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Home My WebLink About0192 WINDING COVE ROAD �q,Z. v��W��NG- c�v� �� i oFtroy, Town of Barnstable *Permit# Expires 6 mouths from issue(late Regulatory Services Fee • BARNSTABM 9e� i639; ,0� Richard V.Scali,Director �Fc �a Building Division X-PRESS Tom Perry,CBO,Building Commissioner �'�� '7 200 Main Street,Hyannis,MA 02601 OCT 2 3 2015 www.town.barnstable.ma.us Office: 508-862-4038 TOWN 0FaSAMMARLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY V , �j NotValid without Red X-Press Imprint Map/parcel Numbe 1Pro erty Address ' �Ul CUr �� f�/dIs /Y/1/r [Residential Value of Work$ 2 Z.1.600 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L)Ji 1 011 Contractor's Name J d�N '�• ��'/�U�n s 1 Telephone Number S'ay yet yrie Home Improvement Contractor License#(if applicable) 10670 Email: Con uction Supervisor's License#(if applicable) e 5 ,9 6 ii t-ri Workman's Compensation Insurance Check one: ❑ I am a sole proprietor YI am the Homeowner I have Worker's Compensation Insurance Insurance Company Name ! G 0kX 6 _TN/ V/14V(e_ C 0/19�A/10 y Workman's Comp.Policy# a lIJ c 0 V 460 Copy of Insurance Compliance Certificate must accompany each permit. Permit Regts6st(check box) [Y Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ,0W9 C�ygfj/?ID(/1K e{!Z fqiill tN 9 /AND lylAl?/G ode hzi u -Pa vd f e�ocuy 6j��ANOEi Vv plimeirl El Re-roof(hurricane nailed(not stripping. Going over existing layers of roof) y ❑ Re-side , QReplacement Windows/doors/sliders.U-Value of 2 Y (maximum .32)#of windows VZ l UX #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Pr perty O er Letter of Permission. A copy of the Home Improv ment Con ractors License&Construction Supervisors License is ,required. SIGNATURE: 7W7 C:1Users\Decollik\App \LocalUvticrosoft\Windows\Te porary Inte Files\Content.0utloo R\EXPRESS.doc Revised 040215 V/[6�in�iln[onae[rlt�n�Vf"LCIJJC[G![[11�� ffice of Consumer Affairs )Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:' Office of Consumer Affairs and 14usiness Regulation egisfration: 100740 Type: 10]Park Plaza-Suite 5170 Expiration: 6/23/2.016 Supplement Card Poston,MA 02116 CAPIZZI HOME IMPROVEMENT,INC. JOHN STRUMSKI 1645 Newton Rd. Cotuit, MA 02635 Undersecretary of valid without signature .h1 Massachusetts -Department of Public Safety Board of Building;Regulations and Standards i Construction Supervisot License: CS-064,81-F ,± i JOB 1f STRUMS IS AILBDEN AVE i. i Buzzards Bay M9 02�32 , ✓.�� " ' Expiration Commissioner 06118/2016 The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):CAPIZZI HOME IMPROVEMENT, INC Address: 1645 NEWTOWN ROAD City/State/Zip:COTU IT, MA 02635 Phone#:508-428-9518 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 40 employees(full and/or part-time).' 7. Now construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.[J I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.®I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� oof repairs These sub-contractors have employees and have workers'comp.insurance.t / 6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.ff0ther 152,§1(4),and we have no employees.[No workers'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 subcontractors 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:AmGUARD INSURANCE COMPANY Policy#or Self-ins.Lie.#:R2WC527200 Expiration Date:12/25/2015 Job Site Address: / y l` A 1 JU I d d de AU City/State/Zip: 114AXJ jai J A ill j Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as e&a civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A c f this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde the ain ► enalties ofperjury that the information provided above is true and correct Signature: Date: Phone#:508-428-9518 Official use only. Do not write in this area,to be completed by city or town ofjciaL 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#: i Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLE'FOR A BUILDING PERMIT I/WE 1(fieeh l�U SS IOtn, OWN THE PROPERTY LOCATED AT IN d4VS MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780.CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: T ^� OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: . i a31.12 2014 16:49:00 Guard Insurance Guard Insurance Grob 1/1 I i .ACC) 0 CERTIFICATE OF LIABILITY INSURANCE (NMmo nrrr) 1 2DATE 0 2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERI CATE 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 policypes)must be endorsed If SUBROGATION IS WANED,subject to the teens 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 PRODUCER CONTACT NANG. ROGERS&GRAY INSURANCE AGENCY,INC. PHONE FAX i AIC No 434 Route 134 tt INSURERM AFFORDING COVERAGe NAIC® f South Dennis MA 02660 INSURER A: AmGUARD Insurance CDm an INSURED I INsuRER B: I CAPIZZI HOME IMPROVEMENT INC INSURER C: 1645 NEWTOWN ROAD INSURERD; INSURER E: COTUTT MA 02635 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 LAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEoFINsURANCE INSR POUCYNERAM MD C EF AMA LMS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES wsurrenw $ CLAWS-MADE 0OCCUR NEDEXP(Anyanape -1 $ PERSONAL&ADV INJURY S GENERAL AGGREGATE 3 GENT AGGREGATE ULBT APPLIES PEA' PRODUCTS-CONPIOP AGO S f POLICYF—IJECT PRO, LOC S i AUTOMOBILE LIABILITY COMBINED SI I acciftAl 51 ANY AUTO BODILY INJURY/Per Pemm) S ALL O'dJNEO SCHEDULED BODILY INJURY(Per aadenll S AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE S AUTOS acWen S UUBRELLAUAD OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIVSNADE AGGREGATE S DEC RETENTIONS 3 A WORKERS COMPENSATION X. WC STATII- OTI>• i AND EMPLOYERS'UABILRY R2WC527200 12/25/2014 2/25/2;115 t ANY PROPRIETORIPARTNEWEXECUTIVE YIN NIA F-L EACH ACCIDENT S 1,000,000 i OFFICERNO48ER EXCLUDED? E (NandatwV In NH) ELL DISEASE-EA EMPW S 1,0130,000 1 If yyONfader DE SCRIPCRIPI pN OF OPERATIONS h i EL DISEASE-POLICY L@B7 S 1,000,000 1 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(AnaUI ACURD tut.Addidanal Remarks Schad*it mars apace Is regWrad) Thomas Capiz2i Ir is covered by the workers'compensation policy. CERTIFICATE HOLDER CANCELLATION - yRy Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE } 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. f ' AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. AU rights reserved, ACOR1325(201010S) The ACORD name and logo are registered marks of ACORD } k U, 0 r7 I Assessor's map and lot number ......h.;�. � .0) C I Py ................. THE Sewage Permit number ........................................................ 33AUSTAXLE, • House number .......................... .................... qoNASIL 039. TOWN OF BARNSTABLE BULDING S E f I j q mt/cj- APPLICATION FOR.PERMIT TO ........;i" ........ .................................. TYPE OF CONSTRUCTION ........3... ........ ........;I V?4t M,,E ........ ................... .......................�........12.?.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ....... ........Q* �_-.-*�.. ProposedUse ...... mrd e ......... ..... .......................................................................... G�YNy/ Zoning District ........../Z... ...................................................Fire District ...... Name of Owner .... .L A F9.67-Z-7.........Addr ess .... ....... Name of Builder A?4.-C1..V).. .......C,0..zz.,p...............Address V ........... Name of Architect ............. ..................................................... ....................................... ..........Address ................................ Number of Rooms .....I.....".k ... . ......Foundation ................................. ... ... ....... .,........... ................. C.-)................. �Z.S...........Roofing. ..... .145 Exterior .... . ....... Floors Interior .........5.b.ji� ........................... V Heating / - ..................Plumbin ' - " v /.... ..................................g ................... Fireplace) .. .. .......................................................Approximate Cost ..... .. ........... Definitive Plan Approved by Planning Board -------------------------------19_-------- Area ..... .................. Diagram of Lot and Building with Dimensions Fee ....... ...... ..............I..... SUBJECT TO APPROVAL OF BOARD OF HEALTH t two P1 liw ie cH 1116— ly 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 ...40 IAFRATE, JOSEPH A--57-37 rY No 26630.... Permit for .....1 Z..StO .............. Sing1�.F.ami.ly..Ixae7.lirag.................... Location ....Lot 25, 192 Winding Cove Road Marston Mills Jose h Igrate , Owner .......... ..................................................... Type of Construction ..Frame............................. ' Plot ............................ Lot ................................ f � - • i July 2 84 N �• - � � Permit Granted . 19 Date of Inspection ....................................19 Date Completed .....19 ` `,r-O 1-7 9 J�2 SEPTIC Slys A ......Ls map and lot number ...... ................... VS - ,-. Ie j-- y- Py INSTALLED Sewage Permit number ........................................................ WI potj Housenumber ....................... ................................... TOWN OF BARNSTABLE BUILDIN N E APPLICATION FOR PERMIT TO .........P D, .aa 7. TYPE OF CONSTRUCTION ........3.. . ....d:� -7-�..'.`:t.��....... 0Z ....................... . .... ?... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 2 Location .... ....... ...... ......CO X^4— ../ e.. ............Q ........ .. ........ ... ProposedUse ......5;n. le cit.. ......... ................................................................................. Zoning District .........&.1:7..........................,.........................Fire District ..... ..4�1 //e= ...bt.................................. Name of Owner 1A ..........Address ....fln Name of Builder .....(!O.&p...............Address ..... Nameof Architect ................................................ ...........Address .............................................................. .................... Number of Rooms ...... ...k,.. ..........Foundation ............................... ................. Exterior ...........Roofing .....I..... jo . ....t............... ... ....) Floors ...Interior ......... ................................... Heating ........ ..............................................Plumbing ...........1.2./ rT1T.. .................................. Fireplace ... 6.I-.L.--A.........................................................Approximate Cost ...... ...... Definitive Plan Approved by Planning Board --------------—-------------19--------- Area ...... .................... Diagram of Lot and Building with Dimensions Fee ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH -2% rip 19 If 4 ct, 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. Nam . ... ...... ....... . .. .............. ................................... Construction Supervisor's License ... IA,�TE, JOSEPH Permit for ....A.StoKY.............. Single Family Dwellip_g....................... ::...Single Family................ Location t,25,.....192 Windin ..Qove..Bpqad , .....................a ......... .............Mars.........tons...Mills.......... ................................. .... Owner .....qqseph..Iafrate .............................................. Type of Construction ...F.......rame................................ ............................................................................... Plot ............................ Lot ................................ )�rmit Granted ......qu!Y.2.t...................19 84 �-'ate of Inspection -e- ........ .......19. `late CompletecV-7.... .....19 - - DEAjoTEs cB AND 4.3,c t; .s. 30' F.S.F3• Q I S' a ,Jc A55va^i=D A�oTr=G-no+� u►�i=>� Q 6 PALI p F AT}4E G1ttU E r' .4 (� ctl 1 b.05 �1 44Y ' - � 6.e ° OT WA'o5/t' L o ' 0 3e ear C�2-r'IFIED PLcXT' PLA" Lc:57 1s k/ Iu Co✓� Y�A-D H Bola ® 1 U M A- r'o+JS M i L L 5 40' CATE: 6 cLl EST: Goe = I eN=-B`(c:QTt Pd Tl-IAT-r 4E A2=40Se.D EL.L\S SuRVEY1f.►G II.JC . �g NS ; 04 4-7 �I LDI Qs 5Noww a.t "THIS P�AaJ couFo 12M5 To THE ZoL.1 tNb LAWS 4q MUSeC E--r IA+JE DR B`�; -� Q E pF �!k(L►JST�4BLE, M.SA4SS.-* r-NCEPT G>GurE 2v 1l-1 E,/V�A s s•, 0 2b3�- PS"I�-D SHEET l of f MMUF-C>IAuD ---A4NA=14-rZ f1 TOWN OF BARNSTABLE Permit No. t �� Building Inspector cash. .M` . ________________________ ,ego• OCCUPANCY PERMIT Bond ____._�_� I.sued to "8 Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ........................ .:._.............., .......... .........................................._.. ................................................................. Building Inspector JOSEPH D. DALuz _ - 4TELEPHONEt 775-11.20 Building Commiuiontr - EXT. 107 _ y TOWN OF BARNSTABLE BUILDING INSPECTOR • TOWN OFFICE BUILDING HYANNIS• MASS. 02601 i. MEMO TO: Town Clerk , FROM:.* Building Department DATE: May 3, 1985 !I t An Occupancy Permit has been issued for. the building authorized by Building Permit �� 26650 Joseph Iafrate, a issued to Please release the performance bond. `�