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0163 LAKE ELIZABETH DRIVE
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' , �i yt a '1 4i .. ,. 3 ',. ., . .' r , ; a o ,. . a . 1 s ' TownBarnstable Building w o 6p Must be Retain"Post This Card So That Jt is Visible From the Street A roved Plans ed on lob and this Card Mus`l be Ke` l MuIYli6iABIF, a,�"-Rhu z Y..� .�'i: '-r ,m ,s��d _ „, t u rr yau��i,m w ».4 .:a row u�f ,,.� .. .� r� It yoa r'', " r' • Posted Until Final lnspection,Has;-Been`Made �bW t . pp m °. .of Occu ;imq 'i Re uIred;such,.Building`shall Not.be Occupied-until a',Finil Inspection has been made s Permit l Where a Certificate Permit No. B-16-420 Applicant Name: MEAGHER BROTHERS CONSTRUCTION Map/Lot: 226_071 Date issued: 03/15/2016 Current Use: Zoning District: CBDCV Permit Type: Siding/Windows/Roof/Doors Expiration Date: 09/15/2016 Contractor Name: MEAGHER BROTHERS CONSTRUCTION Location: 163 LAKE ELIZABETH DRIVE,CENTERVILLE " � " `Est:Pro ect Cost� , _ j... $ 10,400.00 Contractor License : 162938 Owner on Record: BARKSDALE,KENNETH P&LISA F Permit'Fee $53.04 Address: 20501 BORDLY CT - Fee Paid:� $53.04 BROOKVILLE, MD 20833 Date ,3/15/2016 Description: re-roof stripping old shingles caselia Project Review Req : M a Building Official w Ar•a b, This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized b this permit shall conform to the approved application and the a rove y p pp `'`` approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be incompliance witlthe local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by therB'uilding and Fire Officials are provided on this permit. 'Minimum of Five Call Inspections Required for All Construction Work:''.f 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection.;: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation - 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 V TV JUL Vl ""A X10 a,""AV- "rermlr ff y20 u� pn Expires 6 months from issue date 4 Regulatory Services Fee BAR\STAHLE. MASS._ . m° Richard V.Scali,Interim Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 o� IL www.town.bamstable.ma.us 2 6 20'16 Office: 508-862-4038 �1 : 508-790- �QgLE EXPRESS PEFMT APPLICATION - RESIDENTUL, Not Valid without Red X-Press Imprint Map/parcel Number Property Address �(-� � �4e ']Residential Value of Work$ to, qco`e Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (� jeo� �C✓ � Contractor's Name_"L 'w b C« . t1��1 Telephone Number Home Improvement Contractor License# if applicable) Email: 1 t° /ram �iVe: Ad" Construction Supervisor's License#(if applicable) C_ �O 2-2 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner L" I have Worker's Compensation Insurance. Insurance Company Name Workman's Comp.Policy#_W_L(_.0C `ZD,:) L-A 2_20 I�j { Copy of Insurance Compliance Certificate must accompany each permit. Permit R st(check box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑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: rty Owner st sign Property Owner Letter of Permission. opy of the ome Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: TAKEVIN_Muilding Changes\EXPRESS PERMITIEXPRESS.doc Revised 061313 t 37ie�'mnu�orrr'rea�tlt rz,�`�ussr�cXi�et�s - .��r�f�efzt {2 60-0 Washfi�gldrr Shee€ Bas€are,AM 02M Workers' Ca peusatia Imm-anco-Af R&vft:Bm-ldexs/Cunfrac ursMecfdcians/PI=bers AppUcaiaf YnfarFnafian j Please•Pit LeaIy Na2neusgann-r�ia �� f "Cil - e� fIs atin -Are . u an employer?Ghec7sThe appropriate bo= ' Type of project(req-iredjc I_ oat a plo rr hith ❑I am a gem a7 eoniractvt and! 6 �New con traciica T� employees(fun a dfof pa t4i.ne�* 1�e hired. su �a3 fo swd on the attached sheet 7- Elmade-ing _Q I am a Sale p titer of Partner- Mese sob-confradors have g_.❑Demolifiom s�aad�e no emplagzAs. employees andbaseoers' ti � iar mat ia- zny capac.,ty 9. ❑BuMag sd��og Coffip_iasu s�4 jbTo,:tio�rs Comm_i=so=ance 1 J;lecfrical r ado 1=cns z�, d 5- ire am a corpenuon d its eP �_❑ !am,a bomeovner doing all vmm ofc�117- a:�rcised=ham ILE]Tlumbiagrepaiis or&dditians M•5'p—lf PTO wadmrs'c=V_ rjebtofesempfibn per MGL 12❑Foozrepaim inc m=_-required_]E C.13Z§t(4).aa(we have no i3_E3 QtT3.ei employees_[T-To wodw& camp-mmranr--requ red_Z °AM hstdnei�bos E 1�a�elso�laat�s� �f�:r aabe-ID shoccoa�c�oMs�apEIrXTixm�� 1�:r,,,,>._.,�,ru�o sa.'o¢ait[�+'an.-c�i'J-"'_.`_.�"'�1• =t�3`$=pia=tg-�a��t�nl�au*�-'a=r�n_���st svbmitare:F�d�-•ett F�;��rnr^ fti.a a_as tr�7cti�bm� t ffisd�ct;n.�l �5bp � n of hs:fierarnatmnseeali sbim-- �ia�23.?ff�sue cR„�,x r7 �taF=r mey x�stP�vidgt t trnise�'ta�p.paTit�comber I arrt arz err ynLoper tlerf is pr4triding urarbet$'conW nsmficrrr inazwarwa for m}r earpivyees $eTo04 is tTleposcy cua ob a informal ar_ Lncnranca CaupangiEa : ] PnTicy r rIf-in£ I ic_ �d LG 0eJL � J� 1piinaI3ata: /'J yob gi� .ddt- 1(� ��!�t � � � l citylSfate� : �-� Att2ch a copy of the workeve co3npensafionpGlic£-decf�aration page(showing the poricy mrsuber and esplr f on dafe). Failure to secure coverage as requirdunder Section 25A o€MGI.m M can lead to the imposition of rdrainal pen33his9 of a T7TFP Lp to 1,2.0�>aG 3nd,`eT one eariu�p sorm as w6ll as civil penaides n to forte of a STOP WGR ,ORDERand_-a . of up to$250-00 a dap aGaiust fne riolafor_ Be advised that a copy-of this statement zy be forrsrded fa the Office o= Testizations of the DIA far ins :caage: tian I do&erevy csriz =der tka arerl psnaIFres pain fhatfits ar ativu proud a i€bw rsrut correct -t 0jTcjaL usA crrr£y. ,'err not wr br in rlds area,ro be-wiupTeted by city artoirn a,Uk&L City or Tom= - •Peradfff:cease a Lnuing-Amihority(circle one): L 13oaid.of Ekolth-3.Buffaag Dqmtnmt 3.Myf Town Qerk 4.p_ec&kal InspeztoF S.Phm if bspccter. 6.0&,Er Contact Person: Phone -- -- - - - 6 R BAftNSrAB1.& t639- ,.� 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 I • F as Owner of the subjectproperty 1 hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: �E---' (Address of Job) Vi gn e of Owner Jate ne &r - �S Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEWN Muilding Changes\EXPRESS PERNIMEXPRESS.doc Revised 061313 1 nIJ t.cn 1 IrlliA 1 C IQ 1JJUCU AJ A IVIA 1 1 cm Ur IIVrUMIRA I IUIV UIVLT AIVU I:UNrrKZ5 NU KIUM 1 J Ut-UN 1 r1t UtH I It-II:A I t MULUtH. 1 Hlb 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 I 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). PROCUCER CONTACT NAME: `Dowling&O'Neil Insurance Ag HO No,E><c,508 775-1620 FAX 973 lyannough Rd,PO Box 1990 EMAIL a/c No:5087781218 Hyannis,MA 02601 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:National Grange Mutual Insuranc l INSURED INSURER B:Associated Employers Insurance Meagher Construction Inc. INSURER C: Timothy Meagher INSURER D: 776 Main Street , Osterville,MA 02655 INSURER E:INSURERF: 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 CONTRACTOR 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 TR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MM/DD MM/DD/YYY LIMITS A GENERAL LIABILITY MPT125OG 1011612015 10/1612016 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S500 000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) S10,000 i PERSONAL&ADV INJURY S 1,000,000 I GENERAL AGGREGATE 52,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 JECT POUCY PRI LOG S I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i Ea accident S ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY Per accident S AUTOS AUTOS ( ) PROPERTY DAMAGE HIRED AUTOS AUTOSNON-OWNED Per accident S { S I UMBRELLA LIAR OCCUR EACH OCCURRENCE S I !EXCESS LIAR CLAIMS-MADE AGGREGATE S I DED RETENTIONS S i BMPENS AND EMPLOYE RV LIABILITY WCC5050054422015A 6/23/2015 06/23/201 X IOBYwe sTaTu- DTH- i ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? � ER Y/N N/A E.L.EACH ACCIDENT S1 OOO r 0 0 _. — _ (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE S100 000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S5OO,000 F i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder is named additional insured for general liability. insurance coverage is limited to the terms,conditions,exclusions,other `limitations and endorsements. Nothing contained in the certificate of 1 insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. 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. - - _ AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S160683/M160682 LS1 MI ` License or r istration valid for mdwidhl use o611 .,; t a Y Office of Consumer Affairs&Business Regulation. tiefore the egpirat�on date if found return to " i9 OME IMPROVEMENT CONTRACTORQffice of Consumer Affairs an'dBusmess ltegulafon egistration 162938 Type ;lOParkPlaza S e51Z0 Boston;lVfA 02 6 Ff Expiration 4/27/2017} DBA g i MEAGHER BROTHERS CONSTRUCTION Air . 4"), MICHAEL,MEAGHER JR :97 EMERALp:LN A . Not v; out signature MARSTONSMILL,MA 02648 " Undersecretary . ; Unrestricted-Buildings:of any use group which ' Massachusetts-Department of Public Safety ,, - contain less t}ian 35,000.cubic feet(99im3)of Board of Building Regulations and-Standards enclosed space Construcfion Super%�isor. tf ` License: CS402260 ' MICHAEL S MEA� HERJR - 97 EMERALD I.A�TE <� Y Marstons Nlills.lV 02648 Failure to possess a current ed�tiogof the tillassaehusetts ` ' }. State Building'Code'is cause foc:revocation of this license. For UP5 Ucensing information visit: www:Mass.Gov/DPS � .,� �4,� Expiration i ` Commissioner_., 11/05/2016 ' .. F