HomeMy WebLinkAbout0079 ISLAND AVENUE r7
Town of BarnstableEc��PT.
` "' 200 Main Street, Hyannis MA 02601 508-862-4038
- Application for Building Permit
Application No: B-17-1319 Date Recieved: 5/2/2017
Job Location: 79 ISLAND AVENUE,HYANNIS
Permit For: Building-Siding/Windows/RooVDoors
Contractor's Name: STEPHEN NOLAN State Lic. No: CS-106330
Address: Derry, NH 03038 Applicant Phone: (978)758-1612
f (Home)Owner's Name: HYANNIS ROTARY LLC Phone: (508)274-8339
(Home)Owner's Address: 500 CLARK ROAD, TEWKSBURY,MA 01876-1663
Work Description: strip and reroof
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Total Value Of Work To Be Performed: $33,638.00 t
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Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
I ,
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Stephen Nolan Sr. 5/2/2017 (978)758-1612
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $33,638.00 Date Paid Amount Paid Check#or CCH Pay Type
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Total Permit Fee: $171.55 5/2/2017 $171.55 XXXX-XXXX-X)M- Credit Card
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......... ........ I......................... ...............,,.........................
Total Permit Fee Paid: $171.55
TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION
Map Parcel _ Permit# 2
Health Division r � > ' {; Date Issued
Fee ! •.
Conservation Division )Z 3 y C ��,w�_�?
ser
Tax Collecto e��2S
r � TE6r,°3 p��4e b^ IuS
INSTALLED IN
Treasure r-
WITH TITLE
Planning Dept. ENVIR'0I�l -r r
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Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis i
Project Street•Address 79 Island Avenue
Village Hyannis Port
Owner Mr. Richard Lublin Address 79' Island -Ave . Hyannis Port
Telephone -4321,Reques Swimming Pool
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project`Cost $30 ,000 • Zoning District RP-1 Flood Plain Groundwater Overlay
i
Construction Type
Lot Size 1 . 13 Acres Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
r Dwelling Type: Single Family R" Two Family ❑ Multi-Family(#units)
Age of Existing Structure 30 + v r Historic House: ❑Yes @f10 On Old King's Highway: ❑Yes ❑No
1
Basement Type: ErFull . 5a Crawl El-Walkout ❑Other `
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) .
Number of Baths: Full:existing S new Half:existing JL� new
y.
Number of Bedrooms: existing (4 new
Total Room Count(not including baths)`.existing a-" new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil Ga'Electric ❑Other r
Central Air: ❑•Yes t(No Fireplaces: Existing New Existing wood/coal stove: ❑lYes ❑No
Detached garage:W/existing ❑new size 3=Cw,(Pool: ❑existing U new size 2 2 x 5 0 barn:❑existing ❑new size
Attached garage:❑existing '❑new size Shed:❑existing O new size Other:
Zoning Board of Appeals Authorization ❑ 'Appeal# Recorded❑
Commercial ❑Yes
, 0 No If yes,site plan review#
Current Use �5(c�ell,0 Proposed Use
BUILDER INFORMATION
Name E .J .Jaxtimer , Builder , Inc . Telephone Number 778-4911
Address 48 Rosary lane , Hyannis License# 003251
Home Improvement Contractor# 110609
Worker's Compensation# WC97-695028
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `
maco is Dumpster
SIGNATURE DATE
FOR OFFICIAL USE ONLY - -
_ - ;•r ,
PERMIT NO.
DATE;ISSUED -
MAP/PARCEL NO. • t ,. 3, ''t
ADDRESS ` * VILLAGE
OWNER y;
DATE OF INSPECTION,': • ~, + - - -
9
FOUNDATION _
FRAME r
INSULATION
FIREPLACE -
ELECTRICAL: ROUGH. = FINAL j
PLUMBING. ROUGH FINAL ,
•GAS: .. : ROUGH � '< � FINAL • -• ... ,� '_ � # } 4
FINAL BUILDING f • '. i {
,
` DATE CLOSED OUT - - -
ASSOCIATION PLAN NO. '
x 1
The Town of Barnstable
• �exsr�ie. •
&639.
� Department of Health Safety and Environmental Services
Building Division ;
367 Main Street,Hyannis MA 02601
li
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
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. 1 h(,re0 UW/,
Type of Work: S W I YkfA I n IO L Estimated Cost �430
Address of Work: Iq ,s & / ( — L Y t
Owner's Name: K f[;U(..u_rc,6 / z,61.lrt(
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as ent of the owner:
1�31�. �• �� xfi�e� //Drao9
Date Contractor Name Registration No.
OR
Date Owner's Name
lomis:Affidav
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The Commonwealth of Massachusetts
W;i '— Department of Industrial Accidents
-= office nf/nt�estigatians
-;;- 600 Washington Street
Boston,Mass. 02111
artrml��������� / Worker]Compensation Insurance Affidavit
%/////
E . J . Jaxtimer , Builder, Inc.
name:
location 48 Rosary Lane
city Hyannis , MA 02601 phone# 778-4c11
❑ I am a homeowner performing all work myself.
❑ I am a sole roprieior and have no one tivorking in any ca acity
® I am an employer providing workers' compensation for my employees working on this job.
com anv name:
address:
city phone#:
insurance co. Eastern Casualty policy# WC97-69502
///i///%////////%///////////////%///%ai....../////////%/////////////%i////////%///////////////%/%... ..///%///------ /////------
❑ 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: ::........
com nnv name:
address:
dtv phone#r
insurnnce crt.
aii/o/ai//
cam anv name:
address:
phone#:
dtv-
...
Insurance Co.
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as Weil 03 civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a
copy of this statement may be rwarded to the Office of Investigations of the DIA for coverage verification.
1 do herefiv certify un a enalties of perjury that the information provided above is true an correct
Signature Date U
Print name Phone# 7 7 R—4 Q 1 1
official use only do not write in this area to be completed by city or town official
perm
city or town: it/Ucense# _ ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's OMce
❑Health Department
contact person: phone#• ❑Other��
........... .........
.
s
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,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
` Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is.
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy, please call the Department at the number listed below.
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 pi number which will be used as a reference'num_ber. The affidavits may be returned io
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 Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of lavestlgatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
x.
153423 w
r
153423
DEPARTMENT OF PUBLIC SAFETY r
ONE ASHBURTON PLACE, RM 1301
BOSTO s; MA 02108-1618
§< . CONSTRUCTION SUPERVISOR LICENSE
Number: Expires: _: —�
# CS 003251 01/14/200� �_ I
k Restricted To: 00 '
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ERNEST J JAXTIMER ,'
Y: 48 ROSARY LANE
HYANNIS, MA 02601c�� l,� p
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from planning... through mnst won . . .
Once having decided to enjoy the pleasures of owning a swimming pool,a
family must decide what type and size pool it should buy.
Smooth transition from bare lot to beautiful setting.and fun from the first
day of completion—are the signs of a competent designer and builder.The
single secret is Ferrari's skilled planning and construction methods
developed from solid,successful experience.
Because of a perplexing array of sizes,shapes and designs,it would be
extremely difficult for the family to make a wise decision alone,but a trained : '
Ferrari Pool Consultant solves this problem quickly and easily.He is a
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knowledgeable designer with extensive pool planning experience gained �r ' ' _ — 3 crew
from working on hundreds,perhaps even thousands of personalized pool _ heater, ni
designs.From his knowledge and experience he helps each family w other me(
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the right pool to meet its individual needs.Since all yards are different,your
Ferrari Pool Consultant will advise you on the right pool to blend with the _
decor of your home,and to fit your individual needs,requirements and Steel-A grid of steel reinforcing rods is
budget.'..the ONE exactly right for you! !� 2 laced together at specified intervals.Just as the
^Excavation-After permits are received, the skeleton supports the body, so do these heavy steel
Consequently,the proposed pool location is carefully examined.The size "earth-movers" will begin working. While.the reinforcing rods support and strengthen the pool. a
and shape of the lot,landscaping,terrain and maximum sun angle must all excavating equipment is operating, your pool is Ferrari always adds extra steel at the deep end and
Pg break areas, as well as in the bond beam.
be taken into consideration.Because a Ferrari Pool is a permanent addition being skillfully hand shaped with exacting detail p
P meet Ferrari's engineering specifications. The proper
to the home,it must be carefully planned to be a beautiful and integral part piece of excavating equipment is chosen to,most
of its surroundings.The shape must be pleasing and practical,simple or, efficiently meet the needs of your own particular
elaborate.Do you want to view the pool area from inside your home,or do backyard site.
you need privacy?Since no two e—
families are alike,no two Ferrari
Pools may be exactly alike.
Once these decisions are
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made,the plot plans are
drawn to scale and templates
of pool designs are positioned
to determine where the pool ' AMES
location should be according
to your needs and local Decking-Because'the deck is such an 1
ordinances.At this time a ; important part of the pool's beauty, only
�,. the finest quality material and the best
complete plan is drawn and % l` '`'" craftsmanship are used. Decking is laid in
integrated with Ferrari C Tile&Coping-Now the pool is ready to receive its conformity with individual pool design and
constructions specifications. C first touch of glamour! Every beautiful tile is carefully customer needs. Decks come in numerous i
P textures, colors and treatments. (of course,
inlaid in the pool wall at the water line, and piece by piece, non-skid surfaces are preferred.)
the coping is edged into place. Ferrari is consistently searching
to obtain tile patterns and colors that have won decorators
awards for out-standing beauty, all for your personal selection.
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Assessor's Office 1st floor Ma 5 Lot s C- Permit# ��J d
C�Snservation Office 4th floor i,.�� .__--� .� ���� - Date Issued
Board of Health Ord floor _
Engineering Dept. (3rd floor) House# SEPTIC,, g �E
Planning Dept. (1st floor/School Admin.Bldg.): 1NSTAL�'�- ' ' AiNCE
`
Definitive Plan Approved by Planning Board 19 ������ ino9.
,,- AND
lApplicalion,processed 8. -9:30 a.m. & 1:00-2:00 .M. 'TOWN RE Zvi L""IONS
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address 9 Island Avenue , Squaw Island , Hyannis Port , MA L($T
Village Barnstable Fire District Hyannis
(hvncr Mr. & Mrs . Richard Lublin Address 40 Orchard Rd. W. Hartford, CT
Telephone 790-4321
Permit Request: Build detached three car garage .
Zoning District RF 1 Flood Plain No Water Protection No
Lot Size S e Perm 3 t:';.#3 7116 . Grandfathered
a
Zoning Board of Appeals Authorization No Recorded
Current Use Residential Proposed Use Residential
Construction Type Wood
Eaistin2 Information
Dwelling Type: Single Family NA Two family Multi-family
Age of structure Basement type
Historic House Finished
Old King's Highway Unfinished
Number of Baths No. of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached New Construction Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
I
Dame E.J . Jaxtimer Telephonenumber 508-778-4911
Address 48 Rosary Lane License# 003251
Hyannis , MA 02601 Home Improvement Contractor# 110609
Worker's ComWi►sation # 312-2 0 4 2 3 9-0 2 3
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
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project Cc
Ist $40 ,000 .00
Fee , / �S�•
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) f
BPERM T
i
FOR OFFICE USE ONLY
4/24/95 3766E6 -
265.025
+ADDRESS 79 Island Avenue, Squaw Island VILLAGE Hyannisport
Mr. & Mrs. Richard Lublin
OVA%JER
DATE OF INSPECTION:
FOUNDATION
FRAME
I
6
INSULATION
FIREPLACE.
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL -
GAS: ROUGH FINAL
k 9:
y Sa
FINAL BUILDING:' `s '
DATE CLOSED OUT:
ASSOCIATE PLAN NO. ,
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— HOME SI�MPROVEfEVT�CCN1 RAPTORS' REGISTRATION
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` Bos�tonTMassacfiu 021`08 YI
HOME IMPROVEMENT CONTRACTOR I
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Registration 110609'r Ex`pi-r_anon 11'%03/96 ~-- -- - ---- --`
Type — PRIVATE=;CORPORATION,
ra �x�voxroea Ga
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IMPROVEli_ENT,.CONTRACTOR
t; i —- Registration .11060` _
x E' J-,JAXTIMER, ,BUDDER ► _ TUpE :PRIiJATE CORPORATION
1%03/96
Ezpi_Tatie t'-
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ROSARiILN: ;�
HXANIVIS t !
1 E MA126 ` ` x� �r- f' �A f F r I' JRXTIi'ER, r3tII!GrR
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notiu,ustAToa HYAIINIS A=±31641:
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r COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
Failure eo persr ss a currone fi8essachus_;'.cr:'>>taBuilding
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OF ONE ASHBORTON PLACE
MASSACHUSIETTS BOSTON,MA 02108 CodQ i s c a u rouggat ion .
arah;sll6osao.
ry LICENSE
EXPIRATION DATE 10677 CONSTR. SUPERVISOR CAUTION
01 /14/1996 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
RESTRICTIONS THEFT, PUT RIGHT THUMB
NONE 06/30/1993 003251 PRINT IN APPROPRIATE
° ° BOX ON LICENSE.
ERNEST J JAXTIF+.ER
48 ROSARY LANE RLASTING,QPE-RATORS
m HYANNIS MA C2601 A4UsrINCLUCEPHOTO.
PHOTO(BLASTING OPR ONLY) F- I i f r r
`•"a' j-�l I NOT VALID UNTIL SIGNED BY Lir NSEE AND OF.ICIALLY
I -
HEIGHT: I STAMPED.OR.SIGNATUR- THE COMMISSIONER
I ;,J's
THIS DOCUMENT MUST BE � SIGN NAVE IN FULL ADO'.,SIGr.AT.!rE L!N;:
CARRIED ON THE PERSON OF I SIGNA7U OF LICENSEE I h
THE HOLDEP WHEN EN
Oi HERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION.
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or- r.tMUSTTUA CCIDEDITS r
G00 VI-1AsIIFNGTOI\' STRE-E-T
aR,es.� Ga��ae� DOSTO;,', MASSACHUS3- S 02"111
Vc- �:ss•�ne ,DORK£RS'COMT'FNSATION INSURANCE AFpIDhVIT
E J. J A-xT r Sri- I N..0 .
(1 iccnscc/perm i czcc) _
VIith a principal place of business/residence ac
C
05 0. �'L�1 6 Vl�l 14 Z 0
(Ci ry!S t�cc�Lip)
do hereby cci-6 j•, undcr the pains and penahies of perjury; that:
j4am an cmplovcr providing the following workers'compensation covcrupc for my employees-orking on this
f
l°b 1 i
►�C� ^ 3 l Z - y2 3 =
Insurance Com ny Policy Numbcr
l ) 12m 2 sole proprietor and have no one working for mc-
(J I 2m 2 sole proprietor,gcna-mil conmaor or homeowner (ardc one) and hsvc hired the eommaors Iisccd below
who hzvc the following workcn oompcn uon iasursnoc politics: .
Immc ofContmaor Insu=cc Compzny/Policy Number
N2mc of Contractor Ins=ncc Company/Policy Numba
N-imc of Conmaor Insurnricc Company/Policy Numba
0 l Zm 2 homcowncr performing dll the work myscl£
?COTE: Plcasc b<aMarc t6atwrt�<I ccco•racrs wbo cmploypercoas to�o rnaintcnancc,coottrvCtioa of tcpaitwocl�on=
'e Cllinb of not more than tbrc<units in mid tl-<bomco•,Dcr alco resides of on the prouads sippuruatat t5<(c1W&cc not FcDcr--v)- I
ccnriZ<rccr to be craploycrs um&r tb<Vlo?:<ri Gotapcasatioa ACT(GL.C 152.cccT- 1(S)).application by s boracowact for a jic<ns<
or p<rrsit r..:y C"icscncc the]<EJ sttrci c!a=cr--loycr undcr the Gotltcrs'COrapcorat;on/,ct
i c ,c<rstanc tn.t a copy or ties st-ccmcr.r.is oc ic.-•arlcd to the Dcp-:-cnt or IndustriJ/,codcnu'OFi cc o!hsc::na(or:cn-cr:-�c
�crifieation sd th_t failure to s<eur<eo,cr�c reesuired undcr Section 2Sfi of MGL]S�can ksd to t4se irnpo:iuon olSlirsinal penJues
ccnsisons of a fine of vp to SI500.00:n&cr i pr-uonmcnt of up to one year and Evil pcnaltics in the form of:Stop WotS Ofdcc and I
fine of S100.00 a day against mom' ,
Signcd this _- d2y of . 19
Li ans c/ cr irtcc LiccnsorlPcrmictor
37,�- G O
c
} 'll:il`Iil1CIIi i � 1} i},'i1 :i!I I (1\'it't�ililll'Tlta� r1'lCl'�
367 Main Street,Hyannis MA 02601
Office: 508 790-6227p�.
Fax 508 775-3344 RalBtnTdingcoMmissioner
For office use only
Permit no.
Date
AFFbAVIT.
HOME E&2ROVEMENT4OONTRA CPORLAW_
STTPPT.'F.NfPWTo PPVPVM APPT.T!`A'rTn7j
MGL c.142A rcquires that the"re6ortst"n,alterations;rienotatioq rem pwderniratioq conversion,
improvement, rcmocaL. demolition, or construction of an addition to any pre`existiing owner,cocapied
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 re&ered contractors,With certain exceptions,along with other
requirrmeuts.
00
Tj�of Work: �mrjtyv&-h Y Est Cost ` d U Od
Address of Work._ aye—'.I . c.L h,t.a Pe rt. .
Owner Name. �FCVL�� . 'lltk, ,
Date.of Permit Application
I hercbt cerirf�that
i Registration is not required for the foil
ou-ing rason(s)-
WOrI excluded bt 1aa W.
Job under S 1,000
Building not vanes-oo upied
O>•ncr pulling own permit
Notice is hereby given that:
01WERS PULLING THEIR OWN PER.1,TT OR DEALTAG NWI-H UNREGISTERED COI�'IRACTORS
.FOR APPLICABLE HONM i1vTROXTNC-N7 WORK DO NOT HAVE ACCESS . TO THE
ARBITRATION PROGRAM OR GUARi4%'TY MIND UNDER MGLc. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby 2ppi%-for 2 Tr_rmn 2s the 2tcnt cf i,c a"..cr.
I Io&o q
Date tractor name Registration No.
OR
Date 0"mcr's name
F �
fly # R e
� .,.,,,,�., ...Q-. .piRaiC�`F'f• '�"'SGSR:�t,i'kt�4rriL��c '"""eft,¢•"yea . am�+•re•-.r
TaWM'OF BARNSTA�LE, MASSACHI!SE-TTS ' � x
! - 6>t �65 0L-5• ` ° 'r ,... it ..;�+ r Q �` .
11 c•_ D �� 19r ° QL�*` P.ERMIT ATE NOQt� 16 �
E =.'J. Jaxtimer. ''
APPLICANT os.ar Lane' ..H annf's; "#' ADDRESS y / Y 003251
FFF V rt� �'-.• / _i �_ a.: s r. hk '-;^' c (N0 )�'� (STREET)t _'R i s� (CONTR 5 LhCENSE) .
kr' '• .• ■
PERMIT TO'+
it i odel.�DwelliriQ ( :) STORY Slh4le �Fc�1113�1�7 DWel�]_nCjDWEBLLRNG UNITS � }
PE, IMPROVEMENT). ,_N0.2 ,•: -1 PR OPOSED'USE),•
r �# 7 ;.ZONING ;. RF�l .
79 Island:.Ayeiiue, Hyann sport (Lot #44 DISTRICT—
AT
,(LOCATION) � '
(STREET) e Yi
BETWEEN AND
(CROSS 'STREET) -'(CROSS ,STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
I
BUILDINGAS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN-CONSTRUCTION
TO TYPE USE GROUP - BASEMENT:WALLS OR FOUNDATION ..
(TY.PE).
REMARKS: Sewage #81-36
I
1. 3500 sq. ft.
AREA OR
�. VOLUME - ESTIMATED COST $ 316, 641.00 FEEMIT 360.00 _
�. (CUBIC/SQUARE FEET)
M/M Richafd Lublin_ -
. OWNER.. . . _
art Or . BUILDI T
f' ADDRESS , BY
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE,
3. FINAL INSPECTION BEFORE
OCCUPANCY. _
POST THIS CARD SO IT IS VISIBLE FROM STREET
3 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
i 1 1
z
•
2 2 2
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
OTHER SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. 1 PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
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��.E5�'�� �� � � #..�•� Y- irk'• 3+� l �
i s essor's ofAce(1 st Floor): a( 5 4 a s ' S C
Assessor's map and lot number
�i THE TO
Conservation ,Akl—\
Board of Health(3rd floor): INSTALLED T
Eke CC) t ssa'sUK
Sewage Permit number / —,3� � '�� LBs'Nf,—h, � rua
WITH TITLt oo s630.
Engineering Department(3rd floor): �I
House number L � VI(R�®N �=�'���1 ( rsr
Definitive Plan Approved by Planning Board 19 i
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only i
TOWN OF , BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO Remodel existing dwelling . I-CL (jQ1,�pVi�nCD -XDC�
TYPE OF CONSTRUCTION Wood/Residential
September 22 , 19 1994
TO THE INSPECTOR OF BUILDINGS: .
The undersigned hereby applies for a permit according to the following information:
Location 79 Island Avenue , Squaw Island , Hyannis Port , MA 02647
Proposed Use Residential
Zoning District RF1 Fire District Hyannis , MA
Name of Owner Mr. & Mrs . Richard Lublin Address 40 Orchard Road , West Hartford , CT. .
Name of Builder E.J . Jaxtimer Address
48 Rosary- Lane , Hyannis , MA
-
Name of Architect Northside Design Address 141 Main St . , Yarmouthport , MA
18 Masonry/Block Work
Number of Rooms Foundation
Exterior
Wood Shingle Roofing Asphalt
Floors
Wood/Carpet Interior Blueboard and Plaster .
Heating
Electric Plumbing None Involved
Fireplace None Approximate Cost $ 316 ,641 .00
Area
Diagram of Lot and Building with Dimensions Fee
Lor-Nrn 1EQt�
4J�.� �Cir�,S � w\►-�'�J n W S
u t�oG•c�+�e.� cy�,.x�si �sr,
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction.
5 Name
• 003251
Construction Supervisor's License
LUBLIN, RICHARD
79, ISLAND AVENUE, HYANNISPORT F
37116 REMODEL
No Permit For _
S. F. D - ; z
Location - -
Owner
Type of Construction
Plot f .. Lot
Permit Granted 19
" • q
Date of Inspection 19
Date Completed- 19
f.
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--� COMMONTWEAE`H of 1\/ . ,SACHUSE_ "
,NW : J.J'/J �r� To r- r-ND -nu 1.�✓�CCID��?�
_� 600 'I-1161-3I-NC;TON STRIA
fames aOSMN, MIASSACHUSE=S 02111
'p7QR C RS'COM-PENSATION INSURANCE AFFIDAVIT
(l;ccnscc/perm;acc)
with a pri ncipal Platt of business/residcna 2c
r
osa Q M A-
do hereby certify, undcr*thc pains and pcn2hics of perjury; that:
`-o 1 am an employer providing ncc followingworkcrs' compensation coverage for my employees working on ThiS
fob_ � I
Cz43 9 <)
Insurance any Policy Number
�) I am 2 sole proprietor and have no onc,working for me- "
j� I am 2 sole proprietor,gcna-�J eontraor or homeowner (arde one) and luve hired the eonuaaors listed bolow
who hzvc the following workcn'compcnntion iasu=cc politics:
I�=mc of Conmaor Insu=ncc CompznylPolicr Numba
N2mc of Contactor Ins=ncc Company/Policy Numba
F:zmc ofConmaor Insurancc CompanylPolicy Numba
Q 1 sm 2 homeowner performing 211 the work mysdC
}COTE: Plcasc be aM-;r<tbat.�-s�<Ireacowacrs wbo employ Person: to do roa;ateaanec,eoaarvct;oo or rcpairM^o�on a
-e-01inb cf not snort tban 6rcc units ir: t.<borscowacr also rciidcs oc co the rtvuods appurtcazot tbctCto ate Dot Ecoccav3-
<enridered to be eMp16yCr% Corrpcnsat;on Act(GL.C 152.eeet.- 1(5)).:ppl;ut;oo by:6raeo-olf for a jitens<
or permit r.._y cr;denee the 1q_.1 setts of a=err:�loyer under the worticrs'Compcosatioa/yet
i c�ccnc:nc tnac 2 copy of ti is stcccrn<r—i ix 6 --vdcd to ti,c LDcp:.:--cnt of)ndustr;J Acod<nu'Orcc oflnscancc for.co—M�c
.�cfific=tion_nL th=t f:.ilurc to sccur<ca.cr�c c r<Su;rcd under Sccvon 25A of MGL.]52 can kid to ttu impos;uon of-I•Uminal pcnJucs
eonsisong of a fine of up to 51500.00 z.&cr iraprisonrsent of up to one year and evil penaluu in tax form c(:Seop Vcfk Order and a I
fin<of S 100.00 a day against rnc.
Signcd this -�1Q
d2y of , 19
License Pc mittcc L.iccnsor/Pcrmiaor
' i777
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NOTE.- PRIQR M CO VSTR,UCTION _ o
' CONTRACTOR bfUST VERIFYALL DiwNSIONS
nut/or existing conditions,or as izme
the responsibilhi far any 4r;crpptini iu o^
To REMA N F3yNT or inconsistencies not hroeighr to the s n
L' r ED<ranN(E, STc>Nt of Nrr designer.
CHIMNEY To(MAIN
NEW 6)w v
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HOMEMPROVM ONCfR�A;° �o"ak^mRORS
RoFBOar RUpls
KC
II Boston; Massac . setts,;021.08
HOME .IMPROVEMENT CONTRACTOR: -
Registration 110609 EXpi�ration-;11/03/96 ~ `
7Y PRIVATECORPORAT,IONr67,
Pe
HOME IMPROVEHENT::CONTP,ACTOR
Registration 110609
E' J rJAXTIMER' BUI�.DER r '' I -
TypE PRIVATE CORPORATION
EF2NES:T `J ' J, AXT {bl� `"�Ft* , �z t• `I#S — EAp_ra�ler'. Il03/96 1+ �+ 't'^'�•iw Y#a�•�l'."'.°�t, �.. "< s t� q,
ROSAR'�I�4�� •..�g-�•'-5�- C.thYli�N",M1i� k`t�1,i•...r�W :� +., �1 L�: A fi W'
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r{t ;HYANNS�pMAr26 �� �' IF 1.
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E?NEST J r 3AXTIriER rf=.
h?t3y^��,�, fi Y�C e,z,i`�a''f. a.�,- z• , �� x ...:-i -
, NYANNIS ?9A �ZbOI?�. 1t� .�a, `l1i� °`'3Lr4 �' nf;} � rJ=+ �,s'" '-7 'y�r i` r;...•7 �r •;tsl s.. �, SIRATOR J —
.- .-�'�.�,:v��S .,,'�n•«,+.. �.C�4�P�„'�� c ice- t.� `t .. , _�'_ .
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r FailuretopcssossacurronQ-
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY T
figassachust:;,.c;:'>>teBulldin8OF BOSTONONE BO'02108 ACE cocfgiscav:aIUrrovogintionk1ASSACHUSI:7 TS 80STON;MA 02108
i - of tFtis llcoeso.
10677 LICENSE CAUTION
EXPIRATION DATE CONSTR. SUPERVISOR
O 1/14/1996 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
RESTRICTIONS THEFT, PUT RIGHT THUMB
NONE 06/30/1993 003251 PRINT IN APPROPRIATE
BOX ON LICENSE.
g ERNEST J JAXTIRER
= 48 ROSARY LANE BLAST!Nr OPERATORS
Z HYANNIS MA C2601 Z r''AUSTINCLUL'EPHOTO.
PHOTO(BLASTING OPR ONLY)
NOT VALID UNTIL SIGNED BY Ur NSEE AND OFFICIALLY k —.1--?
HEIGHT:
STAMPED-OR-SIGNATUR THE COMMISSIONER
THIS DOCUPENT MUST BE ENSEE
i SIGN NAME IN FULL ADO•.-S13NATUPE LINE
CARRIEDONTHEPERSONOF �.�T�SIGNATU OF LIC h
THE HOLDEP WHEN EN-
Of HERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION.
4
aF rnr r�
e T W n Of M-11 nsta111C
367 Main Suocj,Hyannis MA 02601
Office: 508 790-6227 Ralph�nssen
Fax S08 775-3344 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME UWPROVEMEPITCONTRACT'OR LAW
CTTPPT.F.MF.NT T n PrP TT A PPT T!`A-TTnN
MGL c.142A requires that the"reconstruction,alterations,renenation,repak modernization,cowmrsion,
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: IaU gd-tt Esi.Cost 31 C)O(-)�
Address of Work: I S l ct yi
Owner Name: t C.k"L V-C�
Date of Permit Application: I0 15
I hcreby certify that:
Registration is not required for the folloxing rc2son(s):
Work<xcludcd b_v law
Job under S I,OW
Building not owner-oocupied
0"ner pulling own permit
Notice is hcrcb}•given that:
OWNTERS PULLING THEIR OWN PEP,12T OR DEALT':G t\'ITH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME II✓.PRO\t1 1. \FORT: DO NOT HAVE ACCESS TO Tim
ARBITRATION PROGRAM OR GUARAY Y FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hcrcb.,2pply for 2 Fr_rmit as the 2F.cnt c`thc opt,cr:
Date Contractor name Registration No.
OR
Date Owncr's name
Town of Barnstable
Regulatory Services
* BAMWABLE,
„„ +
* S& Thomas F.Geiler,Director
1639 ♦0
'OIECMvrA 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
March 8, 2013
RE: 79 Island Avenue, Hyannisport
To Whom It May Concern:
This letter serves as confirmation that all previous permits on this. property
have been finalized and closed.
Respectfu }
Thomas Perry, CBO :
Building Commissioner
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Assessor's map'and lot ,number �f?.`7..._..:.....
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Sewage Permit number
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APPLICATIONCFOePERMIT TO ........2 ...................................................................................
TYPE OF CONSTRUCTION. ........................
.......................:......................................................................................
..............................
TO`-THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the followi g information:
Location 1a� �Z /L�_)fVvo �✓i5-�i�� ��,q/u=v/,S"0n0z/
..................................................................... ... ..............}. .... .. ... .........T..................... ................
ProposedUse ........................................................................................................�....................................................................
�C. Fire District ......�7 !9w�'c// ,
Zoning District ....................f................�
Give ..-�✓T ..... .......' .......... .W..: 'c.�
Name of Owner ............................... Address ................:.. ........ .....' �-
Nameof Builder ... .......................................Address ....................................................................................
Nameof Architect ................................'.................................Address .....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ....................................................................................Roofing ....................................................................................
Floors ............Interior .......................................
Heating ..............................................Plumbing ...........................:......................................................
Fireplace .................................................Approximate Cost .....................................................................
Definitive Plan Approved by Planning Board ------�/s__-------______19/__. Area
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...X/jLki41.... ..... [ ............................
Curley, William F. Jr. '
'
183/6 aamm�1v'� /dwling,' mo -----. Permit for ----.---. ' ---- .'. ----.. .
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' / / Island Avenue
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Locohon' ...—_.----.~------------..
Byannimpwrt '
--------------------------.
—_ William F. Curley, Jr.
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frame
Type of Construction ..............................'...........
..........................................................:c,------
#42
Plot ............................ Lot ___________
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Permit Granted ..... —..jAAy'lQ.�.----lg 76
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Dbta of Inspection ....................................lP
'Dote Completed ........... ..—~--'lA
.
. '
PERMIT REFUSED
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' Approved ................................................ 19 ' `
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