcel /T2_ Permit# (9B 4 4 Health Division Nv 3-/IA�T Date Issued 0 IT . R 2 7 p, 9: 00 6-D, d-Z) Conservation Division A& ?�kl I I P Application Fee Tax Collector i X Permit Fee Treasurer Cyo-raj MUST BE 1AISTALLEDIN R T SU, Planning Dept. _RT1 LERTI cjwj E D'11'. Date Definitive Plan Approved by Planning Board .1-11, -ODEVM.AN. Historic-OKH Preservation/Hyannis kEc.UL"?.ION3 Project Street Address ? :IYLC,- WIqY Village cs-rc-� I J r r vz- Owner bl, k —Address -F,11 0 tz- Telephone ty,22k Permit Request Zol L_ k).? 4P4 R Eg226—:,62 7- PV� acao 0 IL- Square feet: 1st floor: existing proposed- 9,-W . 2nd floor: existing proposed 6,72 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ?b Construction Type W,nocs Constru bQ9 Lot Size Grandfathered: U Yes C3 No If yes, attach supporting documentation. Dwelling Type: Single Family C) Two Family Q Multi-Family(#units) Age of Existing Structure e?Q Historic House: Ll Yes El No On Old King's Highway: 0 Yes Q No Basement Type: 0 Full L)Crawl 0 Walkout Ll Other - (OE- _<,-4,01? c>fd 6;W ADC- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 0 new Half:existing new Number of Bedrooms: existing C) new Total Room Count(not including baths): existing C.13 new First Floor Room Count Heat Type and Fuel: LJ Gas it Ell Electric U Other Central Air: LJ Yes EIr1q'o__ Fireplaces: Existing New Existing wood/coal stove: Q Yes 9i46-'_ Detached garage:Ll existing Q new size Pool:0 existing Ll new size Barn:Ll existing El new size Attached garage:L1 existing U new size Shed:Q existing 0 new size Other: Zoning Board of Appeals Authorization Ll Appeal# Recorded Q Commercial Q Yes U*6"� If yes,site plan review# Current Use Proposed Use Aq&)4 A BUILDER INFORMATION Name- Telephone Number S-00c'- V2-k /Vr_'2� Address 44,1 License# Home Improvement Contractor# 100,.,5-60 221- Worker's Compensation# r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY . .PERMIT NO. j 'DATE-ISSUED P/PARCEL NO. ADDRESS'l-. VILLAGE OWNER DATE OF INSPECTION: .;.i FOUNDATION �r �-�., to a s 1, ) (��'� 7�3c) FRAME INSULATION FIREPLACE. ELECTRICAL: ROUGH:.) ?'" t FINAL PLUMBING: UMB NG. ROUGH , . _. , - FINAL ,GAS: ROUGH• FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f l ` MP°t�HE�° The Town of Barnstable BARN Department of Health Safety and Environmental Services MA55. a ' ' '0e Building Division plf0 MPS� 367 Main Street,Hyannis,MA 02601 :e: 508.862-4038 508.790-6230 ' PLAN REVIEW Owner: 6%, W'1C-6-'r s (w) Map/Parcel: Project Address: 3lkl UJCi4 Builder: ®w no-v The following items were noted on reviewing: Q 0-- Sri j e S �0 4 =o" Lo e(v '^ r 0 r II&C C L/ c: 4 1^ QV!r, V fnV $ V G n ( 1 Y\ I. I S'l1� n Reviewed by: Date: 4 The Commonwealth of Massachusetts Department of Industrial Accidents >d -- -- Office eflnirest/gations 600 Washington Street ^ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i name: h'1 AIM-G2Sd 11J location city U i L L ❑ I am a homeowner performing all work myself. ❑ 1 am a sole rietor and have no one worM in capacity % //G // /////%%/%%%%%/%%%/%%%%%%%%%%%%%%/%%%%/%%%%%%%%/�/�/��%%%%%�%O%%%%%%/%%/ c am an employer providing workers' compensation for my employees working on this job....... X. COniR8nY'Hanle R � ;?`z;%? ? ',''-�':•. : ? >iii;' z5>>':`> "? '''.�.... i?i? <'` 'r` ; `>`?``;%?' ..............:........................ ......::. ........::.:................. ......::.... ............. t ... .................:.......,.:::: ` %'?:•...." ''.hone:# " ::<::i cites ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices; conX. oanv n :::................. ;.:::.:?;.;.:::.;: :.;:;:;:...::::... .::;.;::::: ............... .. ;::.:?.: aelre >..:. .. •::•iii:::ti4i:ii:i::ii::.:�iii}:::i::iiiii:::v:i}iiii:•:iii:T:Y:•.?w:iiii•:v::::Jiii::• }i::::::-iii:::iii??iii:i:'viiiiiiiiiiiiiiiii}ii':: iiiiiiii:i!?•ifiiii:;::: .........................................:•:::::::::::::::::::::w::::::.v::.v::::::.:.................:.............:...............................v.v;:•:ti?ti??:::::::v:::::.v::::::.::::::::::.v:::::- r.x.�••.v.•........ ..................:.v::v::::........:......:.v•v::::x::::::::::::::::::.v::...ri?•:L::vi:4:•:Li:??!i•ii::4i::•i:•:::ii:?J:?4:v•i;::.�iii:v:•i}ii::v.v:::: v:nv::::::v.v::.:v:::......•:.v:::.v:;:::•:: .. :.r.... ,... . a\` tor\?•:;:o;?•;:;;::;•i?>:•:::i•;::;:::i;::;ii<f: t::rS: .......`• :i:: i `::i s:::;:;::.::•:.::::;:.�.;::.::';:>:':iii::•::•::is i::`::i':i;; i::: ... .......:............. .............................. .. ... tl�': ..:.,..:;:i;:.:`::�:a ?.;..•• t?t•i::t.;:;;;:,.;:.�::<t•::::::i•:;;%::::;>:`ii?•%:::i:: ....... . ........ ............ / %/ e: 8R ?`:t... .:.:i:;:f5i 2;i:'•::222:;';':t: :'2: .. ... ....:.:. :....:... .i:•: '.'>':::: .:iii`::;::<;?::i::. . :;:;':::':::?;:;•:: Yi:i`: ci: : N. ';:::;:::iii i:;:i::::;i:::: ;:< >: :?: :•::ii::i oi4'i'.%:;:;:>;ai:%':1ii:%`i$ .: .. b h k:}<y ii.. 'j }.:....:.... :•nsnrance j/ Fafimx to sec�e coverage as required wider Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one yearn imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and enalties of perjury that the information provided above is treee and correct Signature -- 8ZHate �2 7 —C) Print name /� 5� „l _ Phone# ( official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Buftftg Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office -❑Health Department contact person• phone#; ❑Others_ ogymW 9/95 P7?a R Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,Partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and company names, address and phone numbers along with a certificate of insurance as all affidavits may be supplying mP Y submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the Permit/license number which will be used as a reference number. The affidavits may be returhRl fo the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Departrnent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Olfice of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 l f ��pZHE pow Town of Barnstable ti Regulatory Services B^xr'sr. L4 ' Thomas F.Geller,Director 9`bpr16 9;�A,O� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no, Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: aje4C� Estimated Cost Z0,1Address of Work: Owner's Name: Date of Application: C I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name i RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE vi New Buildings,Additions $50.00 So Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORB:SHEET NEW LIVING SPACE J\ �--square feet x$96/sq.foot g _x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE _square feet x$64/sq.foot x.0031= 11 y°� — plus from below(if applicable) __ �� .' S GARAGES (attached&detached) square feet x$32/sq.ft. ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck `= x$30.00= '- (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit F-�:.T�. 790 CMR Appeoda 1 Table dS-2.1b(continued) prescriptive Packages for(Inc and Two-Family Residential Buildings Heated with Foaul Fuels MAJCIMUM MINIMUM Glazing Glazing Ceiling Will Floor 8aem senl Slab Heating/Cooling Am'('/.) Uwalusl R-value1 R-value4 R-value, Wail P Pment Elliciea cY' R-values R•value� Package 5701 to 6500 Hntiog Degree Daysr Q 12% 0.40 r` 38 13 14 10 . .� 6 Normal R 12% 0.52 30 19 19 10 6 Normal 10 6 85 AFUE 0.50 38 13 19 g 12% Normml T 15% 0.36 38 13 25 NIA N/A U 15% 0.46 38 19 19 10 6 Nomud V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A NIA Normal y l$•/a 0.42 38 19 25 NIA NIA Normal Z 18Y. 0.42 38 13 19 !0 6 40 AFUE AA 18% 0 50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ?— 3. SQUARE FOOTAGE OF ALL GLAZING: g�5 4. %GLAZING AREA(#3 DIVIDED BY#2): ` rZ 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-580303 a 780 CMR Appendix J Footnotes to Table J9.2.Ib: lass doors, skylights, and •' Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. Q The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement de-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes eledric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope a must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value_ and an aggregate U-value rating for that door is not available, include the twins lass in Table J1,5.3b. If a door con g glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 f 1 I'G'REGU".I License. CONSTRUCTION SUPER SN Numibe�t 014,358 (� Birtbd� _ 1'/�1946 rf 94 Tr.no: r- 12975 Rear ed: iT 1> I MELBO, E NI? 13 THIS OSTERVILLE, ,� I �''�--r` Adrmmstrator I ✓�ie �o7ninzoouuea� o�./�craoczc«ivae�.ta Board of Building Regulations and Standards HOME IMF RQVEMENT CONTRACTOR Regotf t Qn.4,Q0560 fl-EA --a F-- /04 f ( Y `GM'=_ 1>} jig �-� r F.__- M.K.NICKERSOtW= �a Peiboume Nickersgn - 13 This Way Osterville,MA 02655 Administrator oF T Z l!x/ �_._ Z n b Gyz+✓ — T O rT pa�6c� ,coo w N !SV�.: ��LS N - % 6aK' Cam O \ .N! �!M f"47E . Pr5, 0 6 r07 2 vim:;✓ QKVj 3h'I •j 13z use 16°6z LL oN L W'FH R[l./-- In l r ` tr) n W N. f\ I iI2dd2 jE wv 17 I • �F --Q -` re �. �91 p •fib ya.�URI � ,pED ARC 1 p � Y e� 'Y ol jls2 A� __ .u__,..,_w...: ....._..:,...._..__�....__..._.....__._ , ,--- ._---__._.__._ � M a I ,y Assessor's office(1st Floor): ff n _ €� Assessor's map and lot number I n� f qj 4!�l i SIS ®�u� �� 04 THE �Z7 [:� i C Board of Health(3rd floor): " 1% d� Sewage Permit number 's cz 1%SIALLED TITLE 5 . Engineering Department(3rd floor): CODE �9TA.DLL . House number [ Fys ���A�® °�`�b Definitive Plan Approved by Planning Board 19 •�® �� � r�� .. APPLICATIONS,P.ROQESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , OF BARN,STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordinng�to the following information: Location Proposed Use Zoning District Fire District / Name of Owner Al ICKIER 30 Address j(3 f LS LJ.4 QS'�7 Name of Builder_ Address Name of Architect Address Number of Rooms Foundation Exterior 'Roofing _ Floors 99hJ T Interior (-j/V�/,&L/�,2 Heating Ai Al E Plumbing Fireplace Approximate Cost Area 52�. co Diagram of Lot an Building with Dimension � ��� w Fee v 1 X( y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a//,ve co struction. Name Construction Supervisor's License �ry3S-'� NICK.ERSON, M. K. 35482 BUILD GARAGE t No Permit For Accessory to Dwelling Location 13 This Way (Lot #4) Osterville v Owner"'/` M. K. , Nickerson ` Type of Construction Frame !' , Plot Lot F w1 Permit Granted October 29 ,I 19 92 1il r Date of Inspection 19 ; Date Completed 19 r ' ^j �I is ma and. lot number ./..a?l ../..'7� .. i I?# f :PTIC Y �. � r�tl tP�OF7NET0�♦ age Permit number ..... ...... ... .... .... . ....:{ . ID I CO S'{�'I` a°° 3 B House number ... � � i TABLE. a Ls, S t .......... .:........... . ..... r �C, Sao FiNVIRONNKT t6 9• 9� 0� O yPY a\ - TOWN �F " 'BARNS .T LE BUI`LDINS, INSPECTOR APPLICATION FOR PERMIT TO :... ..:........,� rLL �a/'0.. Sri'(. TYPE OF CONSTRUCTION ........: ......... ......... > .......: .. ....... ................ ...........� .1..... ........ Y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies .for a permit according to the following information: +Y..::..::: 'r f' ;,..:... ��5.:... Ye? :y. ......... . Proposed Use /.q/,'t,1.iA.`l.. .... 5?5o!'L......................................JC, .y., .. ..... .................................... Zoning District .... ... . .`. °... ................................Fire District :.c. !'�T !E' h),LL[' .. Name of Owner ..: �tl�pe-.... �CI �'JU .:Address ... � �5 H,//�Y.. ...... Name.of Builder ...... ...... ��: .... .. .... .Address ...................................................l ................................ , . Name of Architect ................................................ ...................��............. ...................... Address ......... .. ................................................................. Number of. Rooms........ .........PI.V ......... ..................,Foundation .............. �� ��.j . . a. .... . 6 Exie for ...'...... ................... ...... ..Roofing 1. // v C�4u s Floors �Jn! : �: ..... ....�,.::..... ........ .:....... ......... d ..N..17 .t4.h...�l Interior Heating .............. .. ��..1........fs'f.9.� �`...... ....... .Plumbing e. :. ...: �Dy✓ .... .... ... Fireplace ...... ./Y�d`�C�...........................................Approximate Cost ...... .. �P r'.<.� �—. Definitive Plan Approved by Planning Board _ ________ _________________19_______: Area '........ ....... ......:.. Diagram of Lot and Building•with Dimensions Fee 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 of Barnstable rega ing the above construction. Name .G /......,�, � '„ ...... Construction Supervisor's License ........ 6504..... Permit for ......... Fami.l .:I�.�re1•1`ng..... .............. Location .1�.•'�'f1i�•way. ............... ............. R .......................................... R' r :kO'wner .......NbjbOL1C1E•• 3 E'}riOYS©13................. °f, Construction . F Type o rame.......... k �' `" '� '� t �- ff'• •._ ' ..... . ................... ...... ............................ ,Plot .................. Lot ................................ ' Permit Granted .+Jay...30,_:: ..19 84 Da"te of•Inspection pW Date Completed ...//:—&�`:`7: J:... :19 a. ' » je --- ( }� 4 ) Fate. f � sr Ye , 5. 13 �5G /.+7 r� f -le CO cS �rY ors j Assessor's map and lot number ......1..raA....`-..... �. ®/�� SEPTIC SYSTEM"•MUST BE _ INSTALLED IN COMPLIANCE Sewage Permit number ........... ..........:......................... WITH ARTICLE II STATE SANITARY CODE AND TOWN CF THE TOWN OF B A R N SrXB'1°R -- ,' i B,BBSTSIILE, i J BUjLDING , INSPECTOR e 'FO NPY a ) r• ,APPLICATION-FOR PERMIT•:TO ...... :... ., .. -�� .....................:.. #TYPE OF CONSTRUCTION .. .....iA.P•.Uh......... t...........E............ 1 Ca..O�.���G! y.... ti W. .....19.7 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies 'for a permit according/ th follo information: /�I 1 ®� GAT ^G /fA, ..V� � Location ..................:f�$J. EA.�. i.1,4.. X............: ProposedUse ....................././Om.45..........................................................................................................:............................ ..... . '......................... Zoning District .... . . .... .................Fire District ......... ..............................;.... Name of-Owner, ....Xr.1.!!.&k&,.J''Z.t.zYWddress ..... .... {QQl'!?. ✓ 4.......a,r..... ItY1✓/S'. Nameof Builder ...................//............................`..............Address ......................../.................................................... Name of Architect h.6 11 1If........... Y.p. Z!1.........Address .....( !r r ..... 4l i..............S ........... Number of Rooms ........................j6...:..................................Foundation ................pay.g.f.-9.......... ............................. Exterior o y...C1 Paog.f1...0„v, ..� ....1�./..YW,?Ol.Roofind ............A5/WA 7" .................................................................. Ai`s7' - Fu1eOR . /a„ 0.C, oRn Floors �:... ..�.. ..�Y.k!c'ut�.. wFTy...�,.....Is RSA.Q..lnteriar ............... q.4 . T q.()C)<................................f5k��..�. � xG, ✓Il TU✓ S PRUGE. ..... Ak Heating ...r.%.........HUT t�✓prC../°2............Plumbing .....11✓'` ...... I.. .. ............................................ Fireplace /��C�J1!. .................:...................Approximate. Cost .........:.... /..2'(z ................................. p .......................... -- 19 - Area v� S�G/j Definitive Plan Approved by Planning Board -------_-------_-_-_____ ........ .......... .. ...y...... A !7 Diagram of Lot and .Building with Dimensions Fee ....... �v1 ............................. _ SUBJECT TO APPROVAL OF BOARD OF•HEALTH I r� \f hereby, agree' 'to*conform to all the..Rules.,acLd.Regulations of the Town of Barnstable regarding the above,` ►� 4or1S�ruction., . f l ame .� Nickerson, Melbourne K. f18513 two story, No ................ Permit for .................................... hingle family;dwelling .F .........r,.......................t..... p• ` _ 1 `. �L' Osterville-West..Barnstable Road Location _ ....... . ..................... ' - = `i..._ ^.... .... - Osterville = f .......................................................................... - Melbourne K. Nickerson r ' Owner ................................. ... , .- frame w Typeiof Construction ...............'........... ` ........t' ...... ..................................."M1........... �f Plot ' Lot 4#3 ,. - Permit Granted .............uly..13............ ..19 76 Date of Inspection ..19 - Date Completed ' rr ., PERMIT REFUSED ...................................... .................... 19 = _ ........................................... ................................. x ........................ ` .................................................... !............................' ..... .................................... • ' ' .J .� IN "v Approved -.- i , ' - - .. • - � 1. ............................................................................... > Assessor's map and lot number ............... Sewage Permit-number ........... ................................ *"E.T°�� r TOWN OF BARNSTABLE BARNSTABLE, i "b9 BUILDING INSPECTOR APPLICATION FOR PERMIT•TO ........... ... r TYPE OF CONSTRUCTION ................ r (?Ut7 { ?Y�7F... . ... .T7(;t/,F lna f .,. S?L!1 *,r ...... .................. ..{.. ... ..190 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: `,+ Locatipn, .. .................. ... .......•.F .......... .... ;W! !�.. .....!.!........................ ProposedUse ................... f? 2/ V61....................................................................................................................................... � r Zoning District ...............,. .................................................Fire District /'7.SxJ .t///:. " .....:............................ Name of Owner.mF /11/l .? / .... �,s, /C� RCC�rA'ddress .... ....... �...... �1I�f�1r/'s', Nameof Builder ..................... ............................................Address ...........................:.......................................�.............. Name of Architect ........... .........Address D. s 7 1� ................ i��� ........ Numberof Rooms ........................ ......................................Foundation ................?� X. �...................................... Exterior Fj�Aru7... q�'R<.)a2 ...p�✓ �',.�/ ,,'�Y!�/l e Roofing ............ &iW..4..4... .................................................... �57" Fv1e✓� /a" O G Floors ,51 , //� '�„ -acvr., ,f7... � Tra rr�'���d°Interior . �1C ���{�ClC Heating` / 4 r�yUT rT �! .,.......Plumbing ..... . g .................................................................. .. ............. Fireplace .......................... /l//>r./. .....................................Approximate Cost .............. / ,,1� ................................. ... 44 17- Definitive Plan Approved by Planning Board ________________________________19________. Area .5 7�. . .. ..... ...... Diagram of Lot and Building with Dimensions Fee TZ .- 4 at. ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 3� M ,t I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .y..0 .............................3. ............ ... ... ....... . Nickerson, Melbourne K. Aaaeh—tr-50W 18513 two story,. single family dwelling frame PERMIT REFUSED .............../' ;7. 4pprove6 ---------------- lQ / 7/- --------.. .......................... ' . ---- ------...-~..- ,fdoo ` Assessor's map and lot number .1-2.477.. �Y--?..`.. ao...... �� ?�'OF 7NE Tp�y Sewage Permit number ._..... ........ ..... ... .......... /� Z BARNSTABLE. i NAG& Hou number. ............................. .............. S................... 90o 2639 eta, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ ............................................................................ TYPE OF CONSTRUCTION ..........................GL�Cll7..9...........:................................................................ y/ t�.. .... ........19. y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....a S.�' I��� ......... .. ..................... R-5......1.q..d.............................................................................. ProposedUse ........ t`?f? .s ..:1............¢Q. Q.n'1......._........................ ............................................................. Zoning District Fire District ..... ��' fib .............. . .. ................................ 1................. Name of Owner .....���.1'� V�'� ....i �Cl i�So�..Address .......... T �S �A Y _.. .. ...................... Nameof Builder ......................... ...................................Address..........................�.�........... Name of Architect /l .............................................................:....Address .................................................................................... Number of Rooms ......................O..... . _.................................Foundation .................D ... J &........0.............../D ..................... Exterior ........... ..............................Roofing ...... .l. 1.7 ..... ............. .............. ' s .........•...0, ..... `......� i Floor ; Interi or AtvE :(• ....:... Heating i`!O ........d v�?,?E _............................Plumbin Fireplace .................Approximate Cost .................. j...aeo ........... "'....... .. 10 �plcrn7Approved by Planning Board ---------------____-----------19________. Area Definitive ''1 ` Diagra,of Lo"t-am°d Building with Dimensions Fee / ?' SUBJECT TO APPROVAL OF BOARD OF HEALTH • 7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...Gi....j 7 Construction Supervisor's License .... NIMIMN, "0 A=121-142-000 7`� X-:121--Nz No emit for ...tea? On................ SinglSingle Family...DwelliAq................. e„...... .. . ............. ..... Location ....13.. Nay................................... .................... _JM. 1le..................................... Owner ........ ............... Type of Construction ......F-raim........................ ................................................................................ Plot ............................ Lot ................................. Permit Granted ....... .................19 84 Date of Inspection .....................................19 Date Completed ..... ................................19 31 f a �P A 1.4¢08 p . 0 3OrT N AY� o j y a� 16 9.'85 0 C®-2. e 201 . v, i daoa_ )4f. r •rt. a ,n ;' �. �Q%ST.�l3OJC : � ; 3-: ? ,, . o � AL,.R1 r. ;.. r ♦. x t �.�,r� S } L .y• rr .� ti T ' J _)`g �<<„C{_, al bVs .! • ... .J., �; 'Q t®��S-� f • (.)T 14. 200.00 CERTU;4D) LVT, PLAN c, • ,��; Being lot #3. as ahown on a Mari awed 7i09-1976 by King & Reekie\Assoc. , of Scituate Mass. . Re6orded in Barnstable Re istry of..dgeds in book I, hereby certify than'' ' i P3® page 2. the existing foundation location is correct as `` Aly 12th9 197&:'<,: shown and doe�s,. ,dorm �i Owner builder: with the b �13�ing setback e ,riffs, o£r ti Town Kempton Nickerson. reau eme a Thomas A. % Hyannis, Mass. j ?"i of Barnstable p JACKSOti , h.. i i `a No.8937 �r �01SYEF� G�? ' 31 -Signed •' �t 4 flr - y VF, rn I I i �; j •� i ! j ll � I,- � O :7D eo—i co �7r u L N bz>v LL- PAg?v�Q _ 0. N I. N = b{ V I /J' JIC•_V,'VL - _ ,•�/I .1, i/' ..'! J6 jI I 1 F - v�.,� F '�AYO PH Z R4= I i Av0 �gCrfF� JLjIG R�1(h ' I Q Tllll� LLfIGIs-.�, \+rrd.�s H �. L If TL ir{Evrr. Qd'o" hoeµ _ _ vo-gaknT �, r, 1 — _ r 0 Noah DiS ° 6L -�� 00 HANG -' �"GIG �joNA7,�4 Y/-t3iGiLb"j �- '� Q � i � I� jam•- I- . - - ori I 0 I E 29 68 IAN E 8 .... (T, 2u C 11; ---_ - �� �19 ,mac s jz g L 1�2 u i°y M IZ Gt i i �.. 7-111 ED- El j.. +j ,� i I .1..I� I I �. t � I I 111 + K I 1 vz- i "T el-A&Acle RV-+ FT - j• � oo � � 0' S �oy�A MHSS.s`-zo P - THO GENERAL NOTES: THIS WA Y OSTER VILLE ROUTE 28 20. 00' 1) SEPTIC LOCATION S68 08;22"W r' PER TIE CARD SEWAGE 189-346 � z 1,000 GAL SEPTIC TANK H `j AND (2) 1,000 GAL LEACH PITS INSTALLED 7114189 T1� 2) SEPTIC INSPEClON REPORT UN5T0 PATRICK M. O CONNEL LOCUS GRAD ARRIL 7, 2003 o o� 3) EXISTING (3) BEDROOMS HOUSE b RENOVATED TO (2) BEDROOMS WITHIN HOUSE AND ti ti (1) BEDROOM WITHIN GARAGE PROPOSED. BCiyps 4) SPOT ELEVATIONS BASED ON SURVEY AND �q� Rf kz)p d MATCHED TO G.I.S.. DATUM LOT 1 W A.M. 121/26 W LOCUS MAP BRUCE yam' PLAN REF 321133 MURPHY ASSESSORS MAP 121 — No. 749 ZONING. LOT 3 ►STE o GRO UND WA TER PROTECTION ,Z4 tS fCM �a 58.s 103 A.M. 121/141-2 4 VIrAP�� OVERLAY DISTRICT "WP" C07 NBo� PLOT PLAN OF LAND W �� LOCA TED A T.- X 25 91 EXIST/NC _ 18' #13 THIS WAY "� 56•g 2-BEDROOA! • HOUSE , „,D OSTER VILLE . MA. AWND s/.0 24.3' N PREPARED FOR.• ° 14 EX/5T/NC KEMPTON NICKERSON C� �V \\ >r8,5 F• GARAGE SLAB (L)eEVRo6 CZ) so �' o„��tr48Nlo ARRIL 14, 2003 \\ �- \ �✓N� PROPOSED ` X O 587 A.M. I21/25 �� \� \ X _ o so ti� OF MERrrHEw G J o x s� SCALE. 1"=30 =o'W2098,�, \ '•, sUE1V� 59.4 A.M. 121/15-4 YANKEE SURVEY CONSULTANTS LOT 6� UNIT 1, 40 INDUSTRY ROAD A.M. 121/142 60 �1 AREA=28,788f SF X P. O. BOX 265 MARSTONS MILLS, MASS. 02648 TEL.- 428-0055 FAX 420-5553 S68 09'16"W A.M. 120/5 200. 00' - J# 53351 C GM tkY r i 20' MIN. CONCRETE COVERS 2"LA YER OF. 1/8"-1/2" -- EL.'=-- EL=60.0' _ 60.0' 2 WAS ZED S7ONE 717P OF GROUND EL.-___ LEVEL ° GARAGE SLAB 4" CAST IRON 7 i . / / , ELE =58. 7 OR SCHEDULE 40 6kIN. 6kIN. / P. V C. PIPE 6AWN. 6kIN. rj 4" SCHEDULE 40 P. V.C. ADD = 1 4" PER FOOT PIPE - MIN. RISER RISER 57.4' FLOW LINE DIST. BOX 1/8" PER FOOT PRECAST IN 58.0' 10"',&. 19" 1/B" PER FYIDT s" MIN. ' g PRECAST EL. _0' MIN. CRUSHED e" I cas INVERT I Q p PIT S7t7NE o ee8ao8oso�SkJNVERT INVERT EL.= 57.55 56EL. .6 c J� O 6 E. 3/4" TO 1-1/2" ~ INVER INV 4 tc,/ w C ASHED S717NE 1500 GALLONS EL.__ 56.B EL.—_____ o; SEPTIC TANK DISTRIBUTION BOX 50.4' NEW NEW 2'I LEACH PIT I z, PROFILE OF 12'DIAM.-� SEWAGE DISPOSAL SYSTEM NOT TO SCALE TOP OF CATCH BASINS ON GUNSTOCK_ROAD EL r ALL ELEVATIONS ARE ASSIGNED GENERAL NOTES 1. THIS PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEM FOR GARAGE 2. PLAN REFERENCE BOOK 321 PACE 33. 3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM DESIGN DA TA. AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. . TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS NUMBER OF BEDROOMS ONE- GARAGE FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN GARBAGE DISPOSAL NONE 6" OF FINISHED GRADE. 6. E)USTINC AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW 110 GPD SAME, UNLESS NOTED BY FINAL CONTOURS: 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE ( 110__GAL/BR./DA Y x 1 __ BR.) OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER 1500 OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SEPTIC TANK CAPACITY ` SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. UNLESS NOTED. EXISTING LEACH- PIT REQUIREMENTS 8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL LEACHING CAPACITY (BOTTOM & SIDEWALL) 546 GAL BE MORTARED IN PLACE. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH (3.14 X 6 X 10 X 2.5) + (3.14 X 5'Z X 1.0) DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 10. THE EXCA VATOR\CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. 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