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0063 ASHLEY DRIVE
�j -Ash ) e fir, 3 a 6 t I r2 t Town of Barnstable *Permit#a U Expires 6 months from issu tf�e Regulatory Services Fee BBO Richard V.Scali,Director 11AA�A , APR 212015 Building Division Tom Perry,CBO,Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Lnprint Map/parcel Number (i V Property Address 14 S h -e, d✓ Co., a-y�we M.4 ©26Q [.�Residential Value of Work$ /��� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address' M k' 4 fl i c I� I c y Or �2�►� ry, (/P yLV D 217� Contractor's Name eTtp M A"'ee,�7'^ Telephone Number 50(? At) Home Improvement Contractor License#(if applicable) 3 S Email: A4, sec fi kj 6r ) Cc,t , Construction Supervisor's License#(if applicable) / liworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Q� I have Worker's Compensation Insurance - Insurance Company Name ly Workman's Comp.Policy# Z 3 7 — 2 - Copy of Insurance Compliance Certificate must accompany each permit. . Permit Re uest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ��/ caJ I Z ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#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 v- SIGNATURE: - C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\E)PRESS.doc Revised 040215 f 6 +,. a Mas a 4 Boar sachusetts _D d of Buildin epartment construction Su 9 Regulation of public S License. CSS 7sor S and standa�ety Ti �-p9 Peri h ds n SgmB�ati r��S1 Lowe � p �, soutb Ya��b mad �A COn►nii 0 ssioner �+is� E*piratio OS/I 1/?p1g aan;t U2!s;nog;lam. ten P.1 ;OM dieaa�aaslapnn. „ ,g b99Z0 b'W ' H1f10WZIvA•OS 213MO169, 4 r' J.Alllb311"AHlowu • . 'x — y; 91IZo V`uo;sog L �1SN0O JNI 31i .. t uo!;t In2ag ssau!sng Put sate I� 1i d OT �• _ 33�aawnsuoD jo aagjo :ad�l £90E6f� �uo :o;.uan;aa puno tte�ldx3. 33I 'alup uo!;t ndxa ay;aaolaq a010�I1N0�1N3W3A0adWi 3INOH !` fluo.asn Inp!nlptn ao � 4 z 3 P!Iq�uo!;e�;st2aa taesuaat U0QVlnBag ssagis g tg 'I �o J3V�awo0 o aa!U0 • snRvsrnBts, Town of Barnstable Regulatory Services Richard V.Scali,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 ke fi/7�''SS �� ,as Owner of the subject property hereby authorize /ti )re4 f i 11 to act on my behalf, in all matters relative to work authorized by this building permit application for: Di (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\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 177#0 CO2 pnjomvealdo of 1}?#� xnclt�t e� - I�►��_ ��'�ttd�?I�'of i�a��t�#,►fin.�d�lce'���,►�_t Flop 41 Wq*ells' PO"ensOlOA Tns>�f>tx4w Affidavit B»>�1tler /c9HtrAutnF/1Iec0fi tns./F --ber ARP1if ant.Infs�imation Please I'r�nt Lebly 1'+Ic11� Buetness/f�tsntgatitruitutliv►dual.Y r .,..�.�.)• / .fir 1ty/siat v ycrrtiyy rt �Z4 Y,/ A`e Q a em�lgyer? e4 Ithe�4ppro ells �-1 r, a -- _ T I I `)Tt ot'proj"t(repiveft): L y I axe 4 employe''wig � � � A nw 0 g fiexas col#m �4 'A IaeaanlmtPrss ffvalf ar,Arnr naa�" tl<9i!@ iltre011£611b C4IItr8CT07f1 I I N�. " AIIfi�Net191 ?, I aura sate qn tot at palter- Iss O¢u the attached*- et; I I 7: . m GMpan Is nQan becn� €toye fl,n I I-A�#@ ( DetttQlattazt I IN9 w91 F,'�f9w,itlAtf�ilAlt?°8 _ egmp lI1 lAeAO�e; I amilclsng additrpn, — c r-� _ rettiAed j {Wet3 cq €rr. itta�and it It3 tJ�tetiXtcaY I _ reEl 9tllkaaans I LI i a a ttgment+ner W&pit WD*, 4fflul have yg a �a I 1 a,�rtt�t'x_'tt',np�r��r�ur#qi•p�ufn�tf� I " 1f i,eg t•r *�n p right Ofexe-WOO�y per MOL - uopt�3 a Zv9W-Q. MIX I _ eowp ,usura�ce reetuued.� 'Auk� lscfuf6 tit#heeft! I WAs3 dlsf)fill+tfa! e 6e�lio pg�fcypg �! iYers"fzQ4+penf;ala>;pQli nfpetnn�tiop ¢P 1 oAt eohuaet lglay rs bm_t g$ MOO!> Egttn�they d9i all wwk a Own,We O"no �€t4nt�.�l�As siftst f kl�mi!A P�!#+e�e�►�6e �digating�qeh T6..9'�R�EiQtC?list E AC tlfis IAQIF t$tt6t attaflfPd alb attdifiQpal s$RR!sbcw-iog the n0.7IIR.0¢!1)�sRf►sEUntPiEtQIs 00.t1 6'IttA9 wbOIL"Ql nQt l$Qs2 RnlitfR'a hOiiR, _ _- g.4 RS 1f tlf J*K-9'4tl�Eton,44ye eatplQ3:gs_ , f e d-wy ems! vide PheiQ WQ!4f-rsj cetnp pauc +�AlAAA/AAA erelp.��,eA'�Ih�#�S jJrx@4�t'�A tAt9r�(�f�r�oAIA F;llS4�A4AA 1`AAIiAAr�+At#'f� 4l"�FA t AAA I t ,�S B'� ff! , - - 1. awl mdn le EvimfiQ4 DWI < AAA,jQA'rr,rArr�ree. Job Site A re! / �LG ftxl �at��ep Aflach a copy of the 4 9pke>ns°cO44peewsat#0n p!t)lcy clectat= tfoq page(sh9wing fife ptllicy 4ufm er eAncl eYp�a�tlA>Q date). �cui►ure to Se-cum Covmgp aofggoued uundla•Sccfipxel oQIyf T.c, l 2 can 1ga4 to tbf ampps t(ma-9 Et ail, 1�ettaat ee of a. flimeft i �efrii. �7?ratf YPb "4?; riw *� t�i11 ak�r,an9nyaal�faa t3,q f t n#a CTfIE Lil �.�`'f1RTifiR ae�A a _n _t vP c rr a`tie n r us��.... .a, gel F.n Of up t9 I SQ,QQ A lzty ag to t tt,e t6®1 t41', $e$d ip d that A Copy t�itlu,statement Y be fgri arttet to the ?f#�igg of IMB-4400116,of the DIA for insfirawe enverage veri Ration-, �_ �AAs tAttd�AeeA(#7es oJ'#�;1A,,rt�flint RIA�/ttjeAAtA�Ati�AAA�r�l�rl�;���sl�e is[Ate�rA�corr��t; t tore° ; QR-PAO on notp 09,Agt writ6,n.l7,As Orono t4 be eaAAApletent by eitv nr t9A1'At A01cin -— — T ismin Ag booty Olrcte oete) I 1 Bgaa ofe_attta ,:Building,,Ilepaeteneut'3; ".itry(�'pi clerk �.Irlecirlcal Inspeetoi �.�Iumbinp Tnspeet9r 1 rt-�tct;r 4 nap , CERTIFICATE OF LIABILITY INSURAillICE DATE(MM/DD/YYYVI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHYS UPON THE CERTIFICATE/12/201 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 policendoy(ies) must be endorsed. If SUBROGATION IS WAIVED,—Subject-to the terms and conditions of the policy, certain policies may require an rsement. A statement on i this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SCHLEGEL INSURANCE BROKERS INC 7DRE AUL SCHLEGPF�L 08-771-8381�--1 FAx 34 MAIN STREET (A/C,No 1 508-771-0663 I(A/C,No). CHLEGELINS_CE@GI4AIL.COM WEST YARMOUTH MA 02673 _ — INSURER(S)AgFOROING COVERAGE _ — i w —_— NAIC d .._._. NSURER A:COLONY INS CE INSURED —`----'- Timothy Keating Dba Keating Construction INSURER R:CNA - 54 Lower Brook Road INSURER C -- INSURER D: ----- --` - INSURER E South Yarmouth, MA 02669 ----- — COVERAGES INSUREk F: CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDS NIAMEDSION NABOBVERFOR LHE POLICY PI=RI00 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF .ANY CONTRACT I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIESORD 3CRIBEDI,OHEREENTIS NTH SUBJECTRESPECT ALL TFIECtiE ToS Rt1S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER +— POLICY EFF POLICY EXP A j GENERAL LIABILITY (MM/DD YYYY) IMM/DD YVYY) LIMITS GL3594908 03/20/201403/20/2015 EACH OCCURRENCE X I COMMERCIAL GENERAL LIABILITY $ 1,000,000 - — ��__ �� I03/20/20 03/20/2016 PREMISES(Ea occu ence) 5 500DOD CLAIMS-MADE I X J OCCUR i I _ --- —`� I MED EXP(Any one person) s 5,000 �- PERSONAL B AOV INJURY IS 1,000,000` GEN'L AGGREGA TE LIMIT APPLIES PER: I I GENERAL AGGREGATE ' S 2,000,000 PRODUCTS-COMP/OP AGG s 2,000,000 I POLICY PRO 1 11 LOG I i _ AUTOMOBILE.LIABILITY ~---- _- NY AUTO '(Ea accidenq _ S -------T— —�_— BODILY INJURY Per erson ALL OWNED - SCHEDULED ( p ) g � UTOS Ij AUTOS � I -- _ I I NON-OWNED BODILY INJURY(Per ar,.denq HIRED AUTOS AUTOS - ' II I PROPS TY DAMAGE — �----- (Per accident) S I I UMBRELLA LIAR s OCCUR ! EXCESS LIAB I I— - I EACH OCCURRENCE g Ct1tIMS-MADE j AGGREGATE S I DED I RETENTION s B I WORKERS COMPENSATION S ' AND EMPLOYERS'LIABILITY YIN 0224N37-2-10 03/09/201403/09/2015 W S A U- OTH- 7ORY LIMITS i ANY PROPRIETOR/PARTNER/EXECUTIVE I i ER I OFFICER/MEMBER EXCLUDED? N I A 03/09/2015 03/09/2016 E.L.EACH ACCIDENT IS 100,000 IMandatorY in NH) I I fl yes,IPTIOe under I E.L.DISEASE-EA EMPLOYEE S 100,000 I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s 500,000 1 I ESCRIPTION OF OPERATIONS/LOCATIONS/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 ERTIFICATE 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. AUTHORIZED REPRESENTATIV 1988-2010 ACORD CORPORATION.'All rights reserved- CORD 25(2010/05) The ACORD name and logo are registered marks of A 0 Assessor's map and lot number „ 6:3 `.......... ................. . ?�'��T E T��♦ Sewage Permit number ........:......................................... Z BARNSTADLS, i {_House number .....'..........:.....;.......� ...................................... 9°0 rasa t639. 6� stFaM a` TOWN 'OF BARNSTABLE BUILDING INSPECTOR i APPLICATION FOR PERMIT TO ...................... ... ......................:.....��': .............. ......................................... TYPE OF CONSTRUCTION ........................W . . ............................................................................. ............... .......... ............19A..?'. TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit according to the f Ilowing information: / 2 Location .................. .....:D.e ...............::. ..1- .....................:...:...................................... Proposed'•�Use . ..... l.�ft .................................................................................................... ZoningDistrict ..... ��...`.............................................Fire District ............................ . ................................ ........ Name of Owner:'.. ' ... ...............Address .................................::.. ............ It �••� � Y' ... .... Name of Builder* . ,. ....::.:.. ..Address Nameof Architect .............:..:....:.............::.............................Address .................................................................................... Number of Rooms ........................ .........................................Foundation .... G.!!1z. .:.. ................................... ExieHor ........................... . .... ........................................Roofing .............. . Floors ........... ........ .......... .............. ..,...............................Interior ......................................... Heating ...................................................................................Plumbing .................................................................................. Fireplace ...........:.... .--............................................... .Approximate Cost .............. ... Definitive Plan Approved by Planning Board -----------_______---------__19_______. Area l .................... Diagram of Lot and Building with Dimensions Fee ........... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. /• Name `�. ..... ..!.. ...... ................ VIRGILIC, BENJAMIN 24219 Enclose Deck No ................. Permit for ..... .............................. -A Screen Porch ............................................................................... Location ........ '63- Ashley Drive ......................................................... Centerville f ... ............................................................................... bwner-, ...B.e.n.j.a.min Virgilio V ................... Frame Type of Constructon ........................................... ............................................................................. 4 Fiat ................. .......... Lot .................................. July 15, 82 Nti Permit Granted ........................................19 -7 Date of Inspection .............................. Date Completed ./ ....... 2 d�Q�OfTMETo�~w TOWN OF BARNSTABLE 13MSTOIILE. i 9° 1639. BUILDI-NG INSPECTOR 0 MAX a' APPLICATION FOR PERMIT TO .... L((/.......K.N. ..:.. �.T??.1.14, 1....:.�IAJCr/1.. . ........................................ T YPE OF CONSTRUCTION ...............G!lQ�. ...............;........................................................................................ ......... ......./. TO THE INSPECTOR OF BUILDINGS:. The undersigned hereby applies for La/permit according to the following information: Location ... . .......U3............04�►(����!(....... I�II.. ...................................................................::.................................... ProposedUse ..............1i . .�Aff: /.f?..1................................................................................................................................. Zoning District ............... �. .. r .......................................Fire District ..f . .N �I�Ur��Z....... f.fiPa.V.i /'C................. Name of Owner . . lYJ f....- ..!v.� .....Address ..... !.......................... NameName of Builder ....................................................................Address .................................................................................... Nameof Architect ........... .......................................Address .................................................................................... Number of Rooms / CoAJC,/-G Foundation .... 1!l..l...f.Q............................ ..0..................... Exterior ..............n,,P 1.Gli,✓!i .....................................................Roofing ..................... ✓h/fry?/„ .................................... Floors .............6IQ ...................................................Interior .....................Dhl—vW...�/1........................................ Heating .......... f?/i. D. ....................................................Plumbing ........................ . l... ...6......T..�.`....S............................... Fireplace ................ f4........................................................Approximate Cost............ ....G�............................ Definitive Plan Approved by Planning Board ------------__________________19 Diagram. of Lot and Building with Dimensions ilCUl'S� ' 360 SUBJECT^TO APPROVAL OF BOARD OF HEALTH S Liz ►— gw � i � 0 <C LU ? LUa lSo 10 - -- - -- _-- --_ 9,4 w O 1b c loo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable'regarding the above construction. Name .... .... ... ............ . ...................... Normest Homes Inc. No .15877... Permit for one story. ................................... single family dwelling ............................................................................... Locati _on3 Ashley Drive .......... ................................................... Centerville ............................................................................... Owner .....Normest Homes Inc. ................................................ Type of C frame YP Construction .......................................... i ................................................................................ Plot ............................ Lot ........t1§�.............. f � Permit Granted ...............................ebruary 7 19 73 f ..... Date of Inspection ........... ......... ..............19 r �/ � t6 Date Completed ... .. ....?3 .................19 PERMIT REFUSED 3 ............................. .............................. 19 ................................................................................ �• 4 ............................................................................... ............................................................................... 4 { Approved ...............................................................................