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HomeMy WebLinkAbout0214 COTUIT BAY DRIVE r - � �� a � ��� . , �..- . <w. � . ..�. ..:. . .��............... l��' • � '` r2, ,2 3-76 Assessor's map and lot numb�e"r�. �:. ...:...... ... S Sewage"Permit number .. ...................................................... c�P�OfTHETO TOWN OF BARNSTABLE Z BAHBSTAIILE, i "b 9 •�� 'DUI:LDING INSPECTOR D MAX a• .0 �, � � Sri r APPLICATION FOR PERMIT .TO . '?QZ...: } TYPE OF CONSTRUCTION ......!".e!!� 'S_'P� ............... ...........19.74 TO THE INSPECTOR OF BUILDINGS: The ,undersigned hereby applies for a permit according to the following information: Location ................ r �,�' � Proposed -Use ........�.:.....�:.............� �.��/�................................................................................................................ ZoningDistrict ....... .................................................................Fire District ................�..!...............................................0....... Name of Owner ..... 4.f ...........0...a ...... ........Address J.f,�1�..:..�..`..`.:..`..... f a.-'.,h: ���i '�,�J /�/...� Name of Builder Address ....,................................... ...................................:...... Nameof Architect ...................:....... .... r........................................Address .................................................................................... Number of Rooms ...........................1.......................................Foundation ...... . d ,�" ..zJ , ....{ ... ......... '...... Exterior ` .. � Roofing `% .......::....... _._.,.:.................................... ................,:_................................................................. x Flo'I ors ................ ......:..............................................Interior �/� ?.. �r3t� !�C, v_ Heating ...k.A/......................:..................................Plumbing ......... 41,h �n ,r7ETC' ~ Y' ... .� ......: ..�.. ....................................... r' Approximate Cost ......:`5.. Fireplace ................................................................ pp ................................................... Definitive Plan Approved by Planning Board 19!•��-_� Area ..2...?.-..`''.............. .............. Diagram of Lot and Building with Dimensions �'J Fee 'f�v ry. ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH -^ r 41 it I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name1 ........................... Noonan, George A=56-16 t" 18612 two story, No ................. Permit for .................................... single family dwelling ............................................................................... Locations I 'Cotuit Bay Shores ................................................................ Cotuit ............................................................................... Owner George Noonan ............................. Type of Construction .........f.rame.. . .......................... ........................................................:: �............ Plot ............................ Lot ..........4a98..98 �...4!....... Permit Granted ........ August 23 19 76 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED .......................... ,. ........................... 19 ....,f;f,�..7. :.fit. ` ................... ............................................................................... .................................................................... .{ _. r Approved .................R..I.............. ... ......... 19 a. .,.�. .,. . ........................ t.f.l.j................................... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0J Parcel �� lSJ Application # Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 00 A, �C( Village Owner `LYlI 7 D Address / N Telephone ` `1 Permit Request I ___v___ h) fil Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type i Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kind Highwac ❑Yg ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other n . Basement Finished Area(sq.ft.) Basement Unfinished Area (s''. ) w ' Number of Baths: Full: existing new Half: existing n-w Number of Bedrooms: existing _new u, m Total Room Count (not including baths): existing new First Floor Room Count' ' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r Name J Ind Telephone Number Address License # , GAA L O Q �0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO WA602 A XS SIGNATURE DATE - FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0: % y ADDRESS VILLAGE >< " t OWNER Y f DATE OF INSPECTION: _s._rFOUNDATIOk FRAME INSULATION M FIREPLACE ELECTRICAL: ROUGH r FINAL Z PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth of Afassachrusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/IElectriciahs/Plumbers Applicant Information _ l 2 Please Print Le>,ibly I Name(Business/Organization/Individual): CJ �� Y 1�lG 0 hG Lull Address: i 1asa �aN_., City/State/Zip: q, Phone.#: (-!SN) 7 f7 2` 41? Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with -36 4• ❑ I am a general contractor and 1 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2:❑ I am a sole proprietor or'partner listed on the-attached sheet. 7..,&Remodeling ship and have no employees These sub-contractors have g, "❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: rl IC.lg�ZE� CiT1 Q Ad• GQ ' Policy#or Self-ins.Lic. #: D()�;3 20 113 Expiration Date: Job Site Address: 0-/ City/State/Zip: 63� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expirat ron date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the"Office of Investigations of the D for insurance coverage verification. I do hereby certi the pains and penalties of perjury that the information provided ov is true and correct. Si afore: Date: Phone#: Official use.only. Do not write in this area,to be completed by city or town official .'City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health '2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: glZ _62 e OMMowateaa -� Office of Consumer Affairs and /usness Regulation t 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 110609 Type: Private Corporation Expiration: 11/3/2014 Tr# 233027 E J JAXTIMER, BUILDER, INC. ERNE'ST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Update Address and return card.Mark reason for change. ❑ Address Renewal Employment ❑ Lost Card JPS-CA1 0 50M-04/04-G101216 Consumer Affairs sin' Regulation n License or re istration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i; (% Office of Corfsumer Affairs and Business Regulation =::t Registration: 110609 Type: g Expiration: 11/3/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 E)-JAXTIMER, BUILDER,INC: ERNEST JAXTIMER 48 ROSARY LN 4n� Aso HYANNIS,MA 02601 Undersecretary Not valid without signature 1 t Massachusetts - Department of Public Safety I--I Board of Building Regulations and Standards C�u1,h-uctiun Supct•�islir License: CS-003259 EIdNES'T J JAX-T Rgii , 48 ROSARY SANE HYANNIS 02601 1: ! �.� ��' °'�` Expiration I Commissioner 01/14120/4 I , A� CERTIFICATE OF LIABILITY INSURANCE °A 2/3'31 013"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER E: Erica H O'Connor HART INSURANCE AGENCY,INC. PHONE 508-759-7326 x205 FaX 508-759-7366 243 MAIN STREET - Arc No PO BOX 700 ADDRESS: BUZZARDS BAY,MA 025320700 INSURE S AFFORDING COVERAGE NAIC a INSURERA: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INSURER e: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 wsuRER c INSURER D: INSURER E: INSURER F .COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY,THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MAI DDY EFF POLICY YY LIMITS LTR A GENERAL LIABILITY 8500042039 _ . 01/01/2014 01/01/2015 EACH OCCURRENCE s 1000.000 COMMERCIAL GENERAL LIABILITY ORAM MISESA E T a r�D $ 300,000 CLAIMS-MADE W OCCUR MED EXP(Any onePerson) $ .5,000 PERSONAL&ADV INJURY $ 1.000,000 GENERAL AGGREGATE S 2,000,000 OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECT PRO- LOC $ B AUTOMOBILE LIABILITY 1020011547 01/01/2014 01/01/2015 E aBI EDiSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS NUTOS ON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident S S A UMBRELLALIAB OCCUR 4600042040 01/01/2014 01/01/2015 EACH OCCURRENCE $ 2,000,000 EXCESS LIAR HCLAIMS-MADE AGGREGATE S 2.000,000 DED RETENTION$10,000 $ B WORKERS COMPENSATION 0053890113 01/01/2014 01/01/2015 NA We STATU- OTH- AND EMPLOYERS'LIABILITI' Y ANY PROPRIETOR/PARTNER/EXECUTIVE N/ON NIA E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES IAttach ACORD 101,Additional Remarka Schedule,B more apace to required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ©198 -20 0 W. , ORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i 114 Webmail-Print View ina@jbxtimer.com> P'Trom: tina <tina@jaxtimer.corn> _o: tina@jaxtimer.com 1 r / �i 666, Date: Jan 23'14 7:57am 7 � ( Subject:Fw: RE: CSL#003251 -------Original Message------- From: Spencer, Kimberly (DPS) <kimberly.spencer@state.ma.us> To: tina <tina@jaxtimer.com> Subject: RE: CSL #003251 Sent: ]an 23 '14 7:26am Good Morning, The license was processed January 21, 2014 and should be received by Friday. Thank you, Kim Spencer 617-826-5236 617-248-0813 fax o N From: tina [mailto:tina@jaxtimer.com] Sent: Tuesday, January 21, 2014 4:01 PM To: Spencer, Kimberly (DPS) I Qn Subject: RE: CSL #003251 Hi Kim, Can you please tell me the status of license renewal for my employer, E.J. Jaxtimer Thank you, https://mboxser\er279.c orrVshow body.php?msg=19515&folder=lnbox 1/6 r JAN-08-2014 . 14:20PM FROM-Pak Mail 508 420 1106 T-773 P-001/001 F-108 f � f � LABr�[AE�Ij, s 9. Town of Barnstable . Regulatory Services Thomas F.Cycler,E4recter i Building Division Thomas Perry,CBO Building Commissioner 200 Main Strut, Hyannis,MA 02601 www.town.barustable-ma.us Office: 509-862-4039 rear; 508-790-6230 Propetty Owner Must j Complete and Sign This Section If Using A Builder I ,as Owner f the subject property herebyautho:dze )^�J tl o act on niY behalf, in all matters rela•ti.vc to work authlirircd by Lhis builclinl;permit application for. a UYe l- (Address of Job) Si.gnamre of Owner Dare Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C_\Ilsem\d000llilt\APPData\14Ca1\Micm$Oti\Windowg\T&WuTwyTklWznct Hilo+\COntcnL(hnlopk\DliVR7A,A7,\LiXPRF.SS.doc Revised 072110 f i • n .' D U' �PA�5 • a0 �. � S�-a?� TR,�.K Do 44• N r G� P, ERTIt;tED ROT t-'LNW •tN 4F�� �ocATIoU COT UIT f,SS. y KCAL i�` o -DATE 8,�t 1/76 v RivFiAF E 4 A. ll-� E', - Z3 -7G. BAXTER N(x 2,U4f? ��A,N� F E RE N C E yn s 04 L PL Bk1 Zqz PAGE ZG CEQTiF y -rgA7- '$/,,xTER N Y E I q G, .S,g0A11V C01VF'OAF/t-15 7`0 TNT REG1STE6ZZD LA WD St)flVEYoRS ZGN//VG Z,,fWS T',,� E 7-'a ry v o,,= OSz S i;ZV I L LE + ,(3i9,C'NST.9P�L�' ,pscis��,c�.�rs .�HH� sv,e V�•yo,,� kcvL �nt -t �U S'l`� o Assessor's map and lot nu r' .. C?.�..�rf?............... 6161, pC41-�- SEPTIC SYSTEM MUST BE ��� INSTALLED IN COMPLIANCE Sewage`Permit number .................:.................................... WITH ARTICLE It STATE SANITARY CODE AND TOWN HE r TOWN OF BARNSf*BLE 0 Z BAS�ST 9. ILB4, i "6 �� RUILD.IHG IH-SPECTOR 'EpypYa•_ r 2 / . o A`PPLICATION` FORS°PERMIT TO ]d .Ul.'.'Zd..............Z...Srn r2 f ........................................................... TYPE OF CONSTRUCTION ` ....PW....... ......................................................:.............................................................. ............ .J$t ...` ......z. .........19..7.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... Q"r...q..5......06.7 v:....7.....34- ..... /1/ ................................................................................... ProposedUse ..........5..lN.. ro...... 1���1..... .....................................................................................I......................... ZoningDistrict ....... J.......................................................Fire District ...... T.................................................. .Name of Owner ......5-e,... tJ Q...........�...............�......Address .................................................................................... Name of Builder kio Js Address .................... �.........�;........ /.,....... ............................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........................./..........................................Foundation ...... J y/� 1p.vC kdk. Exterior .......C. hO)M45........................................Roofing ........... ,Q/J '� I ........................................................ Floors C � .........................................Interior. ..........Ste/ ' 6 Heating .........FAW.........................................................Plumbing .........P .5,....... / . Fireplace ..........�.._C.J5...........................................................Approximate Cost ........S...G?d ...................................... Definitive Plan Approved by Planning Board ---___dno_o_-�___25:�q Area 2 .�.e....................... ,-- Diagram of Lot and Building with Dimensions 73 Fee ViEdl- SUBJECT TO APPROVAL OF BOARD OF HEALTH C lg 8 ,33 �b 7Z /9 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namu ................ .. ........................... ................. Noonan, George 18612 t 0 st Y, No ................ Perm'it for ..... ..... ........................ ''single family dwelling' ........................................................................ Cotuit Bay MXXX Drive Location ....... ................................................. Cotuit ............................................................................... Owner .........................................George Noonan......................... Type',,of Construction ...........frame..................... ................................................................................ # ' Plot ............................. Lot ...............98................. August 23 76 Permit Granted ........V................. ...........19 Date of Inspection Date Completed 7/............19 PERMIT REFUSED ................................................................. 19 ........... ............. • . .....................................................******�-,-* , , -0 r-, k" r J 00 ................................................................................ Zj Approved ................................................ 19 ......................................................................... ............... .............................................................