Loading...
HomeMy WebLinkAbout0165 OCEAN VIEW AVENUE ILo c n,a.N Vi a�W AW ILK r� i r , 165 OCEAN VIEW, 'COTVIT PERMIT TO`%WIRE THEKITCHEN REMODEL-HAS. EXPIRED AND DID} NOT RECEIVE �A FINAL INSPECTION . t E PERMIT, #. 7443 7 a p dl �e. b F Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map F Abutters Map Size ® ZOOm OutiflJ1111111n lip ® g=3PG Map: 033 Parcel: 026 Full 4 �l Property 034058 034040 Location: 165 OCEAN VIEW AVENUE Info p 1too�. M120 0I 00 ` 034046 Owner: REID,SUZANNE S 034047 A128?-28 - 034080 g:71 034045001 0134 t6'131� R 80 3�3 - ',03030°.. 00300031 Location Information 1180 4 00 _ .....-. _........_.._............... ..._....... _ Map&Parcel 033026 033014 0 D33o15 .y.. Location 165 OCEAN VIEW AVENUE r 1 142 q 140 033032 a100 Acreage 1.44acres 033020 ss 'Current Owner - 33012 _C C oss STD Mailing Address REID,SUZANNE S 1a08 PO BOX 1450 ° 4 } 033020;; COTUIT,MA 02635 v85 ' 1z013 z0 �g10 Appraised Value(FY 2010) � m � ., @ Extra Features _$16,500 ,033018 � Out Buildings $1,600 a ona�ool 0175- Land $3,562,000 050001. Buildings $1,251,400 NO - Total Appraised $4,831;500 33007 OW P 20�-. 8200 - SEA sr o33025. . 'Assessed Value(FY 2010) _ M405' , Extra Features $16,500 Out Buildings - $1,600 - ' Land $3,562,000 Buildings $1,251,400 Total Assessed $4,831,500 Set Scale 1"= 213 ' I Aerial Photos I MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MA All fights reserved.Send questions or comments to GIS BarnstableMA v1.2.3685[Production] " 1 http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=033026 2/17/2010 } h, E,✓ FIVPP gee CO 1 � 1 � • • - . IL 14 lk At �' • 4 �{OL - r-jil Lax 410 ol 44 ✓' Jw- .ate _•� i _r.� 7r s � ✓ x _� , •I. —ic l LIU rYiUL 01 =�s 10/`14/,2003 10:51 5087754909 PAGE 02 k 'own of Barnstable 3 Regulatory Services Thomaa r.Gtptk,Dirsetor BuH&ng,Divigloo Tom Perry, M1104MSCommiWonrr ' 200 Main 3trest, HyuWl,MA 02601 V ,. !fit Office: 503-562AO38 Fax: 508-790-6230 r PropeM Owner Must Complete and Sign This Section _ lI to If Using A, Builder l t:- - .-Oz lo, �� •a Owocz of the a�xbject proyerty hezeby authozize •J •J I�� -o act on,my behalf, in all mattus rAttive to sock authorized by this bading peunit tpphcagoa for. I (Addreso of Job) f• M ' S,i�atur of ner Date r:F Pdat NuAe ✓ 1. - N � GA '�YI y *''� �j '- I< l ," ff q PORM34WtVWUMUSION • ll FROM :SALT WATER DESIGN GROUP FAX NO. :5387788962 Oct. 15 2004 10:16AM P1 lUa�34/rUUI 1W.UJ r5A 1JV134JU1110l1lYL' 11.1111iiJt1 11VUli t'11VU - �UVV1/VV1 tj�'ln <S ' Invoice P11 ;.L.:� "OR by Yarmouth Road Hyannis.MA t32601 D>r:x Invoice u WOOL) PRODUCTS _,,�, fax S$08.77t)f3-77I-7-771-7 470 1DIIrzUA 2062 16 all,ghout the wood' hyannis@pineharbor.corn Customer Service !-86b-5I-iEDK17 Ship To Suzanne Reid 165 Ocean View Avenue Cotuit,MA 0263 5 1>z,420 Date 10)V2004 customer Phon® Alternaba Phone Sold By built By 509-362-4332 Ken Ken Quantity Item Deaorption Pace Each Amount 8 a 14 8 x 14 Cape Cod O u0i;Shcd 1,980.00 1,980XOT j;Z Arcbk= Architect Shingles(per deluuo foot of shed size)Black Pepprr 1.00 112AOT Upgrade to Duu... Upgrade fiom Steetdnrd Window to Double Flung Window(23"x 135.00 135 OOT 4 t")w!Sereee and Window Box(no Shutters)V Upgrade W Dou... Upgrade fFom SiwWW Window to Double Flung Window(23-x I Moo i 35,00T 41")w/Screen mid Window Sox(no rhutleta)'«F Additional 6'D... Additional 6'Double Door ItG 175.00 175.Mi I' 91 Sbelf(Jnit 61 Shalf.Untt 75.00 75.0tiT Deluxe Appeara... Deluxe Appearance PaduW 7)p,00 700.00T 3 Atom sbv Hi... Acorn Strap Hinga6•Fair 35.00 105.OAT 6 V Soaotubes 8"Sonotube 11cloungs 5D.00 300100T Subtotal. $3,717.00 Sain Tax (5.0%) S183.85 Total s3,9oz.s� Board of Building Regulations and Standards License or registration valid for individul use only _ 4 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Reg�stra 4 1 T0609 One Ashburton Place Rm 1301 4Ezpir Of 11/, 004 Boston,Ma.02108 ' F � rl, hype Private Corporation E:J JAXTIMER, BUIL'l7ERiNNCH , ERNEST JAXTIMER 48 ROSARY LN HYANNIS.MA 02601 -. Nnt yahtl wit hnnt cianatl re BOAR D OF BUftD1TIG REGULATIONS i A License CONSTRUCTION RVI SUPESOR ' NumberC�$� 00325t. b f " Expires 01/f 4Y DM6 1 no 1332.1 b ERNEST J JAXTIME F— k 48 RC3SARY kYANNIS MA 02601 " 1 A" _ dmmistrator w The Commonwealth of Massachusetts 'Jrf =- =_- �� Department of Industrial Accidents office 811,0esfiff,9 0ns 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: J ��T ml a., -by-1 I_� I C location: t,�A Z 7 �killt C .city (4 v kM w S Phone# ( 2) M '`7"-t ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one workin man capacity %%% %/%/%%%9%%%%%%%%%%%%%%/%%%%/%%%%%��%�%%%%%%�%%%�%%%%%%/O%%%�/�%%%i I am an emplover providing workers' compensation for my employees working on this job. company name. `. �. .n E ►.L:�Jt 15 address. �� G� V citv. r �!'' t E t tom— ` hone#: } 17 -. :. . insurance co. _� olicv# ab 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: company name: address. city. shone#. > . insurance cm ohcv# %%O% camaanw name: ... Address: city phone#: nsnrarice co.:.. olicv# _. ... 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 S100.00 a day against me. I understand that a copy of this statement may be orwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify u e pains and pen erjury that the information provided above is truo and correct Signature �'J Date Print name I�.��iC �1%'e Phone# 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) ! R 4 Now in 00, T ' y I 1 1 I V r, r . � � a --Wpm 1r 1 f - i 1 Y ` I I d. I + G. ,- Tow:nEof Barnstable �tHE T Regulatory Services ; y fy r4 • « 0 2 Tho mas F.Geiler,Director a�unM�BIA MASS, Building Division s6s9. �0 '�Eo►ae'��' __ - §7Tom Perry;Building Commissioner I2jjU Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PEW&T# 5'0-21 95 FEE: $o ✓� SHED REGISTRATION 120 square feet or less w Location of shed(address) Village zap. a� (A0 �� / • ��5� t. � l Property owner's name Telephone number Size of Shed Map/Parcel# a �ld Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District-Commission jurisdiction? Conservation Commission(signature is required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN . Q-forma-shWmg REV:121901 Town.;of Barnstable- : *p6mlit# P Expires 6 months from issue date. ' . : Regulatory.Services 1{_ee�. 9 MASS. m°i Thomas F.Geiler,Director �p 1639 p�0 a Building Division ' t Tom Perry, Building Commissioner, " 200 Main Street, Hyannis,MA 02601 X P ESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 OCT 14 2003 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint I UWN OF BARNSTABLE .. , Map/parcel Number uY dAb ..- Property Address 'b g 0 QAA V t e w, AveC ""' �A 0' "3 P tee mmeoc) �]Residential Value of Work i '` !yi✓1� Owner's.Name&.Address l l0 5 C UA k V iev Ave it , rnA 02�C, 3J Contractor's.Name • J r• Telephone.Number Home Improvement Contractor License#(if applicable) construction Supervisor's.License.#(if applicable) 00 3a S 1 JWorkman's Compensation Insurance. % rr `` Check one: ❑ I am a sole proprietor ` ❑ I am the Homeowner , A,,I have Worker's.Compensation Insurance. Insurance Company Name - .. Workman'S.Comp.Policy# 5 000 (Pilo z Permit Request(check box) r �,p� j Re-roof(stripping old shingles) All construction debris will be taken to 1,ram��,rua, �m(ay r' �r�.�4t,.;i ❑Re-roof(not stripping. Going over existing layers of roof) Re-side f Replacement Windows. U-Value (maximum.44) .g *Where required:'Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. - - � ,• .,�;, - -' �_ .�.. ,. - rya ,. ***Note: Property Owner must sign Property Owner Letter of Permission. $ ome Improveme actors License is required. wSignature �. ,• � � ". ,� R :Forms:ex�Pmtr , Rensed121901 10/14/2003 10:25 5083624231 SUZIE REID PAGE 01 10/14/2003 10:51 $087754909 PAGE 02 5 Os2 Ila 3/ Town of Barnstable { Regulatory Services Thome F.Geiien,Director Building Dlyision TwmP*M, EuUditCommtWoner 200 Mein Street, Hyannis,MA M&I Office: 503-862-4038 F - 508-7904230 Property Owner Must Complete and Sign This Section If Using A Bulkier I._,SOJZ_j1Jj k)L �� � ,ae Owoer of the subject property hereby autboxize F- -J • 13 W-EL to act on tmy behalf, in all anattas relative to work autherized by this building permit application fox- (Address of job) )&-2 $ag�atur of Date Print Print Nattte p:POItMS:OWN6RPnRMISsx4c+ = i A Board of Buildin?ac eulations One Ashburton 'Pe, Prn 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 003251 Expires:01/14/2004 Restricted To: 00 ERNESTJ JAXTIMER 48 ROSARY LANE HYANNIS, MA 02601 E, Tr.no: 14213 Keep top for receipt and change of address notification. p CCfi a i .l ca1elt. fie Vr am��zararrecz y Board of Building Regulations and Standards License or registration valid for individul use only before the HOME IMPROVEM ENT NT CONTR ACTOR b expiration date. If found return to: ' Board of Building Regulations and Standards Registration: 110609 One Ashburton Place Rm 1301 Expiration: 11/3/2004 Boston,Ma.02108 • Private Corporation Type: ration P Yp E J JAXTIMER, BUILDER, INC ERNEST JAXTIMER 48 ROSARY LN _..- HYANN IS. MA 02601 dt� The Town of Barnstable � g Department of Health Safety and Environmental Services 6.319. Building Division 367 Main Street,Hyannis MA 02601 Ralph Cmssen Office: 508 790-6227 Building F= 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME Il"ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,eorarcrsion, improvement, =nmal, demolition, or construction of an addition to any P owner occupi ed building containing at least one but not more than four dwelling units or to sUuctnres which am ad1a cent to such residence or building be done by registered contractors,with certain exceptions, along with other nequircme= Type of Work: Qng�t IS�P -Cost 2 O J n.02 Address of Work: �O S ' p`v"e CC-r-�J IT O%mer.Name: Date of Permit Application: 3 - 91 Lfl I hereby certify that: Registration is not required for the following reason(s): _Work excluded bylaw Job under S1,000 Building not owner-occupied Pig awn permt Notice is hereby gn'cn that: CONTRACTORSOWNERS PULLING THEIR OWN PERMIT OR DEALING WMi UNREGISTERED FOR APPLICABLE HOME :IMPROVEMENT WORK DO NOT 4H VE ACCESS TO 'III ARBITRATION PROGRAM OR GUARANTY FUND UNDER SIGNED UNDER PENALTIES OF PER IURY I hereby apply for a permit as the agent of the owner: -/ 3 - I k31 Date Contra a VRegistration No. OR Owner's name Date t A. j� HOME IMPROVEMENT CONTRACTORS REGISTRATION 'Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , -Massachusetts 02108 - HOME IMPROVEMENT CONTRACTOR Registration 100134. Expiration 06/09/98 - - Type - PRIVATE CORPORATION ��E�g� `,�,2�� HHRUUegistration 100134 TRAC ROGERS & .MARNEY , INC . ...Type -. PRIVATE CORPORATION Charles D . Rogers a Expiration. - 06/09/98 PO Box 310 Osterville MA 02655 R06ER5 & MARNEY, INC.. Charles D. Rogers p0Box. 310. • G�`4'"° �` Usterville MA 02655 ADMINISTRATOR ,ft 1 - r u t e ' • e a i J< .E:S, .tSe. , .'.n :. r :-;. ti., 11M z �."`.-xa�*?zj" ' '. t�!ae•,+' + �+ -•S" r *p--., �y- S i_.. 1 �,,. ^r' ':. a+_ ,. ''-,'`.r. :L'r..u1 w',""4, ,�✓. $.'ii .'Kufy'{ cT',�i}'..y �`..s 4r2 '" a� +. •�w:-0 'z�,rt�.s�3 a : IT�OF PUBLIC SAFETYfi�- F LTH r r s DEPARTM 'tCOMMONWEA- _ ` �.:•,. _ � € .�* NE ASHBORTON PLACE r rt xr',Y lgv., 3 ya_% { -; " "',.. ,giF.`' •'t,'_ ^� H s 4- �1:.;,+.::H r - pN 'MA 02108• ;s , a .n;:.. ..,„ SETTS M,, q BO$T ,r,.,,s -i'v x. e:: a.p MASSACHU z' cn.:i 2` z., ;,. k.7 u I,....' '_r-:, _�e_. •- :.�. -: - ti .; vr`; " .r 7a -Gr•., :i. ii''Tc...r "tk•'�' - s� '£1. -. ;v:�s: 7�-t.:r :.'ay??,., .,.,a a. •:.e. 1J:,„; - :.:. = 4. sr^ ' ' � = - r2 CAUTION ,: ._ :a �,,. :. �> ...;rs..:, ,..-x.. 'S"' 4 xr•K ,.,:F. + -..:..rr� .ks,.y.w ,.,,'_a. ,,, .5 `. .._� .:I:t •_ ,'.. v :x, :,..;.r ... _ .. zt<s " ...;wk: '� i'`LLP. ,:�E'•:s^�s,' `a9 iTy � , x.k:. ,r. �� �=,z - x 3'....++, nwx.;; i,,2.. 5,. t,. pa,,:., ��[W'' �`'Y b: .�,q{['�' 6- °a'-Cyn. ZsK x` IRATION DATE@E1�s1 C�L L99 ,.EXP .+ �: = OR PROTECTION AA r � _ ...,. r,,:.,:,: ..,:,, -«. _ .M.• �,x x^:-x n;� <w 4. - `ru. .... _.' ',- r���.... i'Tci:.cy i a.a -aK3F. .7yt;Y,ro.,^„.r„Ksz.R - .t x x'ax P " v:" - -- Ta 5;3 R. TTHUNIB ; - -: . . x � ATE. W;'' -NO�r THEFT PUT xa t. ti EFFECTIVEsD _ LIC �, ,� -c ,r,. :; :r .. - ;:: w.,. .. '• v. ,q. .b,.h. � .x'-.w,:x s:.`:._..:•. .1. �' .,z.'-..,,.:ry ..mac ,xF-i `c•••' .�: a N;'.• s, 3, ..... rrx Q :. � xf.Wit" .xy ORRIATE _ < " TRICTIONS I k, z : .� max= RINT IN AP.PR , ORES q„ ,. x _ .y ^^f`"_;a� d - ,a; EB ;`t• W 9Y...2 ,. ,'r !F ... ,. ^F, x Q�?.(ID1,/1.'3 LICENS n _ :. ;. _ -. ..,u>� 5` ,. i, -��.: " a-a-' t i. t Nis... ',:�. ..a. r., -`'.s'.�"`,.,' +..r°n. -..:.. .,..•,•y - �.sr..:: _. :.7"3• ..,%sn=,T, `` ..a?r. _i . u j.{, .;. k.:. ,,;.,, y ,u; .,c't�,. t , *�'=f' :�:r.•'� w' •.a..'r;a' �:.:.,F,'x3+-.:,}::<"�'•'ma<�x. ,.,s.: rta �,?,-v-- - ,�s;1 s ..,.•,5,. t, ^s:-mr.`.+ ..r•-1 >�,Y' ,p.4''�x - 2 >rys''>-v„ .'1 ,,,.. .�'s' z.-ti cba1 .;[. . ,: tw_ � _ x >: � GOPERATORS �. �.�x kpddr BLASTING - .,'.: - • x4 ," .-' ,+y,; _.� ro. :.;a fs s-:('� --.5 .S .!':a a,C.+ra7=s, d',,tn _ •.- ';A... ..3:.n 7'�€ :5.'-:^4.: .�_.. 0 ..Y^_w k`!w- :.$.. YR'asV a 'J '^'.1 k ��' .W.T 'W - .: G:.,; ti sy .'c,.,. r.,rk., ehe a t�-r`�a r.,ti. :k" - ^s ... ,+n, *?;' :. T't 1F -1 � 4_ ¢:f�„• s.nc' t`�:.- ti •�: � ,�'7?`.. r� "'h*a'�"s�rc.'L� , OPR ONLY 3P''FEE. .,✓.>"` •,iNO 'ALip UtTN -. Y • Y" ... w�<.,. � S. �rs .. .< ,n;� xw :'{"-.�.. .. .�;•A!e�3- x. ten. .. fFIL'SIGBV LICENSEE a u .... •.-... ^.,<. < - t �.�.F.:c 'i .,?+~. ? NOT.VALIO,US �.t� Y, ., .axe:: xv,t t - af:��s!�;}�? a�•.�.•t°-,'�-, '$., @ •-,r�`,'�y, � �'�STAMPED.�OR.SIGNATl1.REOF THE MMISSIONER,I t<1;, �r�. r�"'�'�' '.- ^�•." �sf,,.r`*,�'�� .w' - ? '" g tr F s s s :: -; . ... I .ss`='M �r a�� �"�?x��': ` w. �'�3 .r,,- k. ;r� �sh':3'b� ' ., ^--, s. :'. £_.„?1 vw'.G'f+.,;,,ar",...°,•'�� 3' �.,<",.�,"5- '»'' "tp����-P.# t- R : i���'..v": t.- rt��Y `� P[�' y` rx`':.'c_.'4,.. '»'vrK,,,-,:-vwr�rx... y.�.. ' - .. *r • � �_ .,�,•'�„i4.,i�,.,-,'3>�''� � .; S�'x�7. y�• -= is � x :'fi ? �t. '�` ::SIGN NAME IN FULL ABOVE SIGNATURE LINE �» r MENT MUST.BE. .,SE:. :....'. ,'" .•...' .,r.r.U'�..._ 5.,�'=`�„ ..-`'.��..x,<,F�, ¢ 'e�THIS DOOU ,m,'„ I Z.k•-�. u1GNATF! �'F ,�',»_�" �r=tq;'13'.' �°x�'h .,t: .�•F ^'z' ,.��,'.•: - _.. -., .., '. Y...., ¢:;w.-Yiir,d ... . -z.•.�i,•�•. �_'y�.��, ...�CARHIEDONTFiE PERSO,�,OF, ...,c:- � o-`'� "' y' „^k,"s, .+. �!'..INT - €TGA BGEDINTHISOCCUPATIO +^r, ' r�i�OTHERS RIGHT THUM PR y ,�....,�� >r• � - E FEE K COIviMONWEA L -1 OF .MASSACHUSETS S 0>: r"4DUS`DU L4ACCIDENTS � _ - lames Ga ,�oe� 130S*1 01,', 1`-1 6SAC1-1 USLI-J S 0211 1 WMCCRS' COMPLNSILTION INSUILAN(=- A IIDANTF 1: ROGERS & MARNEY , INC . (I iec ns<c/perm i exec) with a principal place of busincsshrsidcna.zt: 445 OSTERVILLE-WEST BARNSTABLE ROAD, P 0 BOX 310 , OSTERVILLE MA' 02655 (City/St�cc/Zip) do hereby certify, under the pains and penalties of perjury, char. l am an cmplovcr providirig-Lhc following workcrs' compensation coverage for my employees woiking on Lhic job. EASTERN CASUALTY INSURNANCE COMPANY 95 798003 Insurance Company Policy Numbcr `. ) I am z sole proprictor and have no onc working for inc. am a sole proprictor, gencrzl eonuaaor or homeowner (eirdc onc) and lave hircd'dic conMaoa iistcd below w•h.o hzve the following workcrs'eomperuauon insurmr-C politics: Name of Contractor Iusu=cc Company/Poli , Number Nzmc of Contraaor Ins=ncc Company/Policy Numbcr Nzme of Conmaor Insurance Cempany/Policy Number 0 1 sm z homeow•nu performing all the work myself NOTE Plwe be a•. r<t'7zt.�.Sile!or�eownerl w110 employ perloos to�o tnsintenioee,eoortrveuoo or repsit.�oric on a 2Mcllinb of not more tlszz 6rcc uoiu in✓+Sacs 11< w boruconcr alto rct;dcl or on the C-rouods ippuncDInt tbcrcto ire not Eer�cnU), i considered to 6< crnploycrs und<r tllc'Vor:cs'Corap'01260n Act(GL C.152•ccca. 10)),appliutioo by s b0mco—ocr for a lic<osc or p<rnir r..:y e�-idceec the 1ct.J st:tL�e1:_cr_ toyer uodu tie r✓orL•er1 Coropeosition Act i t:nccrstanc tn:c : copy of tiffs Sr:ccncnr Diu ix.ior�•udcd to tic rJcp:.:--cnc of lndurtriJ/�codcnu'OG�c<o�l:,n::nu (or.co�cr:�.c �crifiertion:nd th_c failure to secure eovcr�c:1 rcSuircd under Section 3S/t of MGL]52 can lc:d to t}x impoliuon of�jminal per. Juc1 eontistin�of a fine of up to Sl500.00:ndJot inpruonmcnt of up to onc ycu and UY;I pcnaluu in dx form of:Stop VWk Ordcr=nd fine of 5100.00 z dzy af:inst mc. Signcd this dzy of .�t�lh 19 1 fro Liccnscc/Pcrmirccc 1 iCcnSor/Parniccor �OFIME)o Town of B:wsta-blo -;r *Permit# 7'9.2,3 Expires 6 months rom issue date `/� �SzAB Regulator r .ex� sees . = J v Fee � 639. mq Thomas F.Geiler,Director �AIED MAt a `z Building Division Tom Perry, Building Commis io- 200 Main Street, Hyannis,MA 02601t n 4 2004 Office: 508-862-4038 TOWN �d� � ,���.�= Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 6 3 3 0,24 Property Address Ref ocwn- view fF m— ee—hu� 00 &,S MA- iU Fftsue esidential Value of Work ] Owner's Name&Address. 4.A�1-.000_ Contractor's Name MAC 6U1 -T 21 Telephone Number �2ol � 71 J7 '7"gl l Home Improvement Contractor License#(if applicable) /l0�w Construction Supervisor's License#(if applicable) e03 oz.57 E�Workman's Compensation Insurance Check one: _ ❑ I am a sole proprietor ❑ I am the Homeowner 0,I have Worker's Compensation Insurance Insurance Company Name 1't •�r •� Workman's Comp.Policy# • _ V e Permit Request(check box) 01 Re-roof(stripping old shingles) All construction debris will be taken to( pP� g g ) Mncdrnbers &umroskr- ❑Re-roof(not stripping. Going over existing layers of roof) ©-Replacement Windows. U-Value (maximum.44) (� Other *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Signature Q:Forms:expmtrg Revised121901 The Commonwealth o Massachusetts Department of Industrial Accidents ( = office of15YOS igOVANs 600 Washington Street Boston'Mass. 02111 Workers' Co m ensation Insurance Affidavit name: r . os , location: //� \ r� 'r c city ����� f 5 ��! 0 2-6O 1 phone# f i ! 2 '` - f F I am a homeowner performing all work myself. Q I am a sole rietor and have no one workin in anv ca acity I am an employer providing workers' ccoom�pyennsatti-o�nj for my employees working on this job. company name. . . 1(( � res, . h-tV1�J r't [ 5 phone insurance co: _� • olicv# D j i� : :I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: companv name: address. .... .::..:: cihr : ;.. .. msnrance.ca ohcv# :;z;z;:::.;>:;::::::;:. ,. catnpanv name: :. ... .. address phone#r ;.::. olicv# insurance co . _ ;:::>>:;::>:> > »<::>::;::;:>.;,:. Failure to secure coverage as required under Section 15A of MGL 151 can lead 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. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under t e sins and penalties of perjury that the information provided above is trap d co (ec�t Si tore Date B/ ' �/ " ! _ Print name Ct��C Phone b (contact ficial use only do not write in this area to be completed by city or town official aty or town: permit/license# ❑Building Department ❑Licensing Board checkif immediate response is required ❑Selectmen's Ofnce ❑Health Department person• phone#; ❑Other (revised 9/95 PIA) V. Board of Building aC�ulations k. One Ashburton Place, (gym 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 003251 Expires:01/14/2004 Restricted To: 00 ERNEST J JAXTIMER 48 ROSARY-LANE HYANNIS' MA 02601 P Tr.no: 14213 Keep top for receipt and change of address notification. lie ��arrzirtanu�eaCC� a- � GGc�.yscecl ci�ell --.... . ._ j Board of Building Regulations and Standards, g License or registration valid for individul use only ,. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and'Standards - Registration: 110609 One Ashburton Place Rm 1301 Expiration: 11/3/2004 Boston,Nla.02108 Type: Private Corporation E J JAXTIMER, BUILDER, INC. ERNEST JAXTIMER 48 ROSARY LN i a HYANNIS, MA 02601 ,b:� �. Nnt valid w.ithoat��an.�tti.re SUZIE REID NAVE 01 y ' 10V`14Xs2003 - I9:SI 5007754�309 PAGE 02 Town of Barnstable ^ 4 Regulator 8 ervices Thmn"r.Cellar,DlroMr buildinD Torn Perry, NUM Mg 200 M&W 5tmt, Hymiiv,NIA 02601 i ice: $08462-4038 Fix`. •508-790-6230 Property Owner Must Complete and Sign Thy Section If-Using A Builder I, SP0Z.4-j QC,_al:b all Owaea of&e subject propexty ri heraby eutbazize act oa tnp bahelf, iffi&H matwo relstive to w0tk authorized br this Wl&g peanit spphca6m for. Cj 2 1 P (Add.�ses of job} . a a s Sagastur of` ner Date pzi�t N=e ,y f.+^--^...^'^'..^^..-.-^..+..-«.:�..�.-..�..-�..,,-.,,i..-.+'r'-"-•-^.�.��.,.-......�r�.r-_-...,,�-....�r":�-�..r..--�.+"F..•..+�.rti.....-r--."':�.^.�•wr•'_-.•--~�..--•.1..�-.'.•R. Assessors map;.and lot `number ............. .............. INSTALLED IN COMPLIANCE WITH ARTICLE II STATE 4 AN TARV CODE AND TOWN Sewage :Permit number ............ .TJI. ._Ie.............................. REGULATIONSq y�F7NE,t0� f �: TOWN OF BA.RNSTABLE i BASHSTADLS, i r; 0 9 .e� BUILDING INSPECTOR 3 7 APPLICATION FOR PERMIT TO �1.1 ! Q . . .... �.�m� �� .................. O ... .. .... TYPE OF CONSTRUCTION ...!:ev:1. Vt .C.C41iti. .... ............. .... ................. ................. ...... y. .............. . ........... .19 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: c Location .....O ' 11.eQ .....Oteik�.....&q,'........... �V1,1�.........,................................................................................. ProposedUse ............................................................................................................................................ ............................... n. Zoning District ........ .. ..................................................Fire District ...10a., C.\.. .......................................... ............ Name of Owner . 5?....Lr..:...,>`� .. .. ...............................Address S'.�� ..L�y 4ti-�..9.'.. ��...... C� � ...... Name of Builder Address � 0A . .i:............................... Nameof Architect .. ...... ...............................:.Address .................................................................................... P Number of Rooms ... �� e.........a...............................Foundation ............ `.t�..... .n.I................................................ AMX Exterior ..... ... ...........................................:.................:.Roofing ...... ..:�..'.�:�,�/. ................................................ Floors .............................................Interior .......... Heating ..... tiff$ �'- .... .... .I .......Plumbing Fireplace ....V.�.C-'-\". Q.0.. ... .0.VN:R,..............................A roximate Cost ...... q. .................................... Definitive Plan Approved by Planning Board ---------------_---------------19________ . Area Ze ..... 7.�.................. Diagram of Lot and Building with Dimensions .Fee ........../,�- . .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 4A , , �V6 ,f........................... Kelley, J. E. 19697 remove �r/tonNo ................. Permit for .................... of dwellin JrV5 Ocean View Ave.Locat .............................................................. i S Cotuit J. E. Kelley Owner ........................................................... .:..... frame Type of Construction ` ................................................................................ , i. Plot ......................... .. Lot ................................ October 27 - 77 Permit Granted ........................................19 ' Date of Inspection .......................... Date- Completed ............. 3.......19 _ PERMIT REFUSED ................................................................ 19 J ' ............................................................................... Approved ................................................ 19 .............................................................................. _ ............................................................................... Assessor's map and lot number � .4 � i Sewage Permit number ..............r..!.1,b,'o_...<.. yFTHETo�° TOWN OF BARNSTABLE Q rot' ow . Z By$BSTdDLE, i "6 9 D AI BUILDING INSPECTOR °'EPY�`' , APPLICATION FOR PERMIT TOE) TYPE OF CONSTRUCTION ...................................................... ' .....................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationoce n �l iP ±)..... :..:.(/2........... ........................................................................................... ProposedUse ............................................................:................................................................................................................ Fire District ..`- �:. �................ Zoning District .......'.�..... ................................ .::.......... Name of Owner �� .tom ;.1................................Address Name of Builder ...........Address "` ErJ r�s � Name of Architect .................. ... '....��....- .................................Address .................................................................................... � r Number of Rooms .?!��...... ..`.�.'.:.. ?t� �......... ...........................Foundation .......................,,....... ............................................... Exierio. Q ....-.1.C' ........................................Roofing ....�..�'���t�( ................................................ Floors � ...................................................Interior Heating ..... ...... .....Z ... csf'(\. .......Plumbing .................................................................................. ;(� d 6 Fireplace A �C\( t1Q,,........ �.�':.................................Approximate Cost �d ..:r. p ............... .................... Definitive Plan Approved by Planning Board ________________________________19________. Area z .................. Diagram of Lot and Building with Dimensions Fee ........ .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name t„? .il,�. ,i7.......................... - r Kelley, J. E. A=33-26 19697 remove tion ' No ................. Permit for .......................:.pg........... of dwe l hIn g ........................................:...................................... kP5 Ocean View Ave. Location ................................................................ Cotuit ...................................................................... Owner J. E. Kelley .................................................................. Type of Construction frame Plot ............................ Lot ................................ OctobeF 27 77 Permit Grante ........................................19 :--Date of Inspection ..............19 Date Completed .......r..............................19 PERMIT REFUSED ... .. ....... .........1.11. ...... ... 19 e6 ........................ ......................................... ............I......................... ............................................................................... Approved ................................................ 19 ............................................................................... .......................................................................... Assessor's Office 0st floor) Map Lot 2(p Permit# Conservation Office 4th floor _ Date Issued Board of Health Oid floor - EngineeringDept.0rd floor) House# Planning Dept. 0st floor/School Admin.Bldg.): $ -- � RARNSTABLANAM Definitive Plan Approved by Planning Board 19 A lications rocessed 8:30-9:30 a.m.& 1:00-2:00 .m. 'f A ,u4 TOWN OF BARNSTABLE Building Permit Application Pro•ect Street Ad es 105 (!N-_= �CcCIJU Village GOT'71 T Fire District C OT.V IT Owner G fZ,&f)A N\ MILL£-M Address 1 (o C*44,j t rCy A\*W Telephone 4 Z$ Bb4 l Permit Request: 2eV nyt ''('TA-a G'120►wt, Roer-( * ,A►wo IWST"jo.a.. �v M�,M�,rc�l� 20o FcNcr • Zoning District F Flood Plain Water Protection N O Lot Size 1 4 4 AC MS S Grandfathered S Zoning Board of Appeals Authorization Recorded Current Use 2&SI b&W-1I A%- _ cSGtL �ZAt#\i j..t Proposed Use I&AM`e Construction Type \YOC�b F12 AMrt Existing Information Dwelling Type: Single Family ✓ Two family Multi-family. Age of structure &Rnprt "iS�AQ s Basement tvce C-0L.MY.V1'c- Historic House to O Finished W Q Old Kin 's Highway NO Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) 2 First Floor Heat Type and FuejJ_ AM F A VV Central Air MM Fireplaces Garage: Detached Other Detached Structures: Pool Attached ✓ Barn None Sheds 0% Other MAGlk 4kWt Builder Information Name ,n - 4 O a c ��G'EXLS �' IV 1�K,�1S�,4 � PJ L Telephone number u • C�1 � Address License# ao 1 91 I ©s�s✓r��t l.L , �A D� OZ(o s5 Home Improvement Contractor# k 00 13 6r Worker's Compensation # C -79 go 0 3 • a 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 F�Ar(LI.).S'"lA(W L N-1bpl L.L_ Pro'ect Cost 2 O O00 . Fee OV SIGNATURE DATE do - ?j• R (O BUILDING PERMIT DENIED F R THE FOLLOWING REASON(S) BPERM T 5S FOR OFFICE USE ONFLY ADDRESS- - VILLAGE. OWNER DATE OF INSPECTION:' 9 ' FOUNDATION FRAME INSULATION ' '+ FIREPLACE ! - . '�' { r . `�. - •• . ,l ELECTRICAL:, t ROUGH FINAL ; PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. f�� 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _ ?J� Parcel, (0 Permit# Health Division 94X — : >. 7 Q10, /'�� �� Date Issued Conservation Division r�s /0 ® Application Fee Tax Collector Permit Fee - Treasurer 1 16 � S STEM i ST E INSTALLED DIN COMPLIANCE Planning Dept. Date Definitive Plan Approved by Planning Board EN IIRRO MENTAL WITH TITLE Co -)- TOWN AND Historic-OKH Preservation/Hyannis REGULA i 10NS Project Street Address d uAh V I f,u) � I Village C,D IA1 T p c Owner �U7..&& L2 ��l d Address /(OS V/�,; (�0/U l Telephone Permit Request cs 3/70404/ OW PMAI -b Yf (,��LSeyi Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ) �Q Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new, size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing Ynew size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name J •J 41M/y a, &,(4 M ! Telephone Number Address 4/0 1?0Sar& la ow, License# 06_ aOzs- 'L1ll�'llit�l S h'lf� OZ0/ Home Improvement Contractor# Worker's Compensation# J`-00010 7d0/a0Q S� ALL CONSTRUCTION DEB S RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ( ' MAP/PARCEL NO. - ADDRESS VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH c "S FINAL MW GAS: ROUGH-- O FINAL 0co � < 7 " FINAL BUILDING 0_ r m DATE CLOSED OUT ASSOCIATION PLAN NO. m m 0 r ' \ : a �.:t ." '°; F�.• - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a�?19a Parcel Q v� �J Permit# Health Division 9-003_e e.7� Date Issued Conservation Division <• �• /4 Application Fee Tax Collector ( L -'1 Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address t V w o V I •P co ' j Village f �` �°'Q T Y /7 - Owner 04 a n.Af �� (CC Address 16 S 607011l Vl Telephone Permit Request 'a Y (5-6p (4-S j"Al OW &AA1 -b YAK w,G�o� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `�C�� Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name J '/%)i1?E� 9Y/[A f f f /)(/C Telephone Number Address 410 &),S61r(4 to m_�_ License# C 3a5 /5 N4 02 Coo/ Home Improvement Contractor# / / b o g Worker's Compensation# 660& ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel aZ� Permit# "NYT7 "� Health Division o Y l�qj)?A pofi ate Issued f �Z9Jb`/ Conservation Division 1 /10T Application Fee /01 Tax Collector X Permit Fee 426,D a Treasurer 09PTIC SYSTEM MUST BE ALLED -1;4 (.:i,AWPUANCE Planning Dept. %MTH TM.J� . MENTAL :QDE ARID Date,Definitive Plan Approved by Planning Board REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village Oon 17 Owner Saz a n ry kerW_ Address 55- Pol rt f go/. C5'0 g 7 - y 84,e rsloble Telephone _ Permit Request I'/0 r emade/ A)ark­ �f e w Cp6 m e fsply-- Square feet: 1st floor: existing proposed! 2nd floor: existing proposed -,6� Total new --6 — Zoning District Flood Plain Groundwater Overlay Project Valuation $/OU 1-00 0 Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family JA Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full O Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric 0 Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: 0 Yes 0 No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes 0 No If yes,site plan review# w Current Use 1*S *t 71Y4 Proposed Use BUILDER INFORMATION Name E• J. Ja x.'t-tY,-tr 1� /de r, /r��'. Telephone Number �sa��7ZF - Address q License Puao n/S , M9 0240/ Home Improvement Contractor# 116602 Worker's Compensation# 1500 0(0 7.2.D l 2-06.3 ALL CONSTRUCTION DEB ESULTING FROM THIS PROJECT WILL BE TAKEN TO rne 6 `S SIGNATURE DATE , Y l FOR OFFICIAL USE ONLY r i f PERMIT NO. DATE ISSUED _N I --MAP/PARCEL NO. r ADDRESS VILLAGE y OWNER xt DATE OF INSPECTION: �. FOUNDATION FRAME ; r '= INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL e V r Z PLUMBING: RO FINAL Q ` GAS: RO _ FINAL M Im i FINAL BUILDING r �j DATE CLOSED OUT 5 ' y m � �t ASSOCIATION PLAN NO. I t Town of Barnstable • P E r0�yo Regulatory Services 9asASHI,E,$ Thomas F.Geller,Director Building Division lFD MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing oWz er-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. UDd Type of Work: r p r 8_ePi _ e/ Estimated cost$/00. ,c_ Address of W 'C Owner's Name: v�•'Z"��� ��`� Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []lob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR.OWN PERMIT OR DEALING WITH UNREGISTERED NOT CONTRACTORS FOUR APRAT ON PRO GRAM OR GUARANTY FUNDUNDER MGLvc 142A. ACCESS TO THE . SIGNED UNDERPENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 1 r 0JJa tv r l lo �og Contractor Name Date Registrationl�Io. OR Date Owner's Name The Commonwealth of Massachusetts _ Department of Industrial Accidents Office 81117 s#98#ons - � 600 Washington Street % Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: E . J J location: city Y K 1� i y l 1"C D r0O I phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one working in anv capacity ❑ I am an employer providing workers' compensation ccommpensation for my employees w-o-ryk�ing on�rthis job. company name. l .. ........ ....... �.A J� I 1 . , ' � { Ci ........... ............. ................. ... .... .r t I t ...... ............ address. ��` ' ..... rnphone insurance co. 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: companv name: address. city phone#. ,.: olicv# insurance co: ; 'cO any name. . ;:::>:::;:: :.. address: city- _: phone#. ansnrance co.:.: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as 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 DLA for coverage verification I do hereby certify under th e pairs and penalties of perjury that the information provided above is truo gntd�colreect Signature_ Signs Date( n Print name Phone# official use only do not write in this area to be completed by city or town official LdO.h-k town: permit/license# • ❑Building Department ❑Licensing Board ediate response is required ❑Selectmen's Office ❑Health Department phone#; ❑Other (mmi ed 9/95 PJA) 91te . Board of Building egulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 003251 Expires: 01/14/2004 Restricted To: 00 ERNEST J JAXTIMER 48 ROSARY LANE s HYANNIS, MA 02601 Tr.no: 14213 Keep top for receipt and change of address notification. T ,,,� ✓�ae V�omvinomuleczC� a���CizvJacl uvetta 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: _ Board of Building Regulations and Standards Registration: 110609 One Ashburton Place Rm 1301 Expiration: 11/3/2004 Boston,Ma.02108 Type: Private Corporation E J JAXTIMER, BUILDER, INC. ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 id/i�{i 14�N:3 1U: 15 Sl�S3h 4131 SU21E PEID PAGE 01 �. 10I_1t412003 10:51 $087754909 PAGE 02 Town otBarnstabie Regulatory Services { Thaum Y.Geller,Dirsaac tH0 Building-Division Tout Perm, HuUdlg Commassioncr 200 Main Street, Kyuuus,MA 02601 Office: 508-862-4038 FU- 509-790-6230 Property Owrief Must Complete and Sign This Section If Using A Builder as Owaer of the subject property hereby authorise e- •J •J Q'1t•Tl� � 'o act ou my behalf, its all mattas relative to wotk authorized by this building peanit apphcstlou for' (Address of Job)&v S�sstur of ner Date Pdat lame ,j ' O:PORM3:OWH6RYE1tMLS9I0N fit.. fi� r S: l t Revisions , hBP�T� Z0PI{R1G SIARY � � � f`t Y�,e 1. THE EXISTING CONDITIONS SHOWN HEREON ARE THE ZONING DISTRICT RF RESIDENTIAL DISTRICT RESULT OF AN ON—THE—GROUND.SURVEY PERFORMED BY I� A� DOWNCAPE ENGINEERING INC.. ON.OR BETWEEN 3/17/03 MIN. LOT SIZE 43.560 S.F. t AND 6/13/03. MIN. LOT FRONTAGE 150' - T 2. DEED REFERENCE: BOOK.xxxxx PAGE xxx REGISTRY MIN. FRONT SETBACK 30' DISTRICT OF BARNSTABLE COUNTY. MIN. REAR SETBACK 15' 3. ELEVATIONS ARE BASED ON N.G.V.D. MAX. LOT COVERAGE 15' s°' ` 4. LOCATIONS OF UTILITIES SHOWN HEREON ARE _ FLOOD ZONE '�pwrt _ APPROXIMATE ONLY AND ARE TO BE.VERIFIED IN THE _ 4 emu$ FIELD. _ x— xxx �''� LOCUS MAP Not To Scale ,•: .wJ�f •er - Assessors Map 33 Parcel 26 W� - -f•-�_ T 'Nod' x _ _ $ >n ®, Project Title Miller C- � H� fib• �. '"4.� � 1P� hrG°N - ... _ J t .. .• - ' h r - o �• bb- 1 Residence Or fJ cs an Jia� \ i, ,t;�o - (� �` ' ra, l�&` - _ p. a, n r;:,c � a,ye 1 'ems - • .. - . 1�7 /.n(..z Prep I' muler X ➢V2 lr. IYi/t.VGGia75 - - as - H•�.y �„"na 1F// .,C /h�� o' i' ,peL .,� _ `. / ;' a�.rada,mt.. , ��� a°�ds it / / ,� �-•. $N9e \ �_ __ -- "- l - ir' 7 i- �F e .I 1v. ny _ are woes,.Agates� `ti.... „ _ o,.is47 y, 'ti•``.ti,- \ � `Oe' Et �i f b°de - i �.\• � �;78 0547 I FAX 39g 092C � Drowing Title . rr ___-_. 6 wlet/.ands lb Soto dp \et • 'r a'` 10 20 30 40 50 FEET . v _ Date Jut 9. 2003 Drawing No. . .. - Design A.M.W. : .. heck . Drawn J.V.B. A • Job. No. 2.1J21.00 - '� u - Last Rev, �F31�fig; i r