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Home My WebLink About0096 REGATTA DRIVE 20 10131 b" V, 06 ( 9 � � lime Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee y D . anetvvsrnB�, • 1639. Richard V.Scali,Interim Director Building Division I Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 OCT 2 www.town.barnstable.ma.us 2014 Office: 508-862-4038 TOWN cF�: S��7u��I��LE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL lYot Valid without Red X-Press Imprint Map/parcel Number(�0?1Sp'v� �sr o Property Address -/v i- e SS L�e, { "(I� t7i�J 1 [f Residential Value of Work$ b,f _ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address d wv-; ovm Contractor's Name Telephone Number sDo Ida eW Home Improvement Contractor License#(if applicable) l 3 d S 3 Email:'IPA llGc k� &0 !.z+� 4er'-. Construction Supervisor's License#(if applicable) I �f OWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name A Workman's Comp.Policy# 0' Z Z LfJV,?_)"2—1 U Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to_ l" ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows - #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "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 require . SIGNATURE: TAKEVIN_D1Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 Office of Consumer Affairs&B sines Regulation License or.registration valid-for,individul use only HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to: Registration:.}=1.43053 Type: Office of Consumer.:Affairs and Business Regulation Expiry#ioa; 6/14/2016 " DSA 10 ParlcPtLaiu3.�4 Boston,lA(1211.0 KE `1NG CONST ; TIMOTHY KEATING- , 54 LOWER BROOK RD SO.YARMOUTH, MA 02664-; Undersecretary Not valid without signature i n . i - - 9 v Massachusetts De_ ---------�----_ _----�, .( partment of public Safety f Board of Building Regulations and Standards 'Construction Supenisor,Specialri License: CSSL-099351All • ter•.r I�Tim B Keating _ . ' 54 Lower Brook Road -1�, South Yarmouth kAy664 , = J/ 4 �C Expiration Commissioner 05/11/2016. Restricted To: CSSL-RF-Roofing CSSL-WS-Windows and Siding Failure to possess a current.edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit:. www.Mass.Gov/DPS l The+ �t ��e4trrt��nr�tlar1' lA�� ,� F Worken' Compeusatinu lmuraace Affidavit. BuOi der,�l yank� cln�.s1E1Rc_,ta La 0F1 �apli ant Infolmmat iou Pfea�e Print T,e»ib y -- — y NNW M-usims- City/State Z-5 Ll_ _ _ dW I plaone-##;_�SQ 7d 0 Z 7d 2 Am yo u on emplo),W Check the aPPrt2pt�stte IGoat - -_ --- --- -- i epoce with �_ I + � tip-r 1Qve - ' r + )* Isar lined the qub-ea#t_mgq I �> New eomtauetaoa - it�ted oo the Este€bled feet: I 7= [ Ituodcling• m-a sot®proprietor or paxin_e eWp sari InlVP na en>ployeea Timm h ay ea EJ Demout on. . insurance? ►o 1�u ictsa�a tesep (Notvos3cet'qa eesnP wnu�p comp e� _ (-� F ➢0,0 RIM Fit rt'iiasr�o a u r=ta celesred i�Te Pre a epx 9ra�etou and its s r_�_ .,_ ie s e exe s erg 4.,� i am a h6fa6p-Wo cr Ing in Wow 4� � �T� _ act eh ,.. 11..E-1 F-Imbin mpgt.n of odd tt;,'% mymlf(No tvaf}-en,go w rig$t of exemption per MOT, tn_ssnee re VirSd, .t c: 152 §1(4),an,4 we We no ' eou�,in�uranes recluued.� '!day pptitp;O-At a mc*s bQg#I mu_g ei}o fial out Otie 5KOOn helot'5,hq mg their swo*ej ,imp nianna i 1 k141>d►k9uet wbp tttAm41 BWS' tl�attt Et# gy ire a9wg Qtt 6�4#t B4eR L�§fts 97itatite 641mn€igrs e440 gB14tt49 a A_e111 asoa'1'xt inWeg bu€0. gCoutroxim that ChKk Ch!g ba?t t y519MOW p wid e i.-II Auger§h"i-n the A4 m of OR stab=commc_eat€604 gete'8Yheth,et m Lm ttrmg eat.wn NY@ etuployt es, If the 4ablantr mra WO e.IDPloyee5p FbAY=51 pmV ide Ater a;arben,cpmp,pql a'Y nNwber, 14101 ntt�rerp►o,�er�tlent z��►ccrarid�rt�ert4t^kgr�'c'Altsp�rts�dQrt�It41tr�(tel�'c,,f^9t'reRy cuspl�� $efoter��tlte,�olt�y arts�,jr�k�fte_ - PO Y 4 of 5t'UNns,Ltt?,A6 [ lcpu�i�rtu Late; S l J Job Site Aftmov -/6 rL els a-< l7�'- +�fWSlate/Zs'p, Attach a copy of the work er s'entnpea�tttfoa policy declarnttgn page(sholving rho pnite3=numbers tsasl eapllemteon d9tte), Failure ur@ TQ @e€,nee coverage,A9 rgqaue 1 rant ear Se'_ 25A of M c, t 5 can lead�A iao tao ttlou n cttisu nat penolks of tt up to l; t 99 an,of R tr f �M 1➢ ill 04��FlI i a+ form of A STOP�Wad of >11 d a sf tt to$ 59,t19 a y against elat v c>}ator, Ble AdAr€sed that o Fly Q 001 ttateu�eut�ua�y�e Iot'v�arctt'4 to�Q,Office of trine ti at o Qf the A fhf is ufauce-cove-rage ven lgatj n, I fit? er�l: eEr ►fej rttt :r t,1t91 in reds r t p�per�tttY Mot il10 Infor+loofiell, n"Ided o��n 1,tyre gild correcA . ' hire D fe Z� ctrt nifo 9111"y' Dry 110t es 400 In dtiseraratpleted by dl�or Torvrt Official MY 04"Tomp; Fcr!,�tt/L_a!4SengR+ Itt�ul4wg A QtlaQritr(c�lrolg one)1 -- - - - :13ar►r l n#Health arl�ing Dep�w"meat I ChyMom Clerk 4.E1ectriicA Ia►o5pectow, S,1'Iumbing 1tvectar 6;Other Cm4ni�g Etta l'hme-M f s iARNSTABI.E. + Town of Barnstable Regulatory Services Richard V.Scali,Interim 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 as Owner of the subject 1 property hereby authorize Mee,ee, /0�0 c to act on my behalf, in all matters relative to work authorized by this building permit application for: or 0-1cl"'V19 (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN_Muilding Changes\EXPRESS PERNUDEXPRESS.doc Revised 061313 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) F04/16/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ' OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: PAUL SCHLEGEL SCHLEGEL INSURANCE BROKERS INC PHONE 508-771-8381 F"X 508-771-0663 (A/C,No,Ext): (A/C,No). 34 MAIN STREET E-MAIL aDORESS: SCHIEGELIN,5URANC�@C2UlzL CQM WEST YARMOUTH MA 02673 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:COLONY INSURANCE INSURED INSURER B:CNA Timothy Keating Dba Keating Construction INSURER C: 54 Lower Brook Road INSURER D: INSURER E: South Yarmouth, MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR YWD POLICY NUMBER POLICY EFF POLICY EXP (MMIDDIYYYY) (MMIDDIYYYY) LIMITS A GENERAL LIABILITY GL3594908 03/20/201403/20/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ 500,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 000 I PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2,000,000 POLICY JEOT - LOC - $ AUTOMOBILE LIABILITY UUM (Ea accident) $ ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE - $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEO RETENTION $ $ B WORKERS COMPENSATION 0224N37-2-1003/09/201403/09/2015 wcs A u- O H- r . AND EMPLOYERS'LIABILITY YIN _ TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1OO OFFICER/MEMBER EXCLUDED? NIA ,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 000 If yes,describe under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) TIMOTHY KEATING HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPESNATION POLICY 1f C CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. c AUTHORIZED REPRESENTATIVE 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of AC 1 r Town of Barnstable *Permit# Regulatory Services Fee 6 aedare i�miss t anaxsrasis MASS' Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 4t< Or a [1 Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address OT, Contractor's Name 1-11711 /(Pt .0,1 t Telephone Number .Sa.?? 210• 2y? Home Improvement Contractor License#(if applicable) u 30�3 Construction Supervisor's License#(if applicable) f .3-F/ ®Workman's Compensation Insurance `�P Check one: 5 � ❑ I am a sole proprietor No V ❑ I am the Homeowner 2009 ® I have Worker's Compensation Insurance 7-OVVN BAFMS' Insurance Company Name C-11r AB 1 E Workman's Comp.Policy# 736 36 i - o 7 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\NficrosoffiWindows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 �S M • r BARNS7'ABi.F4 � 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, 0 yC M4145ch""., , as Owner of the subject property hereby authorize �rP� f�'nt to act on my behalf, in all matters relative to work authorized by this building permit application for: fe 1Y/,;fie /yLv e' (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\LocalMerosoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5 O\EXPRESS.doc PP P°�' Q Revised 090809 I Zhe Coaunonrvealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.nras&gosldia Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectriciansfPlumbers Applicant Information Please Print Let=_ibly Name(Business/Organintionatidividuai):�f;, t_ec fi, Address:. S t/ �,d�✓t..- �Src� »D City/State/Zip: &,em-A, L fi 02 r Phone#: 70- }7QZ Are you an employer?Check the appropriate boa: Type of project(required): 1.M I am a employer with 1_ 4. EJ I am a general contractor and 1 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. 0 Remodeling ship and have no employees These.sub-contractors have 8. Demolition working fos me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance-1 9. ❑Building addition required-] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11-F]Plumbing repairs or additions myself(No workers'comp. right of exemption per MGL 12.[_1 Roof repairs insurance required.]T c. .152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.) *Amy applicant that checks box#1 mast also fill out the section below showing rhea workers'compensation policy information- 1 Homeowners who submit this affidatot indicating they are doing all work and then hoe outside coutractors must submit a new affadatit indicating such. +Coutractors that check this box must attached an additional sheet showing the nacre of the sub-comas ms and state whether at not those entities bate employees. If the:sab-contractors have employee%they tmrst provide their worker'comp.policy number. lam an employer that is providing t►rorkers'congmnsaden insurance for rity employees. Below is the policy and job.site information. ,p insurance Company Name: tf Policy#or Self-ins-Licc.it: _ ® � 'd.-d17 Expiration Date: 73/f/ ?dlli Job Site Address: !6 K�l c�f5 f�i� Cityistate/zip.1 fie, &rfi ,,mr /`tJ d e4,e 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 hertabv cerh.,tinder the(paains and penalties of perjury that the information pro4zded above is trrre and correct Signature: -� 1 Vl -Cis—� Date: Phone#: Sy d 2 Official use only. Do not write in this area,to be completed by city or town official. City or Towu: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: I c:ERTIFICATE OF LIABILITY INSURANCE DATE,MMDDYYYY) PRODUCER 05/21/2009 SCHLEGEL INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 34 MAIN Si HOLDER. THIS CERTIFICAT E DOES NOT AMEND, EXTEND OR ALTER Tuc rnvcnAr. __ ____ _. - _ _ __._.._ ... aueL c4 imE r11JIUCIE3 BELOW. WEST. YARMOUTH, MA 02673 I INSURERS AFFORDING COVERAGE NAIC# INSURED Timothy Keating Dba Keating Construction jINSURER a. COLONY INSURANCE i INSURER B: CNA-INSURANCE 54 Lower Brook Rd .-_ _ INSURER G INSURER D - South Yarmouth, MA 02669 j COVERAGES INSURER E I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMFn A rylp cr)O TLIC On,v^v nr- i.�.JY �"-"'•' ;;:,�;�,iiieii. ;-iui vvii HOilil`1 LJIf'IU CUNu)T!ON ut' 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 pF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR iINSRDI TYPE OF INSURANCE ^' POLICY NUMBER POLICY EFFECTIVE POLICY ERPIRATION —'---- ------ I I GATE(MM/DD/YYI DATE(MMIDD T115 LIMITS I A 1 ,GENERAL LIABILITY X,r GL3326876 03/10/2009 E 03/10/2010 i EACH OCCURRENCE is 1,000,000 is ...-, '` { PREMISES(Ea occuren e) S 100,000 I j CLAIMS MADE I X OCCUR .— � .._ MED EXP Any one person) I S 5,000 PERSONAL 8 ADY INJURY �S 1,000,000 GENERAL AGGREGATE (S2,000,000.•,^-- A UEF''L AGGREGATE LIMIT APPLIES PER I — -.-.. ! �xr POLICt i i > 6G, .�V ;AUTOMOBILE LIABILITY 4 ANY AUTO. I COMBINED SINGLE LIMIT 1 - - - £(Ea accident) j S ALL OWNED AUTOS SCHED'JLEO a:ITns BODILY INJURY ! - i ';,�:a/ro,an«) _•----' I . - ter--- ----- _ HIRED Aures I Y NON AWNED AUTOS BODILY INJURY i (Per accidem) I S L PROPERTY DANIAGE 4 i (Per accident! I j UAKAOt LIABILITY .. --... l ANY AUTO f i - 'AUTO ONLY Ea ACCIDENT I S I i I OTHER THAN EA ACC S ( AUTO ONLY. AGG S EXCESS/UMBRELLA LIABILITY 1 i I EACH OCCURRENCE I S OCCUR I CLAIMS MADE A611I1EGATE I S t I DEDUCTIBLE I: I S :RETENTION $ I jS j WORMERS COMPENSATION AND i f 1 X I L A t h H- c I EMPLOYE RS'LIABILI TY i _ _ _ ` f.. r TOR_Y!.!:!ITS ANY PROPRIETOPiFAF..TNER,EXECUTIVE rJVOA-b-U'/ 03/09/2009 103/09/2010 i OFFICEPIMEMBER EXCLUDEDI E_I EACH A_CCIDENT, j 3 100,QOQ _.._ 1 - �,__.__..__._._..._....._.�__, If yes,describe under I it E L.DISEASE_EYA EMPLOYEE 3 1- ,OQQ.SPECIAL PROVISIONS oei YES _ --- ' {OTHER ` El DISEASE-POLICY LIMIT �g 500/OQQ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLU510115 ADDED BY ENDORSEMENT I SPECIAL PROVISIONS rHE WORKERS COMPENSATION POLICY DOES NOT PROVIDE WOKERS COMPENSATION INSURANCE FOR TIMOTHY KEATING ^ERTIFICATE HOLDER NO CERTIFICATE HOLDER ON FILE CANCELLATION snout-n AN•/ �F „o,,,,� ...... _.._.__ y- %.. .......,ELLEu BEFORE iH[ tErtMAT10N DATE THEREOF, THE/ISSUING INSURER JW..ILL ENDEAVOR TO MAIL 21 DAYS WRITTEN NOTICE TO THE CERTIFICATE HQLDER NAOED TO THE LEFT, BUT FAILURE TO DO SO SHAH IMPOSE NO OB GATION OR Ll jdi 1 �RY !, ANY MIND UPON THE INJVRCM, ITS AOENT9 OR REPRESENTATIV S. % ✓` L F. .__._. CORD 25(2001t08) �`.,•. , 0 ACORD CORPORATION 19RR �la„achusctts Dep:ii tnacnt of.Putal►c 5 rfcri Boar(t of Buildim" Rcgulatadn.:and Stand trds j Construction Supervisor Speaal#y'Licens e License: CS SL 99351 Restricted to: RF TIMOTHY KEATING 54 LOWER BROOK ROAD SOUTH YARMOUTH, MA 02664 'Expiration: 5/11!2012 '� (,nnmissiirncr Tr#:99351 i ' ��v�aoaac�iudet�a as 13oai its r lauth mg L+�yid'1lim s anil SY�nuv'Js HOME IMPROVO) ENT CONTF Aff' R { Registrati4rr. x .. 143053 ,.` Expirat c i 6/14/2010 Tit 268376 i' Gd � Tyt,e bBA�r i' ll+ ( rI I KEATItJG CONST' T.IMOFHY.KEATING 54 LOWER BROOK RDA S0.YARMOUTH MA 026E" I Admmish�tor :...------- ar :r , r. '`" Orr=C bctorc the eaprraUitn I r c !r found;rchtr ;!.. Bo t d C,t Birtl(�m g Regt,.rtr °+ts O to ASllbiirtou Pface P a 13of f, ao5t0n, YIa.02108 1vo V.tlt<l 'it If; it sip � n a to a . TOWN of BARNSTABLE "A CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 037 GEOBASE ID ADDRESS 96 REGATTA DRIVE PHONE (5.08)771-10401 HYANNIS, MA ZIP 02601- I LOT 32 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 15660 DESCRIPTION SINGLE FAMILY DWELLING (,PMT.#13051) PERMIT HYPE BC00 TITLE CERTIFICATE OF OCCUPANCYx CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY ' * BARN3TABLF., ; MASS. OWNER BAYSIDE BUILDING, INC. , i639. A�� ADDRESS P.O.BOX 95 E� CENTERVILLE, MA BUILDING DIVISION BY DATE ISSUED 06/06/1996 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT PARCEL 1D 000 000 037 GFOBASE ID ADDRESS `6 REGATTA DRIVE PHONE (508)771.-1t) HYANNI&, MA ZIP 028U1.— LOT 3LOCR LOT SIZE -` DBA DEVELOPMENT DISTRICT PER3�IT 1.3051 D 3SCRTP'171ON 5INGL.L F MI*.j DWELLING (SEW_PMT_#95-604 j 1�EFit1T 01 lYI'�?, BUI1aL> T:rl'LE NEW RESIDEI1'�'ic'�L BL,DG PMT "'ONTIzACT01I.t2 BAY.:;ID1, 3U1 ,Dr NG, t`ic Department of.Health, Safet3 AR C:I IT EC S): and Environmental Services TOTAL i+'E:P - .$1t5r _00 U)h/i U 7�7 _ C r� cL y ^_/ %�,�l.0U� � Qi► c Jtt.�.., 1:C1�1�{1� i.`.)t l_,'�O'ST.�'.� y71.''t,( �.U�.JV_�V :JINGLE U'AH -?OME DETACHED 1 PNIVATE P. * r. • `* 3PABLF, • ific BAYS MIS t' BUII{DiNp DIVISION i'NTE y.�I F, MA ' V' DI:T-f i<:>;aUED 02/01/1.9G-6 EXPIRATION DATE 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 FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS 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- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ,r.�.»4W�,�' �N tee, - 3 1 EATING 114SPECTION APP96VALS ENGINEERING DEPARTMENT 2 BOARD OF H AL rt OTHER: SITE PLAN VIEW APPROVAL ^ WORK SHALL NOT PROCEED UNTIL 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 :_ . .' '._ t.. � � is • . I C I At"1"A I I � 1 I _ 14, 1N � V i I ' I 4 _ , �. opal isPAt S� cwrSto Q j ;, T/ /EO1. P407 , AI NNiS i TH1E �I-oo , . � �G .7LG'v�cwta..�VOFi TNA N�Ty4G 4/.f! j 164�8 XrC.T C�C e50 �N36YGE �4 � �G/NC�.II �• . I T-B.QSEO A�f/ �2�6 STE.2E,l� O SU.e/i6y�.e . l �1 .�`r eu✓r� rs�u.�,i� s:;-. .... ......... ._..._... a-, 2�✓.camp- D�•rv�ETS S/,�oJ�y S�',(G1C/L� N07' U.SEO 7"� OETE,�itr/.!/E ,LUT /NHS_ Ajtz,='4/CAl-4P'- POIZ1.v4 4o ING Im Assessor'`s Office'(lst floor) Mali•"�'� Lot T), r ' —►4' Permit# /30 S t / Conservation Office 4th floor Date Issued 91p t Board of Health Ord floor r --6 ' Cb va ® En ineerin Dept. 3rd floor)- House# Planning Dept. (1st floor/School Admin.Bldg.): ' ®°� "a Y i RMNYreecs. i 6 Definitive Plan ApRroved b 'Planning Board 6-� pal °.�� ♦ OA A licatio rocessed 8:30-9•:30 a.m. & 1:00-2.00 .m. 4 C r \ TOWN OF BARNSTAB E Building Permit Application Q� <<' Protect Street Address q6LC? . ' Villa e a w1YG4 Fire District Altfatt Owner axL Address Teleohonc �7-7 1 GO qO Permit Rc uest: L%- Zoning District &C Flood Plain Water Protection Lot Size d1 l, get 4, Grandfathered Zoning Board of Appeals Authorizations Recorded Current Use `/�"t�`,Gvk.�` �I Proposed Use 1 Construction Tyne Eaistinz Information Dwelling Tyne: Single Family i/ Two family Multi.-family Age of structure /U � Basement type l ,4 epD Historic House Finished Old KinHighway Unfinished Number of Baths c No of Bedrooms' Total Room Count not includin /baths First Floor 7 Heat Type and Fuel �%t/i/G 1. — 'WJ Central Air YRA Fireplaces Garage: Detached Other Detached Structures: Pool Attached 1-91 COA Barn None —^ Sheds Other Builder Information Name Telephone number 7 W— �O`f.G Address 5 License# 0 56 YS Home Improvement Contractor# — Worker's Compensation # tLIC 2- ZU L 7 013 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-6 l Project Cost I q 7 Fee SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY ADDRESS VILLAGE OWNER 1 DATE OF hNSPECTION: FOUNDATION . FI2AIviE i . INSULATION FIREPLACE , } ELECTRICAL: f ROUGH FINAL , PLUMBING: `ROUGH- FINAL. GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ' r ASSOCIATE PLAN NO: • 1 � i � 1 r i ± . r t ' _ . .. _._.-_..... I 19 5'9L1. =S':5L•t' a' .P¢E 59uRC "0 _QEDR �O A 2 - 3 O 1 GARPE-i �9 - I I! I 1 u I_6o� 1 _ aEF _ � y� N CATN C72AL. 7Zitn 24 I ' u m _. o vLl �1�F . } s I I to R-E 1 m f1AlF. 1-aOu(L pool ( .I I II I 2 B'/ I - Q I � CE¢e/MC TIC I ; � � I N i ,1T CA'111Ep2AL i i 2 N � Pt1ll-nwvN i. .�IIJi�dV I It IL_ 1� 4•SL,.. r l i � .4"CANGR- SLA3 T a el PITG.H 2" to 1700R. ..... _ reF.re i/nle - .. '� 30 - I m 00 I Z � _ IO"GOLV/�N�j. Pj FY S.nE RAIL cN , l" G2x ST ! I - _ 1 `— A : i II .I i II iI 1 !� li Ili�� lllll I • I ,i II II I�i 1 I� I , I-- Tr I ; ° i I L 13 I f it ! �; ti ii.11 I --. ;f I� l�CIun EL H EEEit a I _ .ram u II T a I ' (—T i l N•" Ili'•�Z � ,.� � I '� pia o R I K f r prow, 9 I� I SUP L ,r U i l I o Oy w• "�' °I F � o z I' ro I •a . r � i n • I n o+ 41�• CO _ � S � Ott QSTY S" • J ?JJ' I� L ILA_ CC�K S� D z ,I , P� C c � AT---1, jevT'fog f6'Ooo2 `4 i I I -a tot ro �. Op I^ a r I n l n I t or - 1 jL I •- I I j I II-lo„ o i -- - - -_-- - -- - - - - --� _ _ r--1 — � , --- -- - -I . i - -- - - — --. L- J - - - - -- - - -- --' 3-2 d-re" !$-10'/z' /3-fo��:'• Ire' .•'J� ... i I c , W ' _ — Q ' 1 -�. _.I 3 r/y�,..26A/J_C{7tfterA/f i s -- r i 24Y LQfq ?t�2"fOGT/A1(a5 Z:4.�. nt i t�ptac. P�Z I 0 ,• I I-lo y�; rn mZ0 in L 1_8_ V- 47 r — —, 1 4- I I -I —------ ,PR r r -: IN I ' of rjs.� I----- - j _ r ; L, 0 I I p . N I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR. QUALITY ORIGINAL (S) DATA JFiN-23-1996 07:52 FROM TO 7750155 F'.01 //Z RAILY �1 \ do VA 14- lot- 447 4-1 :ail wr. ,: : • - �„� : . , .. ji :.a. ��a 77•• AL l,R -I-l- TV 4-4 ISPast 11-brand fax transmittal memo F of paste► �` cm S'M Jv QfJ PW a O k • r. RM# Fax 0 %t1w li �Iw� C.prV{ Wpm T" gI�WS 0 - . Mar, OF 'fDy l O• lell WASL& t-A&ID row RAJ 3 G9 . '' to Tip£ .Tt,o mh t," T�'S t•�U�•: ;t�' .f�Ct" . # �]• !oi:i. �.t1 `��S'tgc�tl�l�?T c ti..r t�.. � � N yip 'T"E OAFI.es: -44mxti IV.•a M+44. r tiGl ri -% r-61-7-AUJ 14d C �nR-Y7 e V I J r tM4C TOTAL P.01 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ _ �` OF I ONE ASHBORTOKPLACE,_ e MASSACHUSETTS pIl/ta�/. �• LICENSE EXPIRATION DATE CONSTR. SUPERVISOR -- CAUTION 04/1 9/1 9 96 EFFECTIVE DATE LIC—NO. I FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE '� r'T: "�" 06/30/1993 005645 PRINT IN APPROPRIATE BOX ON LICENSE. BRIAN T DACEY >' ° 62 FERBROOK LANE BLASTING OPERATORS SS 1f 027-46-5956 Z CENTERVILL MA 02632 Z MUST INCLUDE PHOTO. - t PHOTO(BLASTING OPR ONLY) Ffb o.oi^'"' PAS NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY � � �� HEIGHT: STAMPED-OR-SIGNATURE OF MMISSIONER-. DOB: 04/19/1956 2 2 1993 THIS DOCUMENT MUST B 7 « SIGN NAME IN FULL ABOVE SIGNATURE LINE - CARRIED ON THE PERSON Or- GNATURE OF LICENSEE THE HOLDER WHEN EN I!%'�� •.�e�e OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATIOK OIt q V - _ = COMMONWEALTH OF MASSACHUSETTS =_? DEFAIU^v:EN'T OF LNDUSTRIAL ACCIDUM w- 600 WASHINGTON STREET . Car-nooel BOSTON, MASSACHUSEM 02111 fames Orrmssrone' WORKERS' COMPENSATION INSURANCE AFFIDAVIT; (licensee/permiaee) . with a principal place of business/reside'na at: do hereby certify, under the puns and penalties of perjury,tfiar. [) 1 am an employer providing the following workers' eompe=tion coverage for my cmployeu working on this job. ` 'Insurance Company ,. ., Policy Number (� 1 am a sole proprietor and have no one working for mc. or r homeowner circle Font) and have hired the contractors listed below` contract � 1 am a sole, roori�ctor, nenl . P _ wno have the following wor rs compensation insurance policies: Name of Contractor' �..: Insurance Company/Polity Number Dame of Contncor ;. Insurance Company/Poliey Number Name of Contractor . Insurance Company/Policy Number ; 1 am a homeowner -tormin 'd the work,mysdf. NOT-- Me sc,bc zwtrc tssz'wbilc borneoWncrs wbo ernaiovpersons to do Maintenance. construction or repair-ark on a Cwriiinc or,not wore tbtn tnrec'uatu in—mcn the noracowner Liao resides or on the rmuoas appurten=t.tnercto,are Oct [taerail} consioercd.to.bc cr_olavers uanrr =C Womcrs' Coronensatson Act (GL C 15..sect. I(S)), application by i borneowaer for L.liecnse or ptrmlt.,may MC[aCC WC lci o sutus of an'Cropiover u.nocr.TbC Workers' Ccrnpcnution Acti f 1 unoc sand nit: c00% or uus statement will be for•Warcc6 to the Dcrw-anent of indusaial Accidents' Ofncc C lnsu=Cr fat`m .tr rl::aon anc isc iaiiurc to'"iccurc =Vt—Are as rrcuircc under Semon _5A'or�1Gi 15= an lcac co [hc imvnsiuon.of,a'..:.�L �'�°�. ernslsnne or: fine or ur to S1500.00 and/or impruortr::er.t or up to one yea and cvu pcnuues in the form or a Stop Qioric OroC7 and a fine of S 100.ru a day a€a:ns: me. -1:, �K S6) vS— r. SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150 (W) TRAVELERS 176K337-8-94 OAK INSTALLER: ROBERT BURDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179- (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS` & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MP0021014146 (W) •AETNA JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 ` CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 ' (W) PHOENIX INS. - 6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 ' (W) THE PHOENIX UB387K530 J SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS .FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G - `'.HGL 110093 (W) U S F & G 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL. - WC131220178504.4 WELLS: DENNIS SCANNELL (L) TRAVELERS 660873E5627COF92 (W) WAUSAU 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA -: MP0023672849 FRAMERS: ROBERT DORRER,: (L) TRAVELERS ' W680526K991TIA9 (W) AETNA - ..006C00239724'16C 1,i F*i MICHAEL DUFFLEY: (L) COMMERCIAL UNION N$F821356 (W) LIBERTY MUTUAL WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES -`' 01CD1486783 (W) TRAVELERS - 6NUB448K275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO =%:;N60689 (W) WAUSAU INS TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: , . (L) HANOVER INS.. LHN2964649 . (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY -. POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 F INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 `MINE r The Town of Barnstable +; BARNSTABLE.� Department of Health Safety and Environmental Services MASS. 039. �0 '�fO DAa�p Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Faz 508-790-6230 Building Commissioner N Inspection Correction Notice Type of Inspection _. Location �,-� Iw% 1 Permit Number 3o It Owner '` Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: F\ ca�, art .;3- ilk t� ...1� Please call: 508-790-6227 for reeinspection. Inspected by Date �7 9/0