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0042 MARCHANT'S MILL ROAD
�}0�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ^ Map Parcel Application #C&f? Health Division ` Date Issued Cry. ,.: ApConservation Div sion plication Fee Planning Dept. ` Permit Fee Date Definitive Plant Approved by Planning Board Historic OKH Preservation/ Hyannis Project Street.Address k RamA&,nJ- at( ( I K d Village L fe r4-) Owner ' o Address �a` ��✓(.� Telephone C,/v r I I - Yq V n r5 /�0►� Permit Request 4.� I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay } &--boo r Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Tye: Single Family Er Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq. Number of Baths: Full: existing new Half: existing rev a --+ Number of Bedrooms: existing _new < ry `" cry Total Room Count (not including baths): existing new First Floor R m Couj4 Heat Type and Fuel: ❑Gas ' ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stare: Cl,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) Dame _J JA E rn --• Telephone Number Address License# n s t I-t-" Home Improvement Contractor# J lOb I Worker's Compensation # 5D,00 0.2 o 1,2_00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A-r arna ,3-a�S s SIGNATURE DATE_V_f4 op) t FOR OFFICIAL USE ONLY *' A13PLICATION# DATEISSUED MAP/PARCEL N0. k ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ,1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. Department of Industrial Accidents r Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information Please Print Legibly dame (Business/Organization/Individual): C/ ' �J ' d�" rxir address: 146 �j�� �ity/State/Zip: a C1.(/1 t S d W Phone #: 1 re you an employer?Check the appropriate box:. Type of project(required) 9 I am a employer with �C7 . 4. ❑ I am a general contractor and I . 6.' ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 71 listed on the attached sheet. $ ❑ Remodeling I am a sole proprietor or parer- . ship and have no employees These sub-contractors have 8_ ❑ Demolition workingfor in an capacity. workers' comp. insurance. Y P n'• 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions ❑ I'am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' R t�Q " comp. insurance required.] 13. Other iy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:. )meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. .n an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site 4rmation. /i urance Company Name: (� icy#or Self-ins.Lie. #: .lL�/ �Ueda Expiration Date: 01 +Site Address: '4)t _MA.yri{iQ 4 Mr•t( h[y ahni S 1"betcity/State/Zip: rnp- .. �p 7 7 .ach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). lure to secure.coverage.as.required.under Section 25-A of MGL c. 152 can lead to the imposition-of criminal penalties of a 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 rp to$250.00.a day against the violator. Be advised that a copy of this statement may be farwar ied to the Office vi estigations of the DIA for insurance coverage verification:. v hereby cell u r he pains and penalties o perjury that the information provided above p�is true and correct ature: Date: to Jo0 me#: / 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): I.Board of Health 2.Building Department 3.City/Town.Clerk 4.Electrical Inspector 5.Plumbing Inspector . 6.-Other Y Contact Person: Phone.#.: ` 3 o Board of-Building Regula ons and_Standards One Ashburton Place Room 1301 .�� Boston. Massuachusetts 02108 Home Improvement Contractor'Registration- Reqistration. 110609 , l'ype ' Private Corporation r` 3 it _- �J Expiration: 11/3/2008 Tr# 1.24739 E J JAXTIMER BUILDER .INC. ' � ERNEST, £ a� -- JAXTIMER'.. 3 7 48 ROSARY LN HYANNIS, MA 02601 `w Update Address ind i eturn'card.Marls reason for clean e. .. r��.w... 1 g Address Renewal Employment Lost Card DPS-CA1 sr 50MrO5/06-PC8490 - - - -- - ,i- � ,u �07I7/I1209,Y.111 '� ✓UGCZdO 5' � .. :; # iigBoa diof.Buddmf"�Re'ula't�onsan" °J f ��' r Standards 3 f I; , rq_ I uction Supervisor.License :.� n -*r�l itt i License `CS 3251 i� i jI` t II�'1� ratioh 1/114/2010 . TrX 13629 fir• s# ition f F �t3 ERNESTJ�JAXTi ER" i 1 ,,f HYA�NIS,MA 02601 1 Commissioner b r Dated 2/20/2008 Time: 4:04 PH To: R 9,15087754909 Page: 002 Client#-2093 2JAXTiMEREJ ACORD- CERTIFICATE OF LIABILITY INSURANCE �11'8°�' PROMICIM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyanough Rd., PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Acadia Insurance E.J.JaxtimerBuilder, Inc. IruI11RI�Rrs Firernans Companies Ernest J.&Marie T.Jaxtimer 48 Rosary Lane INSURER ' Hyannis,MA 02601 its D: COVERAGES 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 PERTAN.THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN ISSUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NUM01M LIMITS rA TYPE OF Ir ANCE POLICY NLMIZ Rgm �h EXPIRATION GBRERAL UABL" CPA010264914 01101108 01101109 EACH OCCURRENCE, $1000 000 X COMMERCIAL GENERAL LIABILITY DAfAAR To RENIEf) $2550 000 CLAIMS MADE QX OCCUR MED EW Wy are pawn $5 000 PstsnRN�I a rase IlLasrr $1000 0m GENERAL AGGREGATE $ DDD 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-CObpIop AGG $2 000 000 POLICY ,� Loc B AUTOMOBILELIABILM NAA010395014 01101= 01/01/09 COMBINED SINGLE L IM T ANYAUTO (EaamWe:d) $1,000,000 ALL OWNED AUTOS BODILY BNJURY X SCH®IAEDAUrOS l�Ps�W $ X HIREDAUTOS BODILY MURY $ X mm4m EDMIros (P-acddenQ PROPEKTYDALV8E $ (Perazddent) GARAGE LL481 Y AUTO ONLY-EA ACCIDENT $ ANY AUTO EAACC $ OTHER THAN AUTO ONLY: AGG $ A EXCESSAWAIRELIALIABILWY CUA010264914 01/01/08 01/01/09 EACH OCCURRENCE $ 000 000 xl OCCUR ❑CLAIMS MADE AGGREGATE s2,000,000 $ hDEDUCTIBLE $ X RETE NTON $o _ $ A WORIMIS COMPENSATION AND WCA020455011 011017D8 01/01109 & A7tJ °R E6IPLOYERS'LIABUM ANY PROPRIETORIPAFRTNE RMXECUriVE EL I:ACHACCIDE NT $500 000 OFFlIT:RIA EXCLUDED? NO EL DISEASE-EA EMPLOYEE $5000W fl ,deso@e:mder E.L.DISEASE-POLICY LIMIT $W()000 IONS OT IM DiCIWTIONOFOPERATIONSILOCATION&IVEHrLES1EXCUMONSADOWBYENDORSBIEtr/SPECIALPROV{S1DNS CertificaM holder Is named additional insured for ganiaral liabi ty. E.J.and Marie Jaxtimer are included under the Workers compensation policy. Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION MWUWAMOFTMAWaMSCMEI)PMXMMBECAKTaLMMWOM7MoWMnM Town Of Barnstable DATETHEREOF.THE ISSUING DMIRERVO LENDEAVORTOMAIL In DAYSWRITTEN 200 Main Street NOTICE TOTHECERT*%ATF HOLDER NAMED TO THE LEFT,BUT FATLURETODD50SHALL Hyannis,MA 02601 IMPOSENOOBUQATIONORUABIIJITYOFANY MID UPON THE INSURER,ITS AGENTS OR _ rA�vEs. AUTHORS R�PRESIE ATWE ACORD 25(2001108)1 of 2 #S50995/MS0595 LS1 ®ACORD CORPORATION 1988 Town'of Barnstable "Regulatory Ser v- ices' .,. RARNSTAUM ` Thomas R:Geiler Director MA s ss. . $ , 9. Building b1v1S10II TomPerry, Building Commissioner 200 Main Street, .Hyam lis,MA 02601 Mce:. 508-862-4038 Pax: 508-790-6230 Property ®weer Must. Complete and Sign This Section If Using A Builder.,: I .• as Owner of the subject property hereby authorize_ ��• a x f?vw,ev-; ul l!d , to act on my behalf,: in sR matters relative to work authorized b7 this building permit application for: 2,- M,9 ITk"/ (Address of Job) &tq=_e_of. Owner Dale F Print Name j . .- Q:FORMS:OWN"F.R.pERMI3SI0I1 ' t x 12/07/2006 22:55 5087753474 E D PAGE 03 • IkI ._ ° .. .. � ^^� 'y�. y"fir.-• • s � � r _. C_I� I H'�nJ Cr• , '' LAG— lop —�---�`�f��= i __ ------ ••---•- �--- �,,�� � .� 1 c-.,two..,1'.,+0�:.��'r��.,..�—":.`�� —._ ..... .. .__ �i 4 � U ►,,, I�I 5i8 7 A,Lv C �� 'fir 5"�'��`r� •_��.--2; .;.__. ._:.:..-__ ...._.. .._:.._. ._. ,II _....... __._. LIL_ .. -• •.•-••••• _... ____ .. -. --- ---- __._.... --.. ---... _.._. -- -- Hi 12/07/2006 22:55 5087753474 E D PAGE 02 IOUTHEMY PINE SPAN TAaLEs MRXimum spRns given in feet And Inches inside to inside of bearings j Tables 5 tllru 11. are abbreviated span tables for the most commonlY available grades of Southern Pine lumber., For other grades,loading conditions and spacings,refer to IlNaximarn.Spans for Southern Pinp.)oisls anrt R[tRers published by the Southern Pine Coraticil. The,SC spans are based on 1993 Af&F'A Span Tables forJvisis and Rafters,and 1994 SPli.3 Stcurdard Grading Rules for.5outherrr I'bte Lumber. Except for Table 8, they are intended for use in covered titructures 4r where the inofsttrre content in use does not exceed 19 percent for an extended period of time, Table 5 Roar JOWS Doslgn CritVH$, Deflection-11mited to span in inMos divided by 3G0(live load only). Strength-based on 30,40,,or 50 pounds per square foot(psi)tine food,plus 10 pst deed load, Size finches)and Spacing{Inches on center) 2x6 2x8 2x10 2x12 Grade Live Load 12"oc Woo 24'oc 12"oc 19"00 24'oc 1 12"oc 16"oc 24"oc 12'00 16"0c 24'oc { O:W 1.2-0 10-11 9-7 15-10 14-5 12-7 20T 18-5 16-1 '24-9 22-5 19-6 No 10-1.1 9-11 8-8 14-5 13,-1 J..1-5... _5 I(;-9 14=7 22-5 20.-4 17=5- 5t7'ps;f" `10-2 9--3 A-1• 13-t, 12-2 )0-8 17-1 15-6 I3-4 20-9 18-10 15-11 30psf 11-10 10-9. 9-4 M-7 14-2 12-4 19-if) 18-0 14-8 24-2 21-.1 17-2 No.2 40psf 10-9 9-9 8-6 1.4-2 12-10 11-0 18_0 16-1 13-1 21-9 I8-10 15-5 50p3f 9-11 9-1 7-9 la-I 11-11 IOmO 16-9 14-8 12-0 19-10 17-2 14-0 30psf 10--5 9-0 7-4 13-3 11-6 9-5 ).5-8 13-7 11-1 18-8 16-2 13-2 No.3 40p3f 9-4 8-1 6-7 11-11 10-3 8-5 14-0 12-2 9.-11 i6-8 14-6 11-10 50psf 8-6 7-4 6-0 10-10 9-5 7-8 12-If) J.1-1 9-1 15-3 13-2 10-9 Table 6 Ceffing Joists Drywall Ceiling Design Cdtada: Doflection-limited to span in inches divided by 240(five load only), Strength-based on 10 Or PO pounds per square foot(psf)livo load,plus 5 or 10 psf dead toad, Size(inches)and 5pacIng(inches an center) 2x4 2 x 6 2x8 2x10 Grade Live Load Woo 16`oc Woo 12"oe 16"oc 24'oe 12"pc 16"oc 24"oe 12"oc WOO 24'oc No. 1 10 psi 12-8 11-6 10-0 J0-11 18- 1 15--9 2r>-0*, 23- I() 20-10 26-01 26-0* 26-0" 20psf 10-0 9-1 8-0 15-9. 14-4 12-6 20-1.0 18-1) 15-10 26-0` 23-1 18-10 . No.2 10 Pat 12-5 11-3 9-11) 0-6 17-8 15-6 25-8 23-4 20-1 26-0" . 26-0* 23-11 20psf 9-10 8-11 7-8 15-•6 11-6 I1-0 20-1 17-5 14-2 23-11 20-9 16-ll No.3 10phf 11-6 I0-0 8-2 17-0 14-9 12-•0 21-8 -18-9 15-4 25-.7 22-2 18-1 20psf 9-2 7-1 5- 9 12-0 10-5 8-6 .15-4 13-3 10-1.0 18-1 15-8 12-10 Table 7 ROOT JOWS -HOaVy UVO Lands .Design critoriar Deflection-limited to span In tnohes divided by.460(live load drily). Strength-basod on 75, 100, 125 or 150 pounds per square fiat OSO five load,plus 10 psf dead load. Size(inches)and Spacing(nches on center) 2x6 2x.8 2x10 2x12 Grade Llve Load 12"oc 16"00 24"oc 12"oo 16"oc 24"oc 12'ot; 16"oc 24"ac 12'oc 16"0c 24'oc 75psf 8-10 8- 1 7- 1 11-8 10-8 9-3 1.4-11. 13-7 11-2 18-2 16-4 13-4 No. 1 100psf 8-'1 7-4 6-5 10-9 9-8 8-3 13-7 12-1 9.-10 18-6 14-5 11-9 1251Mf 7-6 6-10 5-1.1 9-10 9-0 7-6 12-7 10-11 8-11. 15-0 13-U 10-7 I50psf 7-I, 6-•5 5-6 9-3 8-5 6-10 1177 1.0-0 8•-2 13-9 11-11 9-9 75p9f 8-8 7-31 6-6 11-6 10-4 8-5 14-3 12-4 10-1 16-8 14-5 11-10 No,2 100ps1 7-11 7-0 5-9 10-5 9-1 7-5 12-6 10-10 8-I0 14-8 12-8 10-4 12.5psf 7--4 6-4 5-2 9.-6 8-2 6-8 11-4 9-9 8-0 13-3 11-6 9-4 150psIf 6-9 5-10 4-9 8-8 7-6 6-2 10-4 9-0 7-4 12-2 1.0-6 8-7 751W 7-2 6-2 5- 1 9-1 7-11 6-5 10-9. 9-4 7-7 12-10 11-1 9-1. No.3 . 100p-s# 6-:3 5-5 4-? 8-0 6-1I 5-8 9-5 8-2 6-8 . 11-3 9-9 8-0 125psf 5�-8 4-It 4-0 7-3 6-3 5-1 8-6 7-5 6-0 1.0-2 8-10 7-2 150paf 5-3 . 4-6 3-8 6-8 5-9 4-8 7-10 6-9 j-7 9-4 8-1 6-7 rhn 11slod mrvdmum span Irw boon Ilmilod to 26'-0'based on material avalamlly. Chock iirnfls of supply for[timber longer than 20'. Southern Pine Use Grads - FRIGMr'Iw�r;lu. southern Pine Council �. ,..,,..,.._.. I = R Y ! TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 266 027 GEOBASE ID 16805 ADDRESS 42 MARCHANT-S MILL ROAD PHONE HYANNIS ZIP - I LOT PARCEL BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT NY ? PERMIT 89906" DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: h Regulatory Services TOTAL FEES: $25.00 BOND � CONSTRUCTION COSTS $.00 tM1E 756 CERTIFICATE OF OCCUPANCY 1 PRIVATEBAJMSTABM 1 _ Mass. 039. ♦� E��ya BU11RIN PWISION BY DATE ISSUED 01/25/2006 EXPIRATION DATE 266 02? 8040( Department of Regulatory Services � R0 � * Bn[ STABLE, • MAM �Fp� BUILDING DIVISION BY TOWN OF BARNSTAB:LE BUILDING PERMIT PARCEL ID 266 027 GEOBASE ID 16805 ADDRESS 42 MARCHANT'S MILL ROAD PHONE: HYANNISPORT. ZIP — LOT PARCEL BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY— PERMIT 80401 DESCRIPTION GUEST HOUSI: 30 X '15 ._PERMIT' TYPE BUILDA T CTLE NEW HUr�,D 14C r�i+�RMIT ACC ES j CbNTRACTORS- E.J.JAXT I MER, Department of ARCHITECTS: Regulatory Services TPTAL FEES: $836:8(; BOND $.00 �tME CQNST'RUCTION COSTS $167 ,040.00 328 OTHER NONRF;' ' C`1 NTI.AL BLDG l !'R1VAI'E ,.K00 + 1ARN3fABLE, • I MASS. i639. 1 I t I I BUILDING DIVISION � I BY DATE ISSUED 11./03/2004 EXPIRATION DATE i 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 FROMTHE 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 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 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS EL TRICAL INSPECTI N APPROVALS xe r I 2 7 S/B S t1f"/N� (/ 2 4.•. V y A 3 - afe 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT j rrvAL. GR d p -7 16' d S" 2 D OF HEd z� I I SITE PLAN REVIEW APPROVAL OTHER: I I � 0 I I WORK SHALL NO ROCEED U TIL 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� II II` 1� II II I` 1I YI I `I I I� 1 I { { { M yI I I� I p { YI I II` I 4�`_�` The Commonwealth of Massachusetts q�4�= - 0, Department of Industrial Accidents Office aflaresff affans R_, ' � 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: E)�_. I C location: 1 US 7 city `! km r ► ` I phone# (2 2 ) M -`1'-1 i ❑ I a1n a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one workin in any ca acity ❑ I am an emplover providing workers' compensation for my employees working on this job. comaany name. .. ..........':. E ci ram ): ....... . ......... xli .............. address ...... .... ` .. r \ n city I' phone# I insurance co. E -� olicv# ❑: 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: .................. comdanv name: address.. _ _.:.. tihone#. insurance co :. . .. olicv# %%%//�%%m/m/ edmpanv name: _. address. city-: atone#. -: olicb# nsnrarice ca ` _ ;: :r 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$1,500.00 and/or one years'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. 1 do hereby certify the pains and penalties of perjury that the information provided above is truo and correct Signature Date .h Print name Phone Phone# 4 d 7 I official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board_ ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) f MAscheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # MAscheck software version 2.01 Release 2 I I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 .Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-15-2004 DATE OF PLANS: 09/15/04 TITLE: Norberg PROJECT INFORMATION: Joseph & Deborah Norberg 42 Merchants Mill Road Hyannisport, MA. COMPANY INFORMATION: Northside Design ASSOC. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 311 Your Home = 170 Area Or Cavity` cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 735 30.0 30.0 12 WALLS: wood Frame, 16" O.C. 1870 15.0 15.0 . 82 GLAZING: windows or Doors 62 0.320 20 GLAZING: windows or Doors 110 0.320 35 DOORS 20 0.086 2 FLOORS: over unconditioned space 753 • 19.0 19.0 19 ----------------------- ------------------------------------------------------- COMPLIANCE STATEMENT: ' The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 25% of the design load as specified in Sections 780CMR 1310 J4.4. . Builder/Designer Date I • Massachusetts Energy code MAscheck software version 2.01 Release 2 Norberg DATE: 9-15-2004 Bldg. 1 Dept. 1 use I I CEILINGS: _ [ ] I 1. R-30 + R-30 Comments/Location t" WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-15 + R-15 Comments/Location i WINDOWS AND GLASS DOORS: [ ] I 1. u-value: 0.32 For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. u-value: 0.32 For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? °[ ] Yes [ ] No comments/Location- -DOORS: [ ] I 1. u-value: 0.086 I Comments/Location FLOORS: [ ] I 1. Over unconditioned space, R-19 Comments/Location AIR LEAKAGE: [ ] I joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. when I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with standard ASTM E 283, with no I L s more than 2.0 cfm (0.944 / ) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. . I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment ,must be identified so that compliance can f I be determined: Manufacturer manuals for all installed .heating I and cooling equipment and service water heating equipment must be I provided. insulation R-values and glazing u-values must be clearly , I marked on the building plans or specifications. I ' DUCT INSULATION: [ ] I Ducts shall be insulated per Table 74.4.7.1. DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according, to the I manufacturer's installation instructions. . Mesh tape may be omitted where gaps are less than 1/8 inch. . Duct tape is not I permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate. HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] i Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in Sections 780CMR 1310 and 74.4, SWIMMING POOLS: [ ] ( All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. . Pool pumps .require a time clock. I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or ' 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" , 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 1 0.5 1.0 1.5 100-130 0.5 j 0.5 0.5 1.0 I w r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A Map Parcel 0 Permit# f-0 Health Division Date Issued �l B Conservation Division 00N 7/1/� pplication Fee Tax Collector /O / ���/�/�'� Permit Fee 7 Treasurer —�— EXISTING EPTIC SYSTEM Planning Dept, LIMITED TO #OF BEDROOMS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 42 kill k o(,(.k Village %_ P0i(+) Owner J If— + n r Jh er Address 4� tu Telephone 9 ri I - P_ermit Request r &IST C,t'4 r - �edreorx 6W's fi Square feet: 1 st floor: existing proposed q 9 0 2nd floor: existing proposed �IJrO Total new I'1 4 O Zoning District Flood Plain Groundwater Overlay Project Valuation (15', oO()_Construction Type (,i)00 J� Lot Size C) 5 T Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) e Age of Existing Structure Historic House: ❑Yes )(No On Old King's Highway: ❑Yes JKNo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new o� ' o Total Room Count(not including baths):existing new 3 First Floor Room Count CZJ Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other 4? Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coif stove: Eli-Yes ❑No ,.a Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑:e fisting ❑anew size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Cl Yes ❑No If yes,site plan review# AA Current Use Proposed Use `7L �01 BUILDER INFORMATION cc-��,, l Name E • J �X�Y �t eYkt L-0 e , J� Telephone Number 1.5 1 719 4111 Address 41� License# __ 60-32 G�11 l�U S HA- Home Improvement Contractor# � � � �� t Worker's Compensation# J�O(006 qd 0 I a-00 `/ ALL-CONSTRUCTION DEB RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY s G: PERMIT NO. DATE ISSUED MAP/PARCEL:NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION o 0 G Iz 9 a FRAME /h Q /z o? INSULATION S U o fti FIREPLACE ,(3 C/i`i� p i4 �� /a Az ELECTRICAL: ROUGH FINAL PLUMBING: -..-ROUGHf„ F" FINAL - GAS: ROUGH f- FINAL FINAL BUILDING61 ' ®� rrt P ` r 0 ro Pr DATE CLOSED OUT >" n ASSOCIATION PLAN NO. M 0 c { 3 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE Ifl 40 square feet x$96/sq.foot= f 0) 0 4(7 x.0041= D plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) _square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 y >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.0041= STAND ALON E PERMITS Open Porch µ` f x$30.00 (number) Deck..-. _ x$30.00 4 (number) Fireplace/Chimney _x$25.00 (number) Ingronnd Swimming Pool " $60.00 Above Ground Swimming Pool $25:00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee . Projcost Rev:063004 o�T}IE r dw a. of Barnstable • °� Regulatory Servides, a�a , Thomas F.Geller,Director Building Division tFp MPS • Tom Perry,Building Commissioner 200 Mama Street, Hyannis,MA 02601 , Office: 508.862-4038 Fax: 508-790-6230 • Permit zio. Date ARMAVIT ' HOME VOROVEMENT CONTRACTOR LAW SMPLEMENT TO PFPJY=APPLICATION MGL a 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,xemoYal,demolition,or construction of an addition to any pre-existing owner-occupied budding containing at Least one but not more than four dwelling units or to stmctares which are adjacent to •• such residence or building b a done by registered contractors,with certain exceptigns,along with other requirements, • Type of Work; d ry�h1 G U�S� l�-Se.. Estimated Cost 4;�of Work: . fanr�i en owner's - Address , Owner's Name; Date of Application; v I hereby certify that: rw,ostration is not required for&a following reason($); ' ❑Work excluded by law • �]7ob Vnder$I,004 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that; ' ' OWnRS PULLING TSE1R OWN PERMIT OP,DEALING WITH VNR'EGZSTERED_ CONTRACTORS FOR.AYPUC4,11 HOME IMPROVEMENT WOMDO NOT El . ACCESS TO TEE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A, bIGNED UNDERPENALTMS OF PERIMY Ihe1eby for&permit as the agent of the owner: J etd Data Contractor Name RepisErationNo. OR Owner's Name 10/26/2004 16:18 5087754909 PAGE 01 f 29'-2'�a 4 a 1 m 50c} " � ca the rq� Town ofBarnstA�e � Regulatory Services LaARNIMAacE Thomas F.,Ge0er,Director 6;S Building Division ta►nA+ Tom Terry,Building Commissioner 200,Main Street, Hyannis,MA 02601 i Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDII GS ASSOCIATED WITH.RESIDENCE I(We),the undersigned, being the owner(s) of property situated at 42 Merchant Ivlill Road in Hyannis,MA, holding title under a.deed recorded with the Barnstable County Registry of Deeds or $ rnstable County District Registry of the Land Court in Book jU%J_, Page 1L or as Document No. rcf J S9 , being shown on Assessors' Map 266 as Parcel 027, hereby agree, certify,warrant and represent tb the Town of,Barnstable that the accessory building to the residence located on the same parcel as above-describ�d, which contains living . quarters, is not intended for and shall not be used as a permanent, separate apartment fbr year-round or summer occupancy,for rent in any fashion. . i The intended and authorized use is for the caretaker/caretakers associated with the residential use on the . same premises. This separate unit shall not be used for a "Family Apartment" (as defin d in Zoning'Ordinances) which would require application and approval of a special permit and compliance with th9 Family Apartment Rules' and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion,which 7 rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to. occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever-a change occurs or every calendar year. i This Agreement shall be'duly recorded or riled at the Barnstable County egistry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agree ent concerning the use of the property as herein stated,which shall run with the Ind and binding future ow ers. The consideration for this-Agreement is the issuance of a building permit and/or c6rtificate of occupancy by the Town of Barnstable Build ing.Department, j WITNESS our hands and.seals this j2znday ofAf`` ,-L- I2004--. i i TOWN OF BARNSTABLE OWNER(S) By: �Xdrb� Bui ing tommissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Daje— Then personally appeared the above-named (owner), t -, and made oath as to the truth of the foregoing instrument, before me. DO"M.i : VALLOIS Notary Public , N Lary Public �e�°°e� �+� �,gr'''✓8,� w \ Jf Commonwealth of Commission Expires:. MyCoSiortExpxesSap4,1009 BARNSTABLE COUNTY P,,-=ISTRY OF DEEDS A E.COPY,;ATTES7 4 , VL (Z:word/accessoryagreement ' JOHN F.MEADE,REGISTER `°ea. t� ^` ARNI � REGISTRY OF DEEDS �,=�3 �,; Ims ;_° ✓lie Uur�oururtuirrciert. u� .rcrrdJucYtrtJ:sled Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 110609 Board of Building Regulations and Standards Expiration: 11/3/2004 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation E•J JAXTIMER,BUILDER,INC. ERNEST JAXTIMER 48 ROSARY LN �� /r'° HYANNIS. MA 02601 Not valirl witltnnt sionahire 677-7 Board of Building egulations One Ashburton Ace, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE ,.. Number: CS. 003251 Expires:01/14/2006 Restricted To: 00 ERNEST J JAXTIMER , 48 ROSARY LANE -HYANNIS, MA 02601 , Tr.no: 13327 Keep top for receipt and change of address notification. ✓JZ6 l/JOOl7�I17.0'ltl!/PQLUL O�✓67.CidJ(L!./LClOC�6 . BOARD�OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR t I Number:CS»`1 003251( ff}[5 y' f r Expires 01/14/200ti Tr.no: 13327 w� f Resttricted a 00 ' ERNEST.J JAXTIMER t 48°ROSARY LANE HYANNIS, MA 02601~'` Administrator SEP 22 2004 10 : 27 PM FR HILL HOLLIDAY #12 6175723449 TO 915007754909 P .01 !01 .48 Rosary Lane, Hyannis, Mass. 02601 i Town of BarastaWe { Regulatory Services { _ e,$ Thomas F. Geller,Director ]wilding Divisiom To=PerrY, Building Commissloner 200 win street, Hydnais,MA 02601 Of$ce 5a8-862-4638 Fax, 508.790-5230 f . Property owner must Complete and Sign This Section If Using A; Builder joSP. ,as C?avaet of the subje r property hembpauthorize wL • . to ac on rnybehZ4 in all ma►n= relaim YA arozk au�ar'iud wilding pezrnit application or(address of jab) p � 3 ' 4) $- of C)wacz Date Print N=e . E i ** TOTAL PAGE.01 W A t .I �. r L Ce Assessor's map and lot number ..... .............. ':..... � ` �0*?M E r0� Sewage Permit number ...8.7.-Z .... ... .............. V. °+► f Z BJBB9TOBLE, House number .:: .... ........ :............................... V ruse � po,039. \00 'E11 MpY p TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 1G? f/.��! !/C'.. .................................................................................... TYPE OF CONSTRUCTION /.... ......... .../U�iC ....... %`'�d�l. .f! ....: L'4/�.LL/ti-.............. ........................ / .....19. 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .v�CT......a.............. ...... 1 . �........XaL /.y ......T����//����� /....... f f. ... Proposed ..........1 - .1. ..J'................................................................................................... ....... Zoning District .......fe ..-::/................................................Fire District ��. ............................................. Name of Owner t/�1`�/1/........ .�( `? �� � � �� ..................... Name of Builder/k/.( )—,1-- !L/...5 .lf, Q/ ... •S'�(� Address ................... ��- ��1 ......................................... Name of Architect ... //� V.......�M'k4�41.................Address ................... 7 Number of Rooms p ............... :.............................................Foundation ............ Exterior '.. N/7 ... j-� ...........................Roofing .. ��.lf? !�T................................................ Floors � ....7a-V! 6../�..... ... � .(�! .........Interior �� � .1. �. ............................................ Heating{ .....................................................................Plumbing ..... Fireplace � l '/ ' ..Approximate. Cost ......... ,/..ox2z.7.........4......................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH > f 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. Na {J. Construction Supervisor's License ........................... MCKEON, JOHN z 027 No 30565 permit for ry.. .�... ............ ...... Si.ngle. ...Family. . ...Dwelling. . . .. .......... I .. ....... .. .. ....... .... ..... .. . .. ....... Location ....Lot #27 , 42 Marchants Mill Rd. HXannisport ................................... Owner John McKeon ................................_................................ Type of Construction ...........Frame................................. ................................................................................ Plot ............................ Lot ................................ March 27, 87 Permit Granted ........................................19 Date of Inspection ....................................19 l Date Completed ............................ ..........19 a f i 4 �� ^~ -�� Assessor's .��. — .u mop omJ � number �� �* �z —' � THE � SavvoQe Panni/ number ........................................................ IIA"STABLE � � House number �t����—lz\ ^(\/- -------.----_` \ � ' / � TOWr������7�Q' ���� �� � �� �Q'�� �� � �� N � ��� N�. �� �� |"� �� N �u� N������u ` ' BUILDING �� 0 �� ' INSPECTOR �� ' ��N@NN-NNN���� 0 ������N� 0� � NN �� -- ~~ - ---_ ~ ~- ~~ ~ ~~ ~~ ~ ~~�~ ~ ~~ ~~ ' APPLICATION FOR PERMIT TO ^—�--= ~ \ �..�.[~................................ ............................................................. ' - �\ ' ���� �� _ ����_/..��.r�`.�|}*�� .___.__._____ ............................................. � ` . - � � —..........l���x� � - | ' | TO THE INSPECTOR OF BUILDINGS: \ The undersigned hereby applies for o permit according to the following information: , L Location —'���.,'����.,�.�!.-T ---`.\—.\/\/.A --.��\����'o��'!'�—' 'r'-T--^'`.'`^''—^^—~,-----^----- � \ ' J ProposedUse ... ................... ...........................................................................................r..-------' | Zoning District ------.----.------------..Fine District ---`---..'-----.—.—.—.----_..—~ -T� [ p\c �� r\ h] Nome of Owner ,=]�������—C�----' r\—.---.A66mso ......�\.\\*�~..r=:r:...—...:..— '---...—.. Nome of Builder .----------------------.A66nys -------.----.—..--..—...--..—..—.— ' Nome of Architect -------_------------''—A6Jness ..................................... ' Number of Rooms --------'-------------Foundotion —_.---------.----___-------. Emerior ------------.---_---------_—'Roofing ................. ^ ~ ~ � Floors ----------------------------..|ntehor --_—_--------.--------------' ' Heating -------_----...-----_—_-------.Mum6ing -----_................................................................ 1 Fireplace ----------------------,----..Appnox|moteCost --------.,...—_.__,_,_____._ l � \ ' Definitive Plan Approved by Planning Board lg--------. Area -------------- � Diagram of Lot and Building with Dimensions Fee --------------- ! | � SUBJECT TO APPROVAL OF BOARD OF HEALTH � � ' , ' ` ' ^ | � | � ` ^ ^~~ OCCUPANCY PENN\|T3 REQUIRED FOR NEW DWELLINGS ' | hereby agree to conform to all the Rules and Regulations of the Town cf Bomndnb|m regarding the above construction. ' ............................ \` ) Construction`--'� Supervisor's License ,(� '\.��� �� --.. � U ' MCKEON, JOHN C. A=266-027 No ...28926... Permit for ...Demolish............... Frame./..Dwe l l.ijag............. . . . . Location 42 Marchan0 mill bd ......................................... ........... HyannisPort............... Owner ........ ohn C. McKeon............................ ................... a Type of Construction ........Frame........................ y ...... ................................................................................ Plot ............... .... .... Lot ................................ Permit Granted ...........February 10, 19 86 .. .... Date of Inspection ....................................119 Date Completed , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0ZMap_ Parcel Permit# 6 / Health Division _r7�V �`"� coo w'�7 �,Q Date Issued er/�— U 3 Conservation Division / , '. ?a le Application Fee Tax Collector hermit Fee !� Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �ZA /WIZL'f XA,,7— IW 1GL /"A . Village X/YW AIAl )4 Owner )VOf?/9926� Address Telephone 60 F- 7 Permit Request �rd�'C b X I cS7� 24') k 1U k 21 9-,4,(L 401V 9 k v3 , (RE4,74Z) Z)P,/ FAQ Square feet: 1st floor: existing proposed 2nd floor: existing proposed r3 Tot��al newt Zoning District Flood Plain Groundwater Overlay Project Valuation Type �� j.[�fL�Ia Construction T e rJ�,.�.�r,.^, � Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting doc mentationt un _tDwelling Type:Type: Single Family it Two Family ❑ Multi-Family(#units) --Agd of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No C "Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other .Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count < Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other �entral 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 BUILDER INFORMATION Name � nF10V f 4_- / /L Telephone Number Address fZv.�ds/ t License# AI�L) l/I/1/ _,ES7FE , AW "22 0-1) Home Improvement Contractor# Worker's Compensation# }Zo i®1W.,p12, Dd ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN T011// SIGNATURE DATE 7 /7 /,0 3 r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL-NO. J a i ADDRESS' 2' VILLAGE r OWNER DATE OF INSPECTION: I FOUNDATION ' FRAME INSULATION _ 1 FIREPLACE ELECTRICAL: ROUGH 'FINAL , y PLUMBING: ROUGH FINAL GAS: ROUGH 'FINAL.- : FINAL BUILDING DATE CLOSED OUT y " ASSOCIATION PLAN NO. The Commonwealth of Massachusetts - ! Department of Industrial Accidents _ Boston,Mass 02111 Workers' Compensation insurance Affidavit nn ,ram n nrssss nn__—..t lasenarmePl '� - w•- name, locntlon• city nhonc x I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. cornaanvname• �Tf/J5cj^�/ 149_427-5/ i`dd 3? �1^14 N%d J S%i city: (�✓°NC'JS/C�1 "%�ir'L phone N: i11,5U1r2nc• Co. 70i6) c9%Z_ >O Z f ] i am a sole propnetor, general contractor, or homeowner(circle one) and have hired the connectors listed below who have the following workkers' compensation polices: tom❑env name:_ -- i asidre:s: -- i: city: phone#: nSurancc cn. policy a comoanv name: Ad re5s' - city: phone#. insurance co,co, nolicy0 --- - MR-c • a1OOna •s tstneeeysart Failure to secure coverage as required under Section 25A of MGL 152 can Ind to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me_ 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties o perjury that the information provided above is true and correct Signature Date Print name ✓AyNZ Z)/,�IWZI/,/r Phone N 7 v— 7 2-9— - official use only do not write in this arcs to be completed by city or town official ciry or town: permit license M rlBuilding Department �Liccnsing Board O check if immediate response Is required oSeleetmen's Office a 0Hc2lth Department contact person: phone It; f—Other to (—..d I/VS►JAI C tiffitre N f. REf,1$TEN�D S � tssUro By t i4PPLICA�ION'` ANCHOR INDUSTRIES INC. i (3ateofMenuf1c�u.e t>I r F 5/03196`='^jV 'BER �4'ArJSVILEE.(NUlAMA47711 f 1 > I OrderNum..r i r..3SSS t i MAN�fW-,,TURERS QF THE FINISHED. I to ! F1'2I 4- r s TENT FR(1DI�t.1 S D SCRMIF HEREIN Th�s to.-certify that the materials described have been flame-r t t et;3tdanreyLo 1 I� (arat'�i lhere�tly noninflammable) and were supplied'to: ! ` .;,, (�'I _ ; IQ .I, R I , , l jjj) lif U] Lo ' I ig ; V�II�TCH�`3T�R MA _ 41890 j i Certi icatr00,is hereby made that: ; i The atticl�s=descM ed on this Cfjrti#icate have been treated with a :flame-retardant 3 approved chemical and that the application of said chemical was done'in confer ante " � ' with California Tire''Mar''shall Code, equal to or exceeds NFPA 701, CPA1 134, ULC '109 j 1 the method of the FR chemical application is. 8001800 (0002) �. i z Description of iterri oertdfed: --- --- -- - -- - — 4 F FI'TOP 20W X 30 VL W W I ' 7 Flame Retardaint Process Used 11i/iII Not,Be Rtetmoved .ayiu i 1Naahin°g And Is Effective For The Life Of The Fabric ryry a 1 j Name of Appficator of Ffarpe Resistan!FiniSn bss++ ' —_--- ' -. - TENT u RI Tf,AE1JT-ANC"OR INDUSTRIES INC I t, NOWw rrri q I-, a a .. "LAW } r! .bvCIA }1JA hxam—Cui�l - •E' 1:- ^I:�.1- _ - I: _ `j..e3�.. ] �i -,t-!f i� �t l',i ►::� - i t: s x.S_ :If Y =i - '.� �4 I '(,: 3 1.4- E`7?iE"c�t •I.=1 i I { t :a �: .I: I. =;la° t.. •;E:r.' ';`ri r II 1i:i 1•= l I I z,I N 1, " i I- •ti ` III.,1 f"1 -1 's : . . ISSUED BY �=f=;lawe I !;REGI9ERE / . ` 'Date of Nl,?nufatluae I ( I' s t' W ApPLlCAT101V. ANCHOR INDUSTRIES INC. I ;I Il :NlJMOER ' EVANSVILU,INOIANA47711 : 411?J95 1 Order Number " 1 MANU>`ACTURt=RS OFTHI=FINISHED 1 A F1 1 4tT E TENT PROL7UCTS L)(SGH!OEO HEREIN 08J340 l I rt t Th �s tQ certify ha4 the materials described have been fiarrie-retardant treated 1 lid z.Itlre � #der@iitIy norlir�fiarvltrnable} and were �a�pplied to: � f _ o -f tr � 117 4 iil -I� i_,�,ci: t =>a 1 I ,! I I " `�[ 16 ,�I l' !g' 1.• {r - �� t'E�-INC I 4 €�113J.SWA1�1 ON I�x,'I ! � I I F aj1;.1 `Et I I� I,I , i'� r Ili iycs jj i1 I' II ri.. Xf ' I -I- !- t I i •I - - t e:,I �;- f 1 e I _ ,r -1 ;:!,I 1. ,,i- E ,1: I - .i { .-y� k•E I .. 1= I ': t o n J ff II,�Ii d I3,.i lE- , i is! l�A _ •01894 ♦ � _ �ii �l.Cl- I t.y I i�lrl"`I •II. .'1. e'I�, If7.l�• 3 �s i� t- i2t�;�.� I 1 1 • k,•li€,_ £{`'1 I Yi I, s,}}� 1�_ li.+; .]� 3 r. _• :rfi(� a that. �,'p`1:'`!`� T•r,. is}y�}j[ F�lwyj ;;E(�,` �r :. `-' I i�` t6 61 -;this Certificate= have been treaipa- wii•:S'Q - IV -'•'[=� fi [� •,S �,�t(I2$ I� dt_ yi';[ . - �:: :� f �=}I_I: ''r ti.' sl.; j�. •g- -f�.{•,:! :F _ .:! •l'�� applic6Fiicin of'said :chetr ical'W9. ' . • 1�1 {'1`4Y - jll;� 'GIs IF <4 'I �ft� _•1 •F�- _ , _ ,? _ t (i- �-r=( � 'icy�?��i, w_:, I1yf�I i`# f,• r I f � � r fial# Coae; equal tt dr eitceeds PIIFPA 70f' G�?i�il! ; ULC �, , ;� I I t.�I..:; h ►c bfi F _� tnic�i appli a i � 1, {1GOi} I I F i c -84a300E3 ( r 1 I I ._!;� ;� :;, ,t E rl i rt ', I i0e5'cilpljon of tlem.Ce£Ifffed ; r 1 L 3 . , t_ EXP TOP 20W x20 VL W W �,1 1 - - - - _ �., - I .k 5 E 3 al -3 � 1 a �t[ i >f €I i � 21rn �etarda hi Process Used Will Not: B Fter�®died ��r � f r I � I � ' -� I -tI i z ;UV° st ng An:c s Effective,For The Life Of The Eaki'0C A i II►V?sl*T'--- —_ I Signed: C�xaa, �'�' � ��ts.n+L -- NFlamee of Applicator of Flame Resistant Finish -- z TENT __ AR7fvlENT—ANCHQR1NplJSTf�lES HVC_ i a ViF,yae` �� a d� �� � ;7 • p 0. frl r1 y 1I ' c - 19 , _ r 1 _ - 6 • �SI _i �,I= dra l I , I o cicl�cicPGPrPclar PGPr1� nr r, IG�17C�fTA N T DOCUMENTt -left ifN � I ISSUED BY } 'REGISTRATION ; --� Date of Manufacture, O i i -:APPEaCATIbP� :_: NOR . : osi17ro2` .. `!' T ►- Order Number I 5 = _ EVANSVILLE, INDIANA 47725 ! i ~ Qr 351;d12 T. MANUFACTURERS OFTHE FINISHED : . TENT PRODUCTS DESCRIBED HE RF_IAJ - { this is'to certify that the materials described have been flame-retardant treated i 5 3D (®r are.inFerently noninflammable) and were -supplied to: SC� B57150 PETERSaN PARTY CENT9R INC 1-0 r 5 . 139 SWANSON ST SI WINCHESTER MA 01890 �n1 Certlfleation Is hereby made that: 3 ;5 The articles.described on this Certificate have been treated �vifh a flame-retardant appro�led 5 ci a-hical and that the application of said chemical was done in conformance with Calitarnia � z 5 pp 5 Dire Marshal' C®tle; equal to exceeds.NFPA 701 ,•CPAI 84, ,ULC 109. 5 r ;5 S Tie method of the W�hemical application is: 5 I Description of.ite n:certifi d: r ' NA I ,C D_ WX10SNYA'14' 5 l~lame Retardant Process Used Will Not Be Removed By 5 , 5 5. :Washing'And is Effective For T he Life Of The Fabric 5; S1T1jiFikMt;b NEW YHILADELPHTA.0H m - 5 Name:.ot Applicator of;Flame Resistant Finish TENT DEPARTMENT-ANCHOR INDUSTRIES INC. 7 cJ�t POPE-r1t1�OJc1cJ7[JcPc P�tc.�,�PcP_c�i--f��1�ticPcJ�c!'cPc1�Pcicl�Pc�cJ SJ2SPrPrJ�rPcFrPcl7�J?r?�PrcT����PcPcl��Pc l��rJ�c1cJ[Jc1��PcP[Pr�rlcPr�rJ�tPrJc1r PrJ� C7 ' } Q ePe ePePePePePrlcrElCIrC3 cPe Pe f7e1IMPORTANT DOCUMENT— cfcTc1�U�cPcf�c frJ7tPc l�r�r�tic f3c17 O n�i of Flame I-Resis c REGISTRAfiop ISSUED BY ' ej ' 5 of Manufacture 5 i S APPIaCATION: s� HOW 05117162. � S ') 5 fVl1MBER j'�c•4s=�iEs rr,: A I fi I , 'st EVANSVILLE, INDIANA 47725 Order Number F1a01 = MANUFACTURERS OF THE FINISHEp 351412 TENT PRODUCTS DESCRIBED HEREIN .: Thls is tee certiwthat.the materials described have been flame-retardant treated Inherently n®niftflarnmable) and were supplied to; 6579 U S PETERSON:PARTY CENTER INC U S 139 SWANSON ST - SWINCHESTER MA 01890 Fri Certific;�tion is hereby made that: 4 . S 5 z The articles described on this Certificate have been treated with a flame-retardant approv+rd S U chemical and that the application of said chemical was clone in conformance with California � �u i Fire Marshal.Code, equal to exceeds NFPA 701, CPAI 84, ULC 109. { _ S The rneth.od of the FR chemical application is: 5 l' 5 Serial# - S i l s 5 S 048000(i Description of item certified: NAVITRAC END SOWX25 SNY W\V . Flame Retardant Process Used Will Not Be Removed By S Washing And is Effective For The Life Of The I/Fabri-c S SNYDERMFGNEWPHILADFLPHIA.0I1 Signed; Nar:ie of Applicator of Flame Resistant Finish LM cn 7FNT DEPARTMENT-ANCHOR INDUSTRIES INC. Ej . � cPrlr�Tt�LPedelcP c1rJe.Pl:1e�!'t_fePcP�rPr_.PL(c�1zJe7.l�Pe.ftJ�r�rJ�r1eP�P�c.l�rscPrJ��!?cJcf7cPc3��f-r!Iei�ePr��LJ?J��J`cPcicfr�efc_!'"�r�e1e3t3��c.Pe1U7tr�clr�ePePr..l� O °�' a 'IMPORTANT D O C U M E N T ' S I 'C.,e Iati l ca t o of ' a n y ,� C� 5 N REGISTRATION t ISSUED BY I ' APPLICATION '` ,�o y� Date of Manufacture cS m a \ s,J 0&17/�2 i� J+ Order Nirrber EVANSlILL_E. 1NDJANA 47725 5 � htAFJU -ACTUR ENS OF THE FINISHED 3sia�2 J TENT PRODUCTS DESCRIBED HEREIN - S S This Is .to certify that the materials described have been flame-retardant treated 5 S • (or are ini l'ently noninflammable) and were Supplied to: S ` 5 657150 r. 5 PETERSON PARTY CENTER INC LID i 139 SWANSON ST • s { WINCHESTER NIA Oi894 S • " 5 i, ) I i U S Certification is hereby made that: S 5: Thy articles described on this Certificate have been treated with a flame-retardant a roved pp J chemical and that the application of said chemical was done in conformaiice with'California z E �Fire.Marshal Code, equal to exceeds NFPA 701, CPAI 84, ULC 109. 5 `The method of the FR cliemicat application is: SSerial #: saaaza}rzy f 5 ' 5 Description of item certified: � a 5 a " 7 Flame Retardant Process Used Will Not Be Removed By S Washing And Is Effective For The Life 4f The Fabric S 5 � � S -SNYDER MFG NEW PHILADELPNIA-OII �,i ned: F 5 Name of Applicator of Flame Resist, Finish �� TENT DEPARTMENT-ANCHOR INDUSTRIES INC. Li rJ�cJ7clrlc�'cPcP[PcJc lc.PcPr3f,39 r�c.P[P[PrJc f[Jcf�lr� I�r�cic� lc_�cJ�!uu?;ucl��fur�fcPcPr�cPrlcPcPcPcPcPcPc fcPcf�cJ�cPi1�cPtPcPUlr1cP�1r�lcPcic�lcPrJ� FA. w [ ] .[R266 027 . ] LOC] 0042 MARCHANT MILLOOAD CTY108 TDS] 400 HY KEY] 168053 ----MAILING ADDRESS------- PCA11011 PCS100 YR100 PARENT] 0 NORBERG, JOSEPH E & DEBORAH MAP] AREA159AA JV] MTG12001 21 ARNOLD' RD SP1] SP21 SP31 UT11 UT21 1 . 27 SQ FT] 3152 WELLESLEY MA 02181 AYB] 1988 EYB] 1988 OBS] CONST] 110600- 0000 LAND 248200 IMP 267900 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 516100 REA CLASSIFIED #LAND 1 248, 200 ASD LND 248200 ASD IMP 267900 ASD OTH #BLDG (S) -CARD-1 1 267, 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 42 MARCHANT MILL RD TAX EXEMPT #RR 0973 0332 RESIDENT'L 516100 516100 516100 #DL PARCEL B OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE104/95 PRICE] 510000 ORB19636/166 AFD] I TE LAST ACTIVITY] 09/27/95 PCR] Y R266 027 . A R A I S A L D A T A . KEY 168053 NORBERG, JOSEPH E & DEBORAH/ LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF- 1 248 , 200 267, 900 1 A-COST 516, 100 B-MKT 172, 100 BY 00/ BY ML 3/88 C-INCOME PCA=1011 PCS=00 SIZE= 3152 JUST-VAL 516, 100 LEV=400 CONST-D 110600 ----COMPARISON TO CONTROL AREA 59AA -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 59AA HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 2482001 LAND-MEAN +Oo 5161001 242667 IMPROVED-MEAN +100 250 ] FRONT-FT 11 100 DEPTH/ACRES TABLE 02 1100] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [000] DATA- [ ] XMT [?] 4 , . R266 027 . E R M I T [PMT] ACTION CARD [000] KEY 168053 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B28926] [02] [86] [D ] A ] [JM] [01] [87] [100] [DEMO] [HP DWELL. ] [B30565] [03] [87] [ND] A 1250001 [GB] [01] [88] [100] [NEW ] [HP 11/2 ST] r y / (1st floor Map, (o Parcel '�- Permit# Assessor s Office(1 ) Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) vV Fee �6 ,/U Engineerin1.g Dept. (3rd floor) House# `-t' _ SEPTIC SY Planning Dept.(ist floor/School Admin. Bldg.) 6NST�LED I t�C Iroi a Plan Approved by Planning Board 19 � N - NVIRONIN E AMD t TOWN OF BARNSTABLL® �� � ��� ' Building Permit Application A a' treetAddress 42 MarchantsMill Road t A y Village Hyannis port Owner Mr'. & Mrs . Joseph Norberg Address 42 MarchantjrMill Road }_ -, Telephone{ 790-4630 '` = - Permit Request c Reshingle Roof and reshingle niain- body of front of house . 6 First Floor square feet Second Floor square feet Estimated Project Cost $ J,o n Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway `J Number of Baths No.of Bedrooms .Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces YGarage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name E.J . Jaxtimer , Builder , Inc . Telephone Number 778-4911 Address 48 `Rosary Lane , Hyannis License# 003251 Home Improvement Contractor# 1 1 n h Worker's Compensation# W C 1—2 0 4 2 3 9 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 Ma co SIGNATURE DATE BUILDING PERMIT NIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. r ADDRESS ., VILLAGE WNER DATE OF INSPECTION: , FOUNDATION 1 FRAME# INSULATION �D),.32 9�. fir' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: t�i ROUGH FINAL F tr F r. GAS: U FINAL _ FINAL BUILDING r { DATE CLOSED OUT ASSOCIATION PLAN=NO.r r , . 77 • �'"�' The Cunurrunwealth o Atassachusells f .�yr Department of Industrial Accidents =! oxceollovesl/gat/oas �� =ii' -_-�•;a' 600 !f ushitigion Street Boston.Mass. 02111 Workers' Compensation insurance.Afrdavit Annlica—n nformatio'n-� ` � Please PRiN'T''1�i�ly�,� ,, E. J . Jaxtimer, Builder , Inc . 48 Rosary Lane cin, Hyannis , MA 02601 nhonc0 77R-4911 1 am a homeowner performing all wort:myself. I am a sole proprietor and have no one working in any capacity ® lam an employer providing workers' compensation for my employees working on this job. m SAME Idr phone#• jncur•tnce co Liberty Mutual lfplsi'Y# WC 204239 V_rr �y.. Yr•:wr...;..;..-..,_.. ..�w�..r._,.tj••.fr•.If:. ... ..... .... ... ., .. _ ..�.... ... -.a.�. t., r 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: COMMInT n address• cit phone#• incurnnee co I oL�'# Ir:. .r....;T �.. — ..cn 7-•c.�•sa�n-n'*�"�"'rf'�•'"Sc"'�sC� TJ4Ff'S►rr`A%2"%7�SY.�'p.•..v�^S�-'�-•Y�.._ ctimliany e• nddr ss• city: phone#• - incur•t ice co oil •# ;Attach additional'shect if ricer�•• - •r s'-� '�' f'"�'^" ` r`• '""''^�G uilurc io secure coverage as required under Section 25A of h1GL 152 can lead to the imposition of criminal penalties of a fine op to S1.50o o0 and/or une years'imprisonment as w 1 as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may orwarded to the Office of investigations of the DIA for co%-mge verification. 1 do herebt•ccrtifj•u re pains an o perlu. that the information pro►ided above is true and correct Sit!nature au is/l 9 j J . Jaxtimer 778-4911 Print name Phone# official use only do not write in this area to be completed by city or toN•a official city or town: permit/license# fnBuilding Department C31.1censing Board check if immediate response is required C3Seieetmea's Office (311e2ltb Department contact person• nOther oF� The Town of Barnstable MASS. $ - Department of Health Safety and Environmental Services _ r+t�' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-.775 g344 g Commissioner Building For office use only 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-xisting 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. RnoF d-Glt E vF t4_ Type of Work: 64A 106-7 .G Est_ Cost Address of Work: ya kket,RANI M l GL 4V ATI AJ 1 S po k - Owner Name: Date of Permit Application: to t (-0 I hereby cerdfv that: Registration is not required for the following reason(s): 4 Work excluded by law Job under$1,000 Building not owner-occupied Ovimer pulling own permit NnfiOP.is herr-hv given that- OWNERS PULLING THEIR O�N 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 the agent of the owner., (o , Date Contractor name Registration No: vn - r , Date Owner's name 40742 DEPARTMENT OF PUBLIC SAFETY .40742 ONE ASHBURTON PLACE , RM 1301 BOSTON,-'AA, 02108-1618 CONSTRUCTION SUPERVISOR LICENSE ti Number: Expires: Restricted To: 00 k„pry of } j a ERNEST J JAXTIMER y� `# Detach bottom, fold sign on 48 ROSARY LANE �, "" back, and laminate license card.. HYANNIS MA 02601 top for receipt and change r x ' /of ,address notification f f r HOME IMPROVEMENT. CONTRACTORS tREGI+STRATION. Board of Building Regulations 'and', 5t-andards1 One Ashburton Place Raom 13.01 Boston , . MassachusettsY}02 108' .. S�`K�T'ft ' T , I' ��� {•, ➢t d aR+,r�� 'Af� . HOME; IMPROVEMENT CONTRACTOR _ _ — A .. ° Registration 110609 Expiration 11/03/96 rType _ PRIVATE CORPORATION IMPROVEMENT=CONTRACTORS' r Registration,,,-,110609 E J JAXTIMER , BUILDER p I Type" PRIVATE CORPORATION. ` F :ERNEST J . JAXTIMER �- i Expiration' ;. .li/03/96' -48 ROSARY 'LN I d _ HYANNIS MA 02601 I E J JAXTIMER, BUILDER ERNEST J. JAXTIMER &yvtoA6 ROSARY`;LN I ADMINISTRATOR HYANNIS-MA 02601 i r, • °F tNE The Town of Barnstable = sAxiMSTABM • 9ebMAS& 1� Department of Health Safety and Environmental Services '0ri�o N►o+" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 9, 1996 Re: 42 Marchant Mill_Road,_Hyannispor_t,_MA Joseph ENorberg&Deborah Norberg TO WHOM IT MAY CONCERN: A building permit cannot be issued to expand the third floor of this structure above the height limit without Zoning Board of Appeals relief. Sincerely, Ralph M. Crossen Building Commissioner RMC/km Zoning Board of.. a:.: i + Application for a peratit. " Date Received For office use on Town Clerk office Appeal # Hearing Date - - Decision Due The undersigned hereby applies to the Zoning Board of Appeals for a Special Permit, in the manner and for the' reasons hereinafter set forth: Applicant Name: Joseph E. Norberg & Deborah Norberg , Phone Applicant Address: 21 Arnold Road, Wellesley, MA 02181 Property Location: 42 Marchant Mill Road, Hyannisport, Massachusetts Property owner: Same as applicant , Phone Address of owner: If applicant differs from owner, state nature .of interest: Number of Years owned: 1 -- Assessor•s Map/Pa=cel Number: Map 266 Parcel 27 .: Zoning District: RF t Groundwater overlay District: a y h Special Permit Requested: v'71-s-I ` �y qu Special Permit under the provisions of 4- .3(2}' Cite Section & TItle of the Zoni r nce Description of Activity/Reason for Request: There current l exists a 21 story dwelling with an existing finished bedroom on the third level. -,Petitioner seeks to add bath and hot tub and Commissioner has ruled that this cannot be done as of right because the addition would fail to comply with .the current height limitations. Description of Construction Activity (if applicable) : Petitioner seeks to add bathroom and hot tub on existing level within existing structure on the premises. Proposed Grosa Floor Area to be Added: None , Altered: 308 s9.ft. t Existing -Level of Development of the Property - Number of Buildings: 1 Present Use(s) : Residential Gross Floor Area: 6,500 t sq. • Application far a Spec al Permit Is' the property located in an Historic District? Yes [ J Nc If yes OXE Use Oniy• Plan Review Number Data Approved Is the building a designated Historic Landmark? Yes [ ] Nd If yes Historic Preservation Deaartment Use Onlv Date Approved Have you applied for a building permit? Yes [x] No Has the Building Inspector refused a permit? Yes 5d No All applications for a Special Permit require an approved Site Plan. That process must be successfully completed prior to submitting this application to the Zoning Board of Appeals. For Huildinc Denartment use only: Not Required - Single Family Site Plan Review Number Date Approved Signature: The following information must be submitted with the application at the time of filing, failure to supply this may result in a denial of your request: Three (3) copies of the completed application form, each with original signatures. Five (5) copies of a certified property surrey (plot plan) showing the dimensions of the land, all wetlands, water bodies and surrounding roadways and the location of the existing improvements on the land. Five (5), copies of a proposed site improvement plan, drawn by a certified professional and approved by the Site Plan Review Committee is required for all proposed development activities. This plan must show the exact location of all proposed improvements and alterations an the land and to structures. See =contents of Site Plan, Section 4-7.5 of the Zoning ordinance, for detailed requirements. The applicant may submit any additional supporting documents to assist the Board in making its determination. Joseph E. Norberg & Deborah Norberg Signature: By: Date Sept. 1996 App cants or ents Signature Agents Address: 886 Main St. , P. 0. Box 449, Osterville, Phone (508)428-8594 MA U777— Fax No.(508)420-3162 LIST OF ABUTTERS Joseph Norberg Locus -Map 266 Parcel 27 Map No. Parcel No. Name and Address 267 111 Peter B. Taylor& Frederick W. Taylor P. O. Box 206 Hyannisport, MA 02647 267 112 Robert J. & Raffaele Kaddy 25 Craigville Road Hyannisport, MA 02647 266 31 Hyannisport Club Hyannisport, MA 02647 266 28 John P. Garrahan& Ann M. Garrahan 1500 Worcester Road, Apt. 511 Framingham, MA 01701 266 29 Rose M. Scotti, Tr. Scotco Realty Trust P. O. Box 225 Winchester, MA 01890 266 30 Jacqueline W. Ban, Trs. Barr Family trust 2878 NE 24th Court, Ft. Lauderdale, FL 33305 266 34 Kathy Lu Ryan Gagnon Catherine W. Ryan Realty Trust 12 Plumtree Road Sunderland, MA 01375 f � � I 1 •� 1 7 7 Oft r. H ell L .8 W I ' a+. j Z IY:" rr ---. p D C py + L ►-;i, 1 z gala wo s r }I:. +/ 1 . 10 1 Assessors Office(1st floor) Map �L� Pa7rqeI ermitConservation Office,(4th floor)(8:30- 9:30/1:00-2:00) . le. , Date Issued ►04 s Board of Health(3rd floor)(8:15 -9:30/1:00-4 45) - 3d .� -_Fee- 0/„2�tc/o �N Engineering Dept. (3rd floor) House# � Planning Dept. (1st floor/School Admin. Bldg.) '' i F L e d RARNSPARLE. Definitiv Approved by Planning Board . 19 ,r 619. Eo + . r TOWN OF BARNSTABLE Building'Permit Application' t Prod tpetAddress 42 Marchant Mill Road s t Village H y a"n n i s Port i F Owner Mr. & Mrs . Joseph Norberg Address 42 Marchant Mill Road • 'Hyannis Po Telephone 790-4630 Permit Request- Garage Dormer/Recreation Room Zno( /v et�end bwo?7d! ar 4- foot �'rq First Floor square feet Second Floor 1 611.5 square feet i Estimated Project Cost $ 40 ,000 -00 Zoning District R F 1 Flood Plain No Water Protection Lot Size 1+ Acres Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Residential Proposed Use R e s i d e n t- i a 1 Construction Type Wood Commercial Residential Dwelling Type: Single Family X Two-Family Multi-Family A�e of Existing Structure 10 yrs . Basement Type: Finished Historic House . Unfinished X Old King's Highway Number of Baths 1' No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel FHW GRS Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached X Barn None Sheds Other Builder Information Name E.J . Jaxtimer , Builder , Inc . Telephone Number 778-4911 Address 48 Rosary Lane Hyann; s License# 00�2S1 Home Improvement Contractor# 110609 Worker's Compensation# We 2 n4 2-4g 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 Macomber ' s DpAster SIGNATURE DATE BUILDING PERM T KENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY ' PERMIT NO. - - - DATE ISSUED MAP/PARCEL NO. Y f a • SS - + VILLAGE •. _ � �s ADDRESS r ' �WNER t f DATE OF INSPECTION: _ FOUNDATION 'i ' FRAME 1 c } i • INSULATION FIREPLACE ELECTRICAL:, ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING ' } h 1 + DATE CLOSED OUT, ASSOCIATION PLAN NO: + 1 J , � 1 1 f Z - � I � y �t i. A � �J - I 'Q is 44 F ol J: III.(\ i L�' - :• i Y � µ R Q Ilk Mg �i Jim >e - ';,;�'� v $-� s. /, .,i.:b...+.r��+�l,--r .IYe1.y.,,. ...a�`'.�+..x,.� .... - .. 1 4 � ii� •�ya'. • • ' �' '*he Commonwealth of Atassachats Department of Industrial Accidents ofceolloeesMatlons -�� ;�' =r•;-�` 600 !1 asltht►►e)n Street Boston.Mass. 02111 Workers' Compensation Insurance AiTidavit Please PRi1VT le Iv � " ;�9,Rnlic��n nformatiom name, •. .._... ... 1�L,.._ .. o_ E. J . Jaxtimer, Builder , Inc . - locations 48 Rosary Lane citx Hyannis , MA 02601 phone!! 778-4911 I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity py ® 1 am an employer providing workers' compensation for my employees working on this job. comnnny name- SAME address: c4ty: nhone#• incurinceco Liberty Mutual nolicv# WC 204239 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"any n•tme• ndd resc• •• phone#• _ L: _-- '�..-,—:-•- - ':.. """ur.. :.-•.aY!�v?�-rti--•:Z'!R^'f '�►�TD=;;�f:' - ---- -- !�47�' r•�S!�":r, s►:!!'.�i+�"'a�.eR+,•Sts+�+`?�:"°sS ctim Inv name: address: - yt,• nhone#: inenownce co oil '# .Atinch additional'aheet itriee�� Y' w - -;�+��^'+"�?�"�"``"''�`►`' ' '" :ice ' Failure to secure coverage as required under Section 25A of 51GL 152 an lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or unc •cars'imprisonment as 11vc11 as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. 1 do herebr ccnrifj•under lte pains and penalties of perjuq•that the information pro►ided above is true and correccL Signature ate 9 11 j0 I q 6 Print name ET J - axtimer Phone# 778-4911 official use only do not write in this area to be completed by city or town official city or town: permit/license# MBuilding Department Ot.icensing Board ` 0 check if immediate response is required Weleetmen's OMcc (311ealth Department contact person: phone#; r'tUther M — Irevised3,'95 P1A) information and InstruC&S v 4 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an emplgree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplever is defined as an individual, partnership,association.corporation or other ;-,-gal entity, or any two or more o: 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 1'S2 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 commonw"calth 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 lrav been presented to the contracting authority. .��..•.�-•�,-gw�..�Rw. .•r+..•+.�w :t:: T � ,w:� a5_ ..`.. �::a :. Uy+•:� :i:CAr ^�,.�`ti`J+,�,`';;/r,w�yl+..w•n',�...'...- 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 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 afiida�it. 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. 1A•M+w/�O�AI�1,!',�.!R7,ww.r.0'+.�'AMv9���f. :.'► .' rf^..r .: .• •.... .. .:.. .. :. " : ..._ :,�a':rW «S:. .'i� e.�..!-.Xw '.�{Ld:��^'N`•" .CyE]``I•,- .•,i.•��':��isf.'Cv•. ._. _ ^'t:• .r'rRus�}:.*Y°�r�...a►....:. ter; 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. 17te affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. thank you in advance for The Office of Im esti�atrons would like to you cooperation and should you have any questions, please do not hesitate to give us a call. -r,,e....,,....... •r•.-.....•- fir.. .^l. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents n2n. office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 I �t�rq� - • ?he 'Town of Barnstable KAS& Department of Health Safety and Environmental Services ram' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508775-�344.::'`::..; ;:_:Building Commissioner For office use only 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-cadsting owner occupied building containing at least one but not more than four dwelling units or to strut tyres which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Garage Dormer Est.Cost $40 ,000 .00 Address of Work: 42 Marchant Mill Road , Hyannis Port Owner Name:_ Mr . & Mrs . Joseph Norberg Date of Permit Application: 9/16/9 6 I herebv certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 Building not owner-occupied Owner pulling own permit Nntim,is herrhv 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 hercb)•apply-for a permit as the agent of the owner.- I1(v E.J . Jaxtimer �_ 110609 Date Contractor name Registration No. v c� e Date Owner's name I 1 109ZO VW SINNd,IH 801V8iS1N1waV N1 ,lddSOd wn -77 71 83WI1Xdf 'f 1S3N83 8301If18 `d3WIIXVf f 3 T.09Z0 VW SINNVJ.H N-1 .,6VSO�J 8V WWII u031eaT63 83WIiXdC " f _LS13N63 N0I1d80d800 31dAI8d - adAl NBC]-lI(li ` ;�3WIl};VI' .0 3 6090TI UOTIR11ST6a8 801)VdiNO3 1N3W3A06dWI 3WOH to NOIi.V�10daOO --�iVAINd -- edXi J 96/s;0/T'l uoT--1. a1:dx 6090TT U0Tq.eJ-4ST6oy �10iov H.1N100 iNAW- PA()�idWI �IWOH I € OTFO sq.gGsngoL-"'ssek1 ` uo"1 wog TOt T wood -- ooeTd uo4 mgt{sd au0 IspaGpue4G pue SuoT Pj''nBG8 6UT[DTTn0 J.o pleoe • NOIid�li5l0��1 ��IOi3V8iN00 iN3W--�0�3dWI -3WOH I I 40742 DEPARTMENT OF PUBLIC SAFETY 40742 ONE ASHBURTON PLACE , RR 1301 BOSTON , MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires : • Restricted To: 00 i r ERNEST J JAXTIMER � V�- - Detach bottom, fold sign on 48 ROSARY LANE -7 back, and laminate license card. HYANNIS , MA 02601 Keep top for receipt and change of address notification. TOWN OF BARNSTASLE • Zoning Board of Appealsco •. Application for other Powers Date Received _ For office u e Town Clerk office Appeal # _--- _ Hearing Date Decision Due The undersigned hereby applies to the_ Zoning Board of Appeals for the reasons indicated: Applicant Name: Joseph E. Norberg & Deborah Norberg , Phone Applicant Address: 21 Arnold Road, Wellesley, MA 02181 Property Location: 42 Marchant Mill Road, Hyannisport, Massachusetts _. .-• This is a request for.: [ ] Enforcement Action [] Appeal of Administrative officials Decision [j Repetitive Petitions [� Appeal from the Zoning Administrator [] other General Powers —Please Specify: Please Provide the Following information (as applicable): Property Owner: Joseph E. Norberg & Deborah Norberg Phone Address of owner: 21 Arnold Road, Wellesley, MA 02181 If applicant differs from owner, state nature of interest: Assessor's Map/Parcel Number Map 266 Parcel 27_ Zoning District RF 1 Groundwater overlay District Which Section(s) of the Zoning ordinance and/or of MGL Chapter 40A are you appealing to the Zoning Board of Appeals? Section 4-4.3(lb) and/or Section 3-1.1(5) Bulk Regulations (2j story) Existing Level of Development of the Property - Number of Buildings: Present Use(s) : Residential Gross Floor Area: 6,500 t sq. ft. • AMPlication for Other Power's Nature & Description of Request: There currently exists a 2j .story single-family residence with widow's walk with a finished bedroom on the third level. Petitioner seek to add dormer and construct bathroom and hot tub. Petitioner feels: 1) that the building is a 2} .story building within the meaning of the zoning ordinances and, therefore, the work should be allowed as a matter of right and, 2) even if it is determined it is not allowed as a matter of right, that under the provisions of e worK sou e ATTawd because LILLUL s ck in effect and the proposed alteration or Attached separate sheet if needed. s expansion does not alter or. expand the height--ol the current building, merely changes a jar r area of the existing structure. �s �ie property located in an Historic District? Yes [] No [x] If yes ORH use only: Plan Review Number Date Approved Is the building a designated Historic Landmark? Yes [] No [x] If yes Historic Preservation Department use only: Date Approved f Has a building permit been applied for? Yes No [ ] Has the Building Inspector refused a permit? Yes [x] No [] Has the property been before Site Plan Review? Yes [] No For Building Department use only: Not Required - Single Family [] Site Plan Review Number Date Approved Signature: The following information must' be submitted with the application at the time of filing, failure to supply this may result in a denial of your request: Three (3) copies of the completed application form, each with original signatures. Three (3) copies of all attachments as may be required for standing before the Board and for clear understanding of your appeal. The applicant may submit any additional supporting documents to assist the Board in making its determination. Joseph E. Norberg & Debora Norberg signature: B Date: Se tember 1996 ME er AppY cant or Agent Signature: Agents Address: 886 Main St. , P.O.Box 449, Osterville, ph6ne:(508)428-8594 Fax No.(508) 420-3162 f ' �M '� $ .Jq Q N(r , QVT EK 1 1f ._� •i '•fir''7�`,»—: • .4 • �r LIL 1 1 .ar ��..r • Wt r 4 � U i 4 ering Dept. (3rd floor) Map Parcel *,ermit# a o2 3 3 6 House Dsued // i Board of Health(3rd floor)(8:15 -9:30/1:00-4:30 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ` /6 Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SY� T 8E Defin' ' e P n Approved by Planning Board 19 INSTALLED I W1T . e • Ids®NME AND TOWN OF BARN5TABEERO TOW11; ONS Building Permit Application Pr ' reetAddress 42 Marchant Mill Road DL�� l o Village Hyannis Port Owner Mr. & Mrs. Joseph Norberg Address 42 Marchant Mill Rd. Telephone 790-4630 Permit Request 8' Dormer — Masterbathroom First Floor square feet Second Floor square feet Construction Type Wood Estimated Project Cost $ 30,000.00 Zoning District RF-1 Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family El Two Family ❑ Multi-Family(#units) Age of Existing Structure 10 yrs. Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) x Number of Baths: Full: Existing 3 New 1 Half: Existing 1 New No. of Bedrooms: Existing 5 New Total Room Count(not including baths): Existing 10 New First Floor Room Count Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other FHW Central Air ❑Yes ®No Fireplaces:Existing 1 New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ®Attached(size) 3 car ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ® Appeal# 1996-129 Recorded Commercial ❑Yes ❑No If yes, site plan review# Current Use Residential_ Proposed Use Builder Information Name E. J. Ja xt imer, Builder, Inc. Telephone Number 778=4911 Address 48 RnGary T.Antz, HWanni c License# 003251 Home Improvement Contractor# 110609 Worker's Compensation# WC97-695028 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 - Apflcomber's Dumpster SIGNATURE DATE �C8 BUILDING PERM ENIED FOR THE FOLLOWING REASONS) ' I �,V� { FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE 4 t- 1 i ER DATE OF INSPECTION: f FOUNDATION FRAME ' INSULATION f FIREPLACE 1 µ ' ELECTRICAL: ROUGH =;FINAL IW' MBING: 940IJkM FFINAL - rf4 ' -•GAS_. �LI I x FINAL t ± ia42 -FINAL BUILqfN6r s:. ! Asa .DATE CLOSE` ASSOCIATIOIAN s � I '� ' ,i I• - - - - CASlN�{-ori~v.IGu)�. .i. is { _,.. . - .t ,p � �`,�,• - .. - . Vl:�t� wlvt`+} clST, �� .L�oPnvNf� NEW C� r yea l�-WQ.{c,r- L2 I-M-f KI.►�.T W� �ID<.OFT 10NDL cLAPP�s• PRaGK 'ftp c:?SIwar 'E/41i iI i(:.1CT tF C-WiP 11� QN Fes.Ftc-=-Oa OF MA40 f WS�tt11h717Di1)5 f�. 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S - ... r liL.Z'tf {`tp�ry r.fu�,c,� �� � ,';, +r _ r ;e "• t.sit�•�a ti i '} s '� `r:, � - / 1 . ��3� � > j - > � •r �YI'1 t /' � S: a{''.ti � - Iy'' ;._ .. `]y�x+ �� s f i { p¢tt4F 1p. the Town of Barnstable Department of Health Safety and Environmental Services A. Building Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Crossen Fax: 508-.775344 = Building Commissioner For office use only Permit no. Date.. ., -- AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LANV 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-e)dsting 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: Dormer/Master Bathroom Est. Cost $30,000 Address of Wort:: 42 Marehant Mill Road, Hyannis Port Owner Name: Mr. & Mrs., Joseph Norberg Date of Permit Application: 4/10/97 I hereby certify that: Registration is not required for the follming reason(s): Work excluded by law Job under$1,000 Building not owner-oocupied 0«iter pulling own permit Nntire is herehv git•en 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 the agent of the owner: 4/10/97 E. J. Jaxtimer c 110609 Date Contractor na e Registration No_ . Date Ovncr's-name ....."_.:___, �.....�..�i...+_._+_._�.��a.•a.���:v�..`..•::�N.�.li1.x.Y`:iti.1V\.ti�ti1S.•U.1.J�`.C..ti�T:v.'�J.�S1.:?Lv..t'V ia.:. Vlkw�ti.. s The Commonwealth of Massachusetts -- —( Depgklnient ojlndustrial Accidents Ofm 're of lffyesvff - 600 Washington Street MAP PARCEL Boston,Mass. 0211i 'Workers' Compensation Insurance Affidavit E.J. Jaxtimer, Builder, Inc. name: tali 48 Rosary Lane_ tin Hyannis, MA 02601.. phone# (508)778-4911 ❑ I am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ® I am an employer providing workers' compensation for my employees working on this job. E: J Ja�t lme>`, SU i 1c�er, InE comoanv.riaiiie. >_ .: address...:.. :`:> :.: 8c�Sary :Carle city B annis, FAA: �2601 ,> (5 8)778 491i phone Insurance co :.I;as-ern Cuak>ynsirrar�ce Co WC97-6950t poltcyil ❑ I ans a sole proprietor, ener�l contractor,of rtt;meowner circle one An !sted,below wb-°have ( ) d have hired the cot..ar.t J., ._ X. the 'ollowing workers'.compensation polices: ; cop- atle address h n one# nsttcanc�err ..; QOIFCY# i......... comp anyjfame: - dd city assurance co e # 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 ont years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand thst a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u d e ains and penalties of perjury that the information provided above is true and correct. Signature _ Date 0 Printname E.J. axtimer, Builder, Inc. Phone# 778-4911 7chk do not write in this area to be completed by city or town official permit/license# -Building Department Licensing Board if immediate response is required Selectmen's Office Lcontactperson: ❑Health Department phone#; -Other (rc iscd 3/95 PIA) _ kyM' - _ 40742 DEPARTMENT OF PUBLIC SAFETY 40742 ONE ASHBURTON PLACE , RM 1301 BOSTON , MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE ^" �,1 Number: Expires: Restricted To: 00 ' a . a ERNEST J JAXTIMER Detach bottom,. fold , sign on 48 ROSARY LANE " back, and laminate license card. HYANNIS , MA 02601 : -` , Kreep top for receipt and change .of address notification. , .. _ Zo i a HOME IMPROVEMENT CONTRACTORS REGISTRATION I Board of Building Regulations and Standards One Ashburton Place — Room 1301 f' Boston , Massachusetts 02108 i FV HOME IMPROVEMENT CONTRACTOR L----- ---- - r Registration 110609 Expiration 11/03/98 I l Type — PRIVATE CORPORATION I HOME-IMPROVEMENT CONTRACTOR I ` Registration , 110609 a E J JAXTIMER , .BUILDER., INC . �I Type •PR IVATE.,.CORPORATION ERNEST J . JAXTIMER. Expiration''' .11/03/98 t 48 ROSARY LN «, �, HYANNIS MA 02601 ¢� E J; � JAXTIMER kBUILDER,`INC RN ST Ji"JAXTIMER 4!` r; <y �ce�nmo i7 ROSARY LN• ADMINISTRATOR •1; - V, ."e 9 HYANNIS MA`02601 ,- - DISPLAYS AND QUERIES: 116 END QUERY` PERMITS: QUERY END , QUERY PERMITS PENTAMATION----------------------------------------------------------- 06/10/97 PERMIT NUMBER 23635 PARCEL ID 266 027 42 MARCHANT'S MILL ROAD PERMIT TYPE BPLUM PLUMBING PERMIT DESCRIPTION 9 FIX CONTRACTOR PERMIT FEE 100.00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 06/09/1997 EXPIRATION VALUATION 0.00 DATE 'ISSUED 06/09/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS --DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0)PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT DISPLAYS AND QUERIES: 1 END QUERY PERMITS: QUERY END • QUERY PERMITS PENTAMATION----------------------------------------------------------- 06/10/97 PERMIT NUMBER 22330 PARCEL ID 266 027 42 MARCHANT'S MILL ROAD PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION 8 ' DORMER & M.BATHRM. CONTRACTOR PERMIT FEE 93.00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 04/11/1997 EXPIRATION VALUATION 30000.00 DATE ISSUED 04/11/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0)PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT DISPLAYS AND QUERIES: 1 # END QUERY PERMITS: QUERY END • QUERY PERMITS PENTAMATION----------------------------------------------------------- 06/10/97 PERMIT NUMBER 20547 PARCEL ID 266 027 42 MARCHANT'S MILL ROAD PERMIT TYPE BPLUM PLUMBING PERMIT DESCRIPTION 4 FIX CONTRACTOR PERMIT FEE 50.00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION O1/16/1997 EXPIRATION VALUATION 0.00 DATE ISSUED O1/16/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0)PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT DISPLAYS AND QUERIES: 1 END QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 06/10/97 PERMIT NUMBER 18919 PARCEL ID 266 027 42 MARCHANT'S MILL ROAD PERMIT TYPE BADDI BUILDING PERMIT ADDITION DESCRIPTION GARAGE DORMER/REC.RM. WITHIN FOOTPRINT CONTRACTOR PERMIT FEE 124 .00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 10/30/1996 EXPIRATION VALUATION 40000.00 DATE ISSUED 10/30/1996 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0)PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT DISPLAYS AND QUERIES: 1 41 END QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 06/10/97 PERMIT NUMBER 4507 PARCEL ID 266 027 42 MARCHANT'S MILL ROAD PERMIT TYPE BUILD NEW RESIDENTIAL BLDG PMT DESCRIPTION 30565 ONE AND A HALF STORY CONTRACTOR PERMIT FEE 0.00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 101 GROUP TYPE 1 APPLICATION 02/26/1987 EXPIRATION VALUATION 125000.00 DATE ISSUED 03/27/1987 COMPLETED 09/30/1987 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0)PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT � Assessor's mop'on6 lot number —'/�x Sewage Permit number ..................................................... ' 'House number ----------- - / � - MAM ' TOWN .. ���7l�T ' l�� �� ��o l�T�� r�� � �� l� �� � ]� � � ��/ |`� , N ��� �]W �� �� |`� �� ]� �� ����]�� � . � � ^ . . BUILDING � NN 0 N �� 0 �� INSPECTOR ' �� NNNN� NNN �� �� �� =� m ���~ � �� �� APPLICATION FOR PERMIT TO,'— ..../--..---..—~--------.-^..-.^"-,----'---'- .TYPE OF CONSTRUCTION — ........��r-*�v����'................................................................................. .��:C_ —.�����—.L.---.---.]*�� � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: ` a� Location ��— *fAJ rcz�.p+��..`--�—�.`.�`—.��.��. ............ . —.......r-�.---`'.`_'........... ........ ........................ .. . . Proposed Use ...r��.��� c-��_------------.'—_---------------------_--------.. . � Zoning District Fire Diuh�� .--.--.—~--.—...-----.-----~ -------.----.---.--.--...---. � Name of Owner .J�\ ..��-- -----A66rex .]�1'�-- .. ,..- -^.�—����-vl..L.. � Nome of Builder —.`--------------------'.Ad6nes ---.,-----.....—......—...—...—....---.. Nome of Architect ----------------------A66reu ------.---'_._—..—.---------.— Nom6er of Rooms ----------------------Foundohon .----.—.---------,---_--_--.. Exterior ----------------------------Roofing ............... .................................................................... Floors ----------------------------..|nte,ior ----------------____________ Heating ---------------------------.F1vmbing ---_—_----..---.—.-------__._.. , Fireplace ----------.----_-----------.ApproximoteCost ........................ `........................................... Definitive Plan Approved by Planning Board lA----. 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 regarding the above � ^ � � � . � � ~ � . . . . ' | | � No -------_--- ...................................... ��� Construction Supervisor's License _C� ..\�^�..��{�}--.. � McKEON, JOHN C. ....................................Demolish ..... ermtor Fr'ame Dwe Dwelling.................... Location ....4.2-Ma.r.chan.t...M.i.i.I.Au.... ........... . .. .... . ........ . H,vannisDort ................................. ........................ ................... &wner ...John C.....McK.e.on.................................. . . .. .. . ...... . .... Type of Construction ........FTaMe........... .......... ................................................................................ Plot .............................. Lot. ................................. F Permit Granted ..................... Y ebruar� ...10........19 86 Date of Inspection......................................19 Date Completed ... ....... . .. ......I wJ/0 V w �� 6// oaf Assessor's map and lot number ................................P......... • *THE Sewage Permit number .'���.... SUBJECT TOAPPWVALOF ��Q�♦� ARIdSTie►B AYION II - �ss�0� BAUSTABLE, i House number ... ... ...../�.... ....�V.. .................... CO 9� MAB6 0 1639 ]��SIGNSfdG ENGINEER MUST SUPfOtwaY a' A P P R 0 V% ILDING N F R A RS 1" E a `J d C�,TIFI(_IW 1NRITINC ti ' O i y ` �wi` N - f'1 � ^�•�LI�ED IN STRfGov� '' 9W—EM MUET BE ^�" ED IN COMPLIANCE I H S P E CITIi TITLE 5 ;-:,4, RCNMENTAL CODE Ak APPLICATION FOR PERMIT TO ©!L17 �eI •REGULArI® 5 TYPE OF CONSTRUCTION .1. !?:.....S /lo!C ...... ................................................. ........................o? o? (� 19. 7 TO THE INSPECTOR OF BUILDINGS: The and signed hereb plies f r a permit according to the following information: Locatio ........ .......r.r.� .......... . /.... ProposedUse � . ���.......... ............................................................................................................. Zoning District ...... ................................................Fire DistrictQE .K1.....:..s9iS.T............................................. Name of Owner ........ 0 Address S f 0 '........ Name of Builder Cft ..CU ...455e�; Address ...........................�Jt/1....;.................................... Name of Architect ... / �C� � .................AddressT pp............................. ....................... .. ...... ................................................ Number of Rooms ...............Q...............................................Foundation f 1� /. �, ���� T ..... ........................... Exterior n% .3..Wi TLC � ��..........................Roofing .. �'� �.CT' ��oaInterior Floors ' 7d/��o�J�r 3 fl�.w.......... ......�` ....../.............. ............................... . /'............... .. ............................................. Heating1W.....................................................................Plumbing ......��C .. T ................................... Fireplace .....0 ........ .:t!f..��!UT........................Approximate. Cost Definitive Plan Approved by Planning Board _-------------------------------19________• Area ....... ... Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH I � , 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. M Name !..""C....!.... c` -P— M..................... Construction Supervisor's License ........ ..........V r ' t , i::LCKF,ON, JOHiv - te if 5o r�? 30565 1,2StoryStor No ................. Permitifor .....•. ........................... - - - ~y Single Family l Dwell.ing.•••••.•••_ _ T Location .._...Lo #2;7 42 Mai-chants Mi-1 Road —Hyapni11spo t - Owner l Frame � Type of. Constructionjs-........a...o.................:.......... . ................'............................... ........... ................. ;r z i . . r � - Plot ............................ Lot ............... .......... Permit Gran •.ed �'" 87 �• .19 Date of Inspection i.... ... ..... . Date Completed ...,......1.9 9 CU r TOWN OF BARNSTABLE Permit No. ....30565 BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING 7 t659 HYANNIS,MASS.02601 - Bond .......X ,Q , ATE F USE AND OCCUPANCY CERTIFICATE O U _ , Issued to JOHN McKEON Address Lot #27 42 Marchants Mill Way, Hyannisport USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. September 30 19 87 i ....... .....�.. ... Building Inspector o��y�•`�., TOWN OF BARNSTABLE BUILDING DEPARTMENT S �saaer = TOWN OFFICE BUILDING � rua ,639. � HYANNIS, MASS. 02601 �0 rAY M. MEMO TO: Town Clerk FROM: Building Department DATE An Occupancy Permit has been issued for the building authorized by BuildingPermit �$.. ' -„ .................................................................................. ....... .................................................. issued to&,/1,,,! ...............,....... ......lY......07. .......... �`�����/�fl''�'�✓5s�l�l��!� . Please release the performance bond. 11,:111111 _ tON, ++.M;' S ,}tR # : �? 'aka; Js '•a.§ a s Y,"t "?' y'' i !• TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERtV11T • DATE 19 . PERMIT �� s s APPLICANT i•' ADDRESS ';- `: , (. I - IN0.) •(STREET) (CONTR'S LICENSE) - PERMIT TO I NUMBER OF (_) STORY \v ! ' DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED,USE) AT (LOCATION) ` _ � ZONING A DISTRICT (NO.) (STREET) 'l/A BETWEEN AND (CROSS STREET) (CROSS STREET.) COT - SUBDIVISION LOT BLOCK SIZE •.mac . BUILDING IS TO BE FT. WIDE BY FT. LONG BY rT lu yE-IG-HT.-AND°SH4ti:--CONF-ORM`rN CGN3'I'RUCTIUN TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS? AREA OR I, VOLUME - - ESTIMATED COST - FEE PERMIT s p1� (CUBIC/SQUARE FEET) OWNER ✓ _ BUILDING DEPT. ADDRESS BY THIS•P-ERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST'"-BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BEOBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS. -"" OF-ANY_A. PLICABLE 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'. EERMITS ARE REC�BIRED FOR ALL C_ NSTRUCTION WORK , _ _ C CAL L�_LN.—A ."E"F., PRIOR TO COVERING'5TRUCTURAL,QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL.) ' 'MEMB:ERS(READY TO LATH), FINAL INSPECTION HAS BEEN MADE. f. 3 FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE. FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS au 2 z 2 - 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOA H O WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID-IF CONSTRUCT ION INSPECTIONS INDICATED ON TIVIS CARD CAN BE - -TOR HAS APPROVED THE VARIODUS STAGES OF°' WORK IS NOT STARTED WITHIN SIX MONTHS OF'DATE THE ARRANGED FOR BY TELEPHFNE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. 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C. pp�� i A " J .1:, CERTII=Y THAT THE E ? ��t� ;-T _ a e-er 's ^b zee nra� iaa x %, -M`, r t sr �+ §r t' , .'ts'r, �^ 4:"" x'Sa".£� s "r` i f __ ,r,�,tk:•� �F �+ k�a '�i�F Af in ;�. 'kj. SHOWN ON THIS PLAN TS ' �'�`F.=4, < 5 { LOCATED'ON-'THE (3R�JND i° siry �,V,HU- � 1.11 4 ,.P AS INDICATEQ�,.� � � W111c - 1", "s f: at :�'+' '"rt." 1,c,z�k: �' 'olm,�e ae_Cy\ -d y J ,r'� � "' r t r'.Pt t yr� S'�h" ff` '-''"`.�£y-r{ .�. "' ''KO-b'�'��`'+`�� 1���1M :"'.it � ep - �i - M hii W. yr tN• J+. ,� 5.4 �I; K 7i y.i i%t'jp�t I f{ rS i it r e+'rs % !" K 3'�F' `' yflt rfrl•�i� `,�,` u'1 �e x x.,;. {44, �� w C.J tgti r ;£� .4�'r '},k ax&' '";7`;,�. k�'k x9s"?y;�• ;' 7.� fr DATE , .`, REG�I$TEREO LANp RVEYOR �'d I. �� �. _ �. EVY & ELDREDGE ASSOCIATES,INC, CLIENT 4.c �l I ri p' ;" .- .fi K r , 4 �, is rft z i v a a�ii�z<u r ENGINEERS - LANDSCAPE ARCHITECTS:; �' JOB ,NO �.. "� � 5 PLANNERS— LAND SURVEYORS �����-�—` ri 869 WE CHKD: Y= `, �; 1 ` t° � R� P; ..�.„ ST MAIN STREET' �. ----...,�1 , ,,�'r�l��.9B" j ",- , i ' CENTER�/I ALE, MA. 02632 i SHEET' OF'`/ _l r D W.a ' ' 3 SCALDS w ,� —,�,: t?ATE_ _ # , �� E �+ at- - s.: ��y� - T .y. ..+'- .. '.. .s ...o-..._ lei 3�r�" ,gyp 9:* g+'f"r+'F;'l�4 �i}a. .k +� t i .. .a'St.� z kj . ^ v � / N zI 00 oor o / I till v ph / 27 t ,4clzc-.s ` t 2. t� - -01 v l IS'[YJCIIi[ ^) .fir I 1lT' LEA(.N ..l It•c ��Q fi SE34 4 I i I iLEGEND 7A. }' EXISTING SPOT ELEVATION 0 Sf,. y, PROPOSED SWOT ELEVATION ] •?� <� �H OF 4(, / EXISTING CONTOUR --'�- - - co,. MARIANo ROBIN PROPOSED CONTOUR O CiViL W NOTE THE LOCATION OF ANY UNDERGROUND � ,p No.311151�1 � I SEWERAGE, WELLS, OR OTHER UTILITIES SHOWN ON 9o� 'Gls-rs �r`%� ° 4 THIS PLAN IS APPROXIMATE ONLY AS DETERMINED QS(ONgl� 4r. 9E�IS7ER�� FROM RECORDS AND/OR VERBAL INFORMATION. THE CONTRACTOR IS RESPONSIBLE FOR THE VERIFICATION OF THE EXISTING LOCATIONS IN THE FIELD. \ R R =N INE R ISTER�O ANO RVEY R FLEVY & ELDRENE ASSOCIATES, INC. �r�� PROPOSED LOT FLAN. CLIENT��C�h ENGINEERS - LANDSCAPE ARCHITECTS JOB NO. PLANNERS — LAND SURVEYORS QR..BY IN 889 WEST MAIN STREET CR,KD. BY " %` CENTERVIL.LE, MA. 02 32 SHEET SCALE, DATE_ � � SEP 22 2004 10 : 25 PM FR HILL HOLLIDRY #12 6175723449 TO 915087906230 P . 01i01 f �l 1 48 Rosazy Lane, Hyannis, Maso. 02601 i ca 91 r Town of Barastable f Regulatory Services 11MWOUTLIC. Thomas F.Geiler, Director 'si9' •`� Building Division tamYerry, Suildiag Co=Wsslonez 200 Main.streat, Hyanaie,MA 02601 Office: 508-8624038 pax, 508.790-6230 l i Property Owner Must.CoMplete and Sign This Section V Using A; Builder { as Owner of the subject property to act on m alf, berebyatythorize �.� ,�.t�.+L y beh , . in all=rmrs relative,to-cork authorized Vdbis building,permit applicatian or(addms of job) —A, N grch and I�<<l � i g' of Ownaz Date TM-7 N=e j I TOTRL F,HtGE . r71 :