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0112 STARLIGHT DRIVE
f I� �-�-�' � ���� a Assessors map and lot number . .�.' ..ld: �(,�. . . . �. /NFp7j0 e-/. S�1Ty���F�STEM Sewage Permit number .......:............ `3........................... iQF�yT,9R )/ C, ST e U CF THE t� �. � �Titv O S'Tq� TOWN OF BARNSTABNo F i SAWST"M i Q039,ae� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........n .. 2. 10s.l.L.�y. ........................................... TYPEOF CONSTRUCTION ........................U-1.605.......................................................................................:..... ............................7�� .......19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location LaT....6. .... tiST. Ra.,1.G.)4 T....b�P�1.V.C....../11f�� L S....................................... ProposedUse .....Sl !? ...!'f?r 2i. ,,�✓. .�.14,..1.113.[i................................................................................................ ZoningDistrict ...........�.�/.................................:...............Fire District .... .,........................:........................................... Name of OwnerX�?l? .7%.. /.C. .�. .1 `•lk............ .Address .. t . '1 1� .... : �� s� .h?./C( S Name of Builder ....0 ,OZvi.c,.T1../3/4&t .../..A?.C:.........:Address ....................A�n ............................................ Name of Architect ...............�.K18h .e....................................Address ..................� / .�f..........:.....:............................... Number. of Rooms ...............�....C ...........................Foundation p-�✓P.. ctWCIZ: :............................... i Exterior ............. ......CLUAV.h..)................Roofing ........AS.PlYR. .. .:........:.................................... :...........................................Interior .......�......Y..:. . Floors ..............7!1 .... l�.l,> \l".............................................. �6 I Plumbing q Heating .f7Q .'t-.�4?. T! .2...................... ..............z....... .. ? ........................................., Fireplace ............:..:..`..... .�� :................................................Approximate Cost ....ap.;, AaQ. ...................... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area / ... ... ................ Diagram of Lot and Building with Dimensions Fee ..... �. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH LoTSIZ E IDS LoT 46 3a GAR NIAi N 'o u S E �91`c� � l » _ ,LSD GIN t o FRoN��o-T- � I hereby agree.to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �.! Name ....� a.. ...................... Cammett Builders, Inc.. 18339 one story, No ................. Permit for .................................... single family dwelling ............................................................................... k Location J.J . tarlight Drive . ................................................. Marstons Millls ............................................................................... Owner ..............................................................Cammett Builders-, Inc. ..........TypiVof.-Construction .....ffame........................... . ................................................................................ Plot ........................... Lot ......64 .......................... rl'l:" 26 76 Permit Granted ...... ... .......19 Date of Inspection -.A/ 19 Date Completed, ........19 PERMIT REFUSED .. ................................................................ 19 ................................................................................. ................................................................................ ................................................................................ ............................................................................ Approved .................................................. 19 ............................................................................... ................. ....................................................... Q � CUB• � � �' � ' M - 7' c"o V . V tw OF Aq CQ ' WkLLIAM o � c t p no 19334 07 �� a 2-07 IAJ ,a Hp S. / CEO i/,' 77//4 7 -r11E A 60V&- 2r--- S/�v��, /'--�v tiD�TJC�I`I GU�UFo,�-1•S 7-0 IMS-z?0" lti e e y/-A Vv5 X 7 �-4 AY Yam iNC Ie-.);� �� C-->5 V 14�6 el 1A/-L5.5,o c �� f oF�r Town of Barnstable *Permit#Z;(V�C; Expires 6 months f tissue date b 6¢� Regulatory Services Fee Thomas F.Geiler,Director A . 2008 Building Division o i i C Build ing CBO Pe rry,erry, , ung Commissioner lJly" TO BARN�TABL�� T f/ 200 Main Street,Hyannis,MA 02601 www.town.bamstable.m'a.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY /�/�� Not valid without Red X-Press Imprint Map/parcel Number 00 � )w 'Property Address r I, t e 0/ 04/s ko, M:ws jliA o?Kq [.� Residential Value of Work v(90cc Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1f4V4r7�11A !12 -5 (;4f J0/ /'✓IC O Z(e L Contractor's Name t rv, �� �i.��, Telephone Number _50)''26(J—Z 2U 2 Home Improvement Contractor License#(if applicable) /Y30S ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 73 0 5, 4-U7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles)•All construction debris.will.be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders:U-Value _(maximum.44) '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. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:bui ldingpermits/express Revised 121-}M Keating Gonstructi®n PROPOSAL a • _ Home improvement contractor registration: DATE June 12, 2008 143053 Quotation# 1 54 Lower Brook Rd So. Yarmouth MA Phone (508) 760 2702 Quotation valid until: October 19, 2008 Proposal for: Job name/ location: Mary Havanka Same 112 Starlite Dr Marston Mills Ma 02648 Tel 508 823 1678 We hearby submit specificatons and n r Strip shingles off Main house goof and rightside front Install new flanges around all vent pipes Install 8"white aluminum drip edge on all lower edges Install ice and water shield on all lower edges and 30 lb tar paper on remaining sections Install Certainteed 25 year three tab shingles Install ridgevent Total price $4800.00 Option to Install Woodscape 30'year algea resistant architectural shingles$300.00 free with coupon ° All debris and trash will be removed and disposed of properly Only items specified above are included in this proposal. Rotted wood repair and sidewall flashing replacement are not included in this proposal. Materials guaranteed by manufacturers. Workmanship guaranteed by Keating Construction for 10 years. We propose hereby to furnish materials and labor for the sum of: $4,800.00 Balance due upon completion: $4200.00- Acceptance of Proposal: Date of acceptance: Acceptance of Proposal: Date of acceptance: k- ' The above prices, specifications and conditions are satisfactory and are hereby accepted. I _ ................... ---- _—. ................__..... _._..... .: ✓/ze V�om>rnzoozcuea o�� aaaaclLuaett~a r Y :t. Board of Building Regulations and Standards License or registration valid for individul use only HOME.IMPROVEMENT CONTRACTOR f: before the expiration date. If found return to,:'. `�. Board of Building Regulations and Standards Registration j 143053 One Ashburton Place.Rm 1301. Expirations=67;14/2010 Trtt 268376 Boston,Ma.02108 B(A� . --ATING CONST. �l t MOTHY KEATI •LOWER BROOK�RO��" �.YARMOUTH, MA 02664 Administrator No valid without signature #'C'onstr'uCti6n tlicnl'Pt nfcti BuildinIf Rc�qfulatiuns Supervisor Specialty License License: CS SL 99351 Restricted to: RF / TIMOTHY KEATING 54 LOWER BROOK ROAD SOUTH YARMOUTH, MA 02664 Expiration: 5/11/2012 ('ununisshnu•r Tr#: 99351 i — "` ` ACORD CERTIFICATE OF LIABILITY INSURANCE DATE YYY)(--Y 03/04/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 34 MAIN ST HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WEST. YARMOUTH, MA 02673 INSURERS AFFORDING COVERAGE NAIC# INSURED Timothy Keating Dba Keating Construction INSURER A: COLONY INSURANCE 54 Lower Brook Rd INSURER B: CNA INSURANCE INSURER C: INSURER D: South Yarmouth, MA 02664 INSURER E: 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 OTH MAY PER ER DOCUMENT WITH RESPECT TO. WHICH THIS CERTIFICATE MAY BE ISSUED OR TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS UCH OF S POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTa YCOMMERCL-AL SURANCE POLICY TAIMBER POLICY EFFECTIVE Poucv E)fflRAnaN DATE(111IM"W) DATE(MwDWM UMTS A GL3326876 03/06/2008 03/06/2009 EACH OCCURRENCE $1,000 000 ERAL LIABILITYPREMISES(Ea ocwrence) f 100,000 mitu E F I OCCUR MED EXP(Any one person) f 5,000 PERSONAL 8 ADV INJURY f 1,OOO,OOO GENERAL AGGREGATE f 2,000,000 GENT AGGREGATE LIMB APPLIES PER: POLICY PRODUCTS-COMP/OP AGG s2,000,000 PRO• JECT LOC AUTOMOBILJ:UABIUTY ANY AUTO COM81NED SINGLE LIMB IF accident) ALL OWNED AUTOS BODILY INJURY IFSCHEDULED AUTOS (Pr Person) HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per acddent) f PROPERTY DAMAGE f (Per accident) . GARAGE LIABILITY AUTO ONLY-EA ACCIDENT f ANY AUTO OTHER THAN EA ACC IF AUTO ONLY: AGG f .. EXCEBSIUMBRELIA LIABILITY EACHOCCURRENCE f �.j9CCUR r CLAIMS MADE AGGREGATE f .... DEDUCTIBLE "RETENTION f f _ IFWORKERS COMPENSATION AND 6NPL.OYE w UABIUTY X TORY LIMITS ER B 7305A-6-07 03/09/2008 . 03 ANYPROPRIR/PARINER/EXECl111VE /09/2009 E.L.EACH ACCIDENT $100,000 OFFlCER/MEMSER EXCLUDED? IT yee,descdbe antler YES. E.L.DISEASE-EA EMPLOYEE f 100,000 SPECIAL PROVISIONS below f OTHER E.L.DISEASE-POLICY LIMIT M 500,000 OE smpr ION OF OPERATIONS/LOCATIONS'VEHICLES/E70;AMONS ADDED BY ENDORSEIAENT/SPECIAL PROVISIONS THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE WOKERS COMPENSATION INSURANCE FOR TIMOTHY KEATING J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL 21 DAYS WRITTEN NOTICE.TO THE CERTIFICATE HOLDER NAMES TO THE LEFT, BUT FAILURE TO 00 SD SHALL r.c IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE INSURER, ITS AGENTS OR ?F?' REPRESENTATIVE& AUITIORI�D REPR TVIE ACORD 26(2001/08) . . / ©ACORD CORPORATION 1988 'Town of Barnstable • anxxsrneuq, i059' Regulatory Services �� Fob" Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 " Property Owner Must Complete and Sign This Section • If Using A Builder I. /�G � U Lt✓l��� ,as Owner of the subject property hereby authorize �P Cl`f'� (i G L)e)S irL)* C-fi Or l to act on my behalf, in all matters relative to work authorized by this building permit application for: 112 - 44r I;4e 0, M61 0,i (Address of Job) Signature oelOwner Date (Al' t/ 6yG17 /ro Print Name Q:Forms:buildingpermits/express Revised 123107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kvi 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): k.6;4 f Address: .$I/ tower er (�r�l✓ �1 City/State/Zip:sO 41o,1,j fL- Phone #: Sok 2C,6 Are you an employer?Check the appropriate box: Type of project(required): 1.8 I am a employer with 1 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑Building addition [No workers' comp.insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C A I Policy#or Self-ins.Lic.#: 7.3,0S14 D 7 Expiration Date: 3�S tJS Job Site Address: I I Z ffW l rae 01 ' City/State/Zip:M5k,,,,M W /y1,4 C)?6y fi Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 1S Z 710 Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable *Permit# Expires 6 months from issu date Regulatory Services Fee � s + BARNMBLE, �iaass Thomas F.Geiler,Director i6J9 A�� p IV11� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address f 2 SkI l;k Q/ r�vJ'1��•�, U�!%/�/ G^'IA g Residential. Value of Work Z ZCv`�' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 4/"l DI 626t k Contractor's Name— /1 Pt 1.^! 5cl L el gr(o L rc t 474 Telephone Number SGIf^;'o--ZJo Z Home Improvement Contractor License#(if applicable) l 6/Sol Construction Supervisor's License#(if applicable) ("l�J 3 S I ❑Workman's Compensation Insurance Check one: -PRESS PERMIT El am a sole proprietor - PERMIT ❑ I am the Homeowner J U L J❑ I have Worker's Compensation Insurance 2010 Insurance Company Name 1 ,a/4 TOWN OF BARNSTABLE Workm'an's Comp.Policy# 62 LYA/))- Z-10 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side . #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Mcrosoft\Windows\Temporary Intemet Files\Content.Outlook\QK1H7J6E\EXPRESS.doc Revised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 w►vn.ntass.gm,1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electticians/Plumbers Applicant Information Please Print Leeibly Name Musines Organizationdndividual): �y Iftc 4-,°n r Address: S ( Z-yt,,c r City/State/Zip: MA 026 Phone#: S 4k- 7dd- Z?oZ Are you an employer?Check the appropriate box: Type of project(required): I.d I am a employer with 1 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1. ®Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]i c. 152,§1(4),and we have no employees.[No workers' 13.0 Other Comp.insurance required.] •Any applicant that checks boa#1 amst also Jill out the section below showing their workers'compensadon policy infoamasian. 1 Homeowners who submit this affidavit indicating they are doing'all wank and then hue outside contractors must submit a new affidavit indicating such_ +Contructors that check this box most attached an additional sheet showing the name of the sub-comractors and state whether or not those entities Dave employees. If the subcontractors have employees,they mist provide their workers'comp.policy number. I ant an employer that is proszdrrig iporken'conipensadoit insurance for my eniplogrem Below is the policy and job site information. Insurance Company Name: C n/lf Policy#or Self-ins.Uc.#: 022 t/4/,3I- Z-l0 Expiration Date: -7/s Job Site Address: 112 A.-Glee A/ City/StatelZip: M-I-C4 . ✓1'r ar dyi9 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failuree to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as cnril penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for iniw a ce coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Date: Phone#: S lJ4'- Wo- 2 7d 7— Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense# Issuing Authority(circle one): `• 1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.Plumbing Inspector : 6.Other Contact Person: Phone#: - 6 A�O >� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) . PRODUCER 03/09/2010 S IS THIS CERTIFICATE I S UED AS A MATTER OF INFORMATION I Schlegel 6 Schlegel Insurance Brokers Inc ONLY AND CONFERS ''NO'' UPON THE CERTIFICATE `D 34 MAIN STREET HOLDER. THIS CERTIFICATE OES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Yarmouth, MA 02673 INSURERS AFFORDING COVERAGE INSURED NAIC# Timothy Keating Dba Keating Construction INSURERA: COLONY INSURANCE 54 Lower Brook Rd INSURERS: CNA i INSURER C: INSURER D: IN South Yarmouth, MA 02664 ._ - ----_ .. SURER E: 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 PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF SUCH NSR A LTR INSRD TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 1 GATE(MM/DD/Yy) I DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY GL3594908 03/10/2010 103/10/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) S 100,000 CLAIMS MADE R❑OCCUR MED EXP(Any one person) g 5,000 PERSONAL&ADV INJURY $1,000,000 I GENERAL AGGREGATE 1 s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E O.CT LOC I PRODUCTS-COMP/OP AGG s 2,000,OOO AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY ' i (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY ' (Per accident) $ - PROPERTY DAMAGE Per accident) $ GARAGE AUTO GE LIABILITY AUTO ONLY-EA ACCIDENT g OTHER THAN EA ACC 5 ( I AUTO ONLY: I i EXCESSNMBRELLA LIABILITY _ J AGG S OCCUR 1 I P �—"� EACH OCCURRENCE g CLAIMS MADE � AGGREGATE g I DEDUCTIBLE S� I RETENTION $ I S B WORKERS COMPENSATION AND 0224N37-2-10 _ $ 03/09/20 EMPLOYERS'LIABIUTY 10 '03/09/2011 X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $100,000 It a under YES E.L.DISEASE-EA EMPLOYEE $ 100,000 SPECECIALAL PROVISIONS below OTHER I E.L.DISEASE-POLICY LIMIT I s 500,OOO i DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS TIMOTHY KEATING HAS ELECTED NOT TO BE COVERED ON HIS WORKERS COMPENSATION I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 21 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 60 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIN UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES TATIVE CORD 25(2001/08) V(� O ACORD CORPORA710N 1988 -AIM U �,��► 21) � s 3 r3 vx C I of WE BAMSTABM • '""ES. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. /M V-/q /V AA , as Owner of the subject property hereby authorize K ec 4-, f (()^.f to act on my behalf, in all matters relative to work authorized by this.building permit application for: t z 544 6 4 .D/- Me,(-rfw, /";1 i, nA o Zete a' (Address of Job) Signature of Owner Date I? Y #I-q U) N A-Y Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 Office�lie.�ion� of Consuin A-TIairs — _ HOME IMPROVE °$jness R — _ ' Registration: MENT CONTRACTORg License or r tA143053 registration v �- Expiration: ;6%14L2012 Type: before the expiration d valid for individul use only K` =—` pBA Office ofConsu ate. If found return to: • IN' CONST!` = 10 Park mer Affairs and Plaza-Suite 5170 Business Re 7 "� Boston Regulation 'rim MA 02116 " KEATING = 'li" .. 54 LOWER B �' ROOK,R' SO. YARMOUTH Undersecretary Not valid with signature - i I • '` �)1 «�.ichuticl ti Dq)' tmcht of f'ublic Satct� ' Board of Bui,ldm�= R0401ations and Stand Cgnstruction Superyisor'Sc ped Ity. License --license: CS SL 99351 Restricted to: RF TIMOTHY KEATING 54 LOWER,BROOK.ROAD SOUTH YARMOUTH; MA 02664 it Expiration: 5/11/2012 ('unnnisinncr ' Tr#: 99351 - } " hypuST SE Assessor's offioe (1st floor): // _ Y Assessor's map and lot number ...�O...Q.- �J..O........ I` � vY� ®f�3Pllp►f�ICE �o�TNETo� Board of Health (3rd floor): ;�lTI'I TITLE 5 .C°..........0:�.� ^.i� E�NTAL CODE AND Sewage Permit number .............. . . Z BasasTsntE, ; Engineering Department (3rd floor): +OkWN,REGULATIONS 'moo •b 9 House number ,sue APPLICATIONS PROCESSED 8:30;-9:30 A.M. and 1:00.2:00-P.M.-only TOWN OF BARNSTABLE BUILDING [N-SPECTOR APPLICATION FOR PERMIT TO ..... .. !f .....�t .... .. (. ':�. . TYPE OF- CONSTRUCTION /C/C.....IcO.Zoe.q.4..........................(............................... .cc.;. ......3..1.............I 9.e6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......�.� SIM—1.�.. �. .............���/.�........ LJ.....Oy........ ... .f... .. ..;�i�..��..................... ............ / Proposed Use ............. l .i ... ..... .................................................................. ...... Zoning District .�.....................................Fire District ...........00 �... .. ......................... Name of Owner ....G.Qf'YqA....OAM!464...................Address ........I.�D�.....5.����.�. ���.....��.�.V.�............. Name of Builder ....Address � 0� 30( f?AP0Ir&.A'IV........... Name of Architect ...........I. .V.j.I.G1...C�............................Address ..................................................:........................... .../ LCt Y /Eo�iw S Number of Rooms Foundation ....000tQ� Z f S ....... i...�.+ ..... .... Exterior ........../...:.... 1........:.............................................Roofing ............ sr.%w 1 / .... a //y�� ............. FloorsC .............................................Interior ...............J�;V..IJ�. .................. ...;........................... 77 Heating ..................................................................................Plumbing Fireplace .....................Approximate Cost � aQ" Definitive Plan Approved by Planning Board ________________________________19________ . Area ....... J ....��......... Diagram of Lot and Building with Dimensions Fee -- ......D.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i /GD Xj I w c v n, ev F o ,r� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .. ..... ........................ Construction Supervisor's License .. ��. . SP� HAVANKA, GUNNA No 30126 -Permit for Build (2) Car Garage - - ..- Accessory to Dwelling Location ..112 Starlight Drive.................... Marstons Mills ....................Gunna Havanka..........W .....+........... - ` per_. ,� t' ., �� .�' S,',y 1 ' Y .�........,_.4_. ,_ _ �' ,.�.,y_ ......__ s,_...N:_,..,•.,...a�...�,.:.aa _ �;'. Owner ......................................................G ............ Frame � �"` �, :- „� �` is-...� ,•¢.f � } - r ,,-;, � i • Type of Construction ..........., ..... ........................... .......: ............................ t, .-r ^ :ry •Z - y • } '_ _ i ; _.' . .. a' !f 1 Plot ..... .................... Lot r•......... .............. J ..ter j i 4, «k .' r r� i• � �N Permit`• Granted ......November...3 .........%19 86 y t , f Date of lns ection ... .....19 Date Completed / �°°� 4 -1'9 .�'r 0 s i • - ' ' _. _ .L:� ^ lam' � 3 = �� �A� � ;+ `� • ' Assessor's offioe Ost floor): Board of Health (3rd floor): Engineering Department (3rd floor): 1639- TOWN OF BARNSTABLE BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information,/ Location ........).(.A............ .......raq..........N Proposed Use ..............PIR k V, Name of Builder ... I .. ...c 4...... ..........................................A.1em.ck-mg.1......... /C/ R............................Address ............................................................................... ly Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Nome � Construction Supervisor's License —=+}=� ',�]���—' HAVANKA, GUNNA No ....30.1.2.6... Permit for .,Build... 2. ....Car Garage Accessory to Dwelling .......................................................................... Location ......112 Starlight Drive ........................................................... Marstons Mills ............................................................................... Owner ....Gun.na..H.a.vank a.......... ............................ .... .. . ........ . Type of Construction .......Frame......................... ................................................................................ Plot ............................ Lot ................................ November .3, 86 Permit Granted ........................................19 Date of,,-Inspection .....................................19 Date Completed ......................................19 Assessor's map and lot number ........ Sewage Permit number .............................. ............................. TOWN OF BARNSTABLE BARNSTABLE, VABIL 1639.'Ar. BUILDING INSPECTOR 51fj(-..Ir- /r.0 1 . r I I Aj 4- APPLICATION FOR PERMIT TO ............................................ ........... TYPE OF CONSTRUCTION .........................U....-)..e.- . ..................................................................................................... .......................... I .......19.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....!..07....(.a.... .... "ijotv.v-rAA)-T /71)t-t-S ... . . ... ... ... ....... . ................................................................................................ Proposed Use ..... .............................................................................................. ............................. Zoning District ............IQ Fire District ....r — O ............................................................ ....................................................................... fi�, Ir Name of Owner ..............Address ..:�n i .. ...................................................................... ... Name of Builder ..... . .......Address .....................-51,�2Z-n.r................................................. ........ .... Name of Architect?*q 11. 1 ................................................Address .................................................................................... 61 ,c, C--�Zj;�f�r Number of Rooms ........................ ...........................Foundation .................. .!7 7e, ................... ....................................... Exterior ..............S,4 I A i je- < 11_1 I.A/? A)....................................................... .......................4.............................................Roofing ........ ..................... .........Interior ..................................................... Floors .................. Heating ................. ..............................Plumbing .........../ 2...... ...................................:...... .... ... ... . . ...... ... ... . ... ... ... ...... .. Fireplace ...................... .........................................................Approximate Cost ....41�...M.1)........................................... r,Jf Definitive Plan Approved by Planning Board -----------------------------19--------- Area ... ....... Diagram of Lot and Building with Dimensions ) Fee ...... ............................... • SUBJECT TO APPROVAL OF BOARD OF HEALTH L E LOT --A\ I GAIR A(n- 57 -A Ml-k- a-ij J Q? FRONT LoT L(%\AE I hereby4agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above Pconstruction.. Name .....N..... j Cammett Builders, C. A=1.90-50 18339 one ry�No ................. Permit for ..............�t�o....,111 ....1 single family.dwelling..........' ...... Location Starlight Drive ............................................................... Marstons Mills ............................................................................... Owner Cammett Builders, Inc. . t Type of Construction frame Plot ................ -1:btw.... ......4k64 Ap '1 26 76 Permit Granted ........................................19 Date of Inspection .................... ................�.............19 t. Date Com leted ..............................19 \MI.T....I.EFUSED ........................... ....................... 19 .......... ................. ' .......:....... ......................... ..................................... ................................ Approved .. ............................................................................... ...............................................................................