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HomeMy WebLinkAbout0021 SHARON CIRCLE o� 1 S�a.r-oh C i r, �. - - - �. . �.. _ _ _ .:�.�- r X-PRESS PERMIT OCT 2 3 2008 Town of Barnstable *Permit# z0o 91 l Si Flvpir'c N hmonisjrnm issue rtnte ` 1 OFBARNSTABRt_ uator yervces Fee t4ARh'bTABLE. Thomas F.Geiler, Director MASS. „ 1639. ,� Building Division Tom Perry,CBO, Building Commissioner 200 Mein 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 Addressg� > "gResidcntial Value of Work�CM Minimum fee of$25.00 for work under$6000.00 Owner's Name& AddressUqS% c' Contractor's Name G Telephone Numberasc 5_1 Home Improvement Contractor License#(if applicable)� _�(� \QWorkman'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 C 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 CQ (maximum .44) *Where required: Issuance of this permit does not exempt compliance Nvith other town department regulations,i.e.Flistoric,Conservation,ctc. r ***Note: Property Owner must sign Property Owner Letterof Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: 0:Fonns:huiIdingpenni is/ex press Revised 123107 r The Commonwealth ot-(V.iassacnusen:,Y Department of Industrial Accidents rD Office of Investigations 600 Washington Street Boston, .lam Oz I Z1 www.mass.gov/dia Workers' Compensation Insurance A,ffiicla-vit: Builders/Contractors lectri dans/Plumbers A-pplicant Ln.forudationCavil nt Inc Please Print Le 'bl Name (Business/OrkmZafidn/individuai): 1.645 Newtown Road Cotuit, MA U?-bdn Address: Tel. 428.951811.800.262.5060 City/State/Zip: Phone.#: Are you an.employer? Check the appropriate box: Type of project(required): [2- . z am a canploycr with 0�3 4. ❑ I am a general contractor and I 6. ❑New construr tion employees (frill and/or part-time).* have hired the sub-contractors ❑ I am a sole proprietor or partner- listed on the attached shaet 7. iZ emodeling I[ ship and bave�PD employees These sub-contractors have g• ❑Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers' comp.-Msu an Cc comp.inerrranc�,t S. [] We are a corporation and its 10.❑Electrical repairs or additions rtqurrcd] officers have exercised their H.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs incrrrance regtrized j t P. 152, §1(4), and we have no 13.❑ Other employees. [No workers' camp.insurance required.] *Any applicant that checks box#1 must also ED out ffic section below showing their workers'eoropcnssAon policy infomratim-L t Homeowncn who submit this affidavit indicating tbey arm doing all work and then hire outside cant—tors must submit a new affidavit indicating such. Tcmtzaetors that ebeck this box must atiachcd an additional sboct showing the name of the sub--anti actm and stain wbctber or not those cnti:6a havo urrploycm. if the sub-contractors have errrploycrs,they must pnrvi dt:their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site inform.ation. Insurance Company Name: lQ — Policy#or Sclf-ins. Lic. C (O�LQQ _ Expiration Date: Job Site Add[rss& \ City/State/Zi \f Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration da-te). Failure to secure coverage as required under Suction 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to $1,500.00 and/or one-year imprison-Lot, 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 layMbRatiOUS of thriDIA for in�ce covers c Yerification_ I do hereby cent under the pa' e Rlttes of perjury that the information provided above is true and cerrect. Si ahrrc: Date: 0 — Pbonc# Official use only. Do not write in this area, to be completed by city or town offtcinL City or Town: Permit/Licenm# Issuing Authority (circle one); 1. Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone M Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their cmployers: pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as "an ipdividual,partnership; association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receivr or trustee of an individual,partnership, association or other legal entity, employing cmployces. }3owever the' e owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall witb-hold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ohapter 152, §25C('n states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance arith the m m-mrc baptcr have been presented to the contracting authority. requircmtnts of this c Applicants "lease fill out the workers' compensation affidavit completely, by checking the boxes that apply to.your situation and, if ieccssary,supply sub-eonfractor{s)name(s), address(cs) and phone numbers) along with their certificitc(s) of „-mance. Limited Liability Companies•(LLC) or Limited Liability Partnerships (LLP)with no•cniploycm other than the nembers or partners, arc not required to carry workers' compensation insurance. If an LLC or LLP does have :mployecs, a policy is required. Be advised that this affidavit may be submitted to the Dcpartmcnt of Industrial ucidcats for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should Ye returned to the city or town that the application for the pcnit or license is being requested,not the Department of ndustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' :ompensaEon policy,please call the Department at the nur4ber listed below. Self-insured companies should enter their elf insurance license number on the appropriate line. 'ity or Towli Officials lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom f the affidavit for you to fill out in the event the Office of Investigations has to coabAyou regarding the applicant lease be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant rat must submit multiple permit/license applications in any given year, need only submit onp affidavit indicating euo cnt Dlicy information(if necessary) and under`Job Site Address" the applicuit should write"all locations in (city or Iwn):"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the rplicant as proof that a valid affidavit is on file for future,permits or licenses. A new affidavif,must be filled out each sar.Where a home owner or citizen is obtaining a license or permit not rclatcd fo any business or cormncrcial venture .c. a dog license or permit to btirn leaVCs etc.) said person is NOT required to complete this affidavit ie Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, use:do not hesitate to give m a call e Depa�iment's address, tcicphone•and fax number. Thu C6mmanwegth of Massachusetts Dg)arimmt-of Industrial Accidents Office of Investigations fiad Washingtan Suet B-ostan, MA 02111 TO. # 617-727-490.0 ext 4.06 or 1-877-MAS.SAFB Fax# 617-727-7749, d 11-22-06 www.mass,gov/dia i • i Client#: 47298 CAPIHOM _ ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0DATE 6112/2008YYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins. -So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1601 South Dennis, MA 02660.1601 INSURERS AFFORDING COVERAGE NAIC# INSURED _ — — ''NsuRE�A. NGM Insurance Company Capizzi Home Improvement, Inc. i INSURER B. American-Home Assurance _ Capizzi Enterprises, Inc. 1:.NsuR=4 c. -- 1645 Newtown Road ---- ---'--'--'-' - INSURER 0 Cotuit, MA 02635 j 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 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 T ER-MS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN NIAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE (POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER ! DATE IMMIDDIYYI DATE(MMIDWYYI I LIMITS A GENERAL LIABILITY IMPS1075H 06/08/08 06/08/09 IIFACnOO(:ukRENCE $1 000000 X COMMERCIAL GENERAL Li, -7 t DAPAAGci O RENTED !�REM;SES(Ea oo rr n S500 000 CLAIMS MADE. 1 X OCCUR' VED cXP;Any one person) $1 O 000 NERSG'NAL&AOV INJURY S1,000,000 !GENERAL.AGGREGATE s2,000,000 _ I [GEN'L AGGREGATE LVWT APPL IES PER I PRO- �RGiJUC lS-COMP/OP AGG s2,000,000 POLICY ------ ---- -- - ------- I �I JECT I I LOCI 1 I AUTOMOBILE LIABILITY ' l COMtd;NEO SINGLE LIMI; i ANY AUTO I(Ea aeaAent) " ALL OWNED AUTOS 6UDh1 rN:URI' SCHEDULED AUTOS (.'er oetscn; $ HIRED AUTOS !NON•OWNEU.AUTOS Ptr acoounq 5 PROrERTY DAMAGE .'Per acoeer•.1) $ GARAGE LIABILITY -- ' AU!0 ONLY•EA ACCIDENT $ ANY AU(O EA ACC $ .01',IE.R T HAN ONLY AGG $ A EXCESSIUMBRELLA LIABILITY ,CUS1076H !06108/08 06I08/09 LGACH OCCURRENCE s5,000,000 X OCCUR CLA!atS,VA,pE (AGGREGATE $5 000 000 DEDUCTIBLE X RETENTION S 10000 B WORKERS COMPENSATION AND !WC6716562 1 12/25107 12/25I08 1X _WC S7Ai U• OTH• EMPLOYERS'LIABILITY !CRY I ITSIER - i ANY PROPRIETOR/PARTNER/EXECUTIVE _ EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED') f yes,oescnbe under rE_ DISEASE-EA EMPLOYEE s500,000_ SPECIAL PROVISIONS below is 7SEASE-"OLICY LIMIT $500,000 OTHER ' ----'—"-• DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.'EXCLUSIONS ADDED BY ENDORSEMENT,'SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable iDATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I f) DAYS WRITTEN 200 Main Street I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR I(REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ..,..... ACORD 25(2001/08) 1 of 2 #S36540/M36539 KW © ACORD CORPORATION 1988 f , ��xe 7oovnmxoouuet��t a�./�aaaac/u.�ar,C� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .f ' Board of Building Regulations and Standards Registrat(.9b; 100740 One Ashburton Place Rm 1301 • ~�� p3NdFoh__6 23/2010i t .. — Boston,Ma.02108 -� 7 leent Card APm CAPIZZI HOME _? N�t�l t RY GUSTAFS©ty 1645 Newton Rd. Cotuit, MA 02635 Administrator No vali itho.t nature Board of Building Regulations and Standards Construction Supervisor License License: CS 74640 B i rthdate: 11/29/1975 Expiration: 11/29/2006 Tr# 6430 Restrictlon: 00 GARY GUSTAFSON y� 8 SHORT WAY SANDWICH, MA 02563 Commissioner Y 'DD Page 1of3 G p,P I Z� J Pern+� PROPOSAL Date: 10/6/2008 FID#80-0014011 U) A W I Home Improvement CSL#: 7454 1645 Newtown Road Registration#: 100740 Cotuit, Massachusetts 02635 508-428-9518 800-262-5060 F. 508-428-1547 Established 1976: Servin the Ca a or Over 30 Years Name: WILLIAM&RUTH BARRETT Job Address: 21 SHARON CIRCLE Address: 21 SHARON CIRCLE City/Town: OSTERVILLE City/Town: OSTERVILLE Job Phone: 508-420-1401 State: MA Other Phone: ZIP: 02655 E-Mail: Estimator: MIKE HURLEY/JACK STRUMSKI Job Number: 32702 We hereby submit specifications and estimates to furnish and install fifteen [15] solid-vinyl creamy white replacement windows with half screens,using the Great Lakes Plygem Lifestyles window system with R-core high-density solid-polyurethane insulation inside the frame and sash(R-23 main frame insulating value). All sash and main frames are fusion welded. Continuous warm edge intercept spacer around all glass reduces thermal transfer. Pl em Lifestyles windows come with a lifetime non-prorated/transferable warranty Yg tY p including glass breakage. — . � QtY: i Type: 15 Double Hung OPTIONS: A. Triple pane with Maxuus double Low E krypton gas-filled, R-10 insulating glass (.21 U-value) (see energy savings Labor& pledge). Materials: B. Triple pane with Maxuus double Low E argon gas-filled, R- i Labor& 7.6 insulating glass (.26 U-value). LMaterials: $ 14,003.00_� C. 7/8"HiR plus single Low E argon gas-filled glass R-4.2 (.32 Labor& U-value). Materials: OPTION: Interior color (circle one): Golden oak natural oak j Labor& colonial cherry, camel, sanstone, or earthtone. j Materials: I-$ Included OPTION. GRID TYPED ALL IN GLASS)_ _ �_ 1. Williamsburg Colonial Grids Color: Labor&Materials: __�i $ Included --- NOTE: Williamsburg and Classic available in all glass. Georgian and Regal available only in double pane. NOTE: Bayshore grids are only available in Classic and Williamsburg(white and camel only). OPTION. White baked-on enamel aluminum trim coverage on 1 Labor& exterior sills a ndows. ; Materials: $N/A Accepted By: Date: 1�' THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL#: ,9�9 70 a 1 Page 2 of 3 OPTION: Furnish and install [1] one prime and [2] two finish coats of paint on window trims. Labor& Interior and/or exterior(circle one or both). Materials: $N/A Interior Color: ' TBD _ Exterior Color: White OPTION: Great Lakes pre-finished Infini-trim interior casings in golden oak,natural oak or colonial cherry to match windows. Labor& Materials: Location of Window(s): I Entire House__ Job Total To Date: NOTE: A small reduction in overall glass area may be noticed after installation. No touch-up painting included unless noted above. Some touch-up may be required on interior and exterior casings. I I All windows that are tilt-in must have bottom sash opened at least 2 to 3 inches before tilting in and top sash must be above bottom sash the same before tilting it in. Deviation from this procedure will cause pivot pin to break and plastic holder to pull out. Charges will be assessed for such repairs. NOTE: If units being worked on have alarms, customer is to contact Alarm Company and be billed direct for any associated alarm expenses. The following specifications are for a full gut job, new construction style installation with no framing changes or opening sizes,not applicable for replacement windows and are not included unless noted: ■ Remove exterior trim. ■ Remove interior trim. ■ Remove window sash, balance system, and window frame back to studs. ■ Install new window using exterior nail flange and new waterways. ■ Install new exterior trim using All exterior fasteners to be galvanized with rust inhibitors. • Install aluminum trim coverage to sill and casing: Yes ❑ or No ❑ Color: ■ Ne x e 'or sill: es ❑ or No If yes,using: Accepted By: Date: THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL#: 3o7o a I . Page 3 of 3 ■ Insulate perimeter of window. ■ Install new interior trim using ■ Install new interior sill: Yes ❑ or No❑. Note: Not included unless noted below—drywall repair, framing changes, or painting. Rot repair included other than items noted above for removal. No siding repairs unless cedar siding one [1] course of new shingles below window. OPTION: Supply and install one [1] 6'0"x 6'8" Great Lakes Slider (R-5). Labor&Materials: We look forward to working with you;please call if you have any questions. Sincerely, 3 YZ V `v&5 Jack Strumski 508-648-9949 7&0� CAPIZZI HOME IMPROVEMENT i I 1 Accepted Date: Za - 7^� THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL#: 3 a ,7o a ,oFTME'O�ti Town of Barnstable *Permit# v�"7 Expires o te « ARVSr'ABLE, C�CJ ss_ Regulatory Services Fee 019. mas F.Geiler,Director . ' . RESS PERM.MBuilding Division SEP ® 7 2006 Torn Perry, Building Comnussioner 200 Main Street, Hyannis,MA 02601 Office: sos-s -" 0 BARNSTABLE Fax: 508-190- EXPRESS PERMIT APPLICATION -' RE SIDENTIAL ONLY Not Valid without Red X-Press Imprint tap/parcel Number InZ'�,—1 coperty Address_ .L/ l A eo ri o��e n V t 1 l� Residential Value of Work / Minimum fee of$25.00 for work under$6000.00 wner's Name&Address ' ' 1 a— m e's Elk 11 1 S C.I mtractor's Name-CapLip +, Telephone Number )me Improvement Contractor License#(if applicable)° instruction Supervisor's License#(if applicable)_ Workman's Compensation Insurance Check one: ❑ I am.a sole proprietor ❑ I am the Homeowner I have Worker's Isensation Insurance arance Company Name ,rkma.n's Comp.Policy# "4 ® Z3 Q py of Insurance Compliance Certificate must be on file. mit Request(check box) —4Re-roof(stripping old shingles) All construction debris will betaken to Q (� �l ❑Re-roof(not stripping. .G'oing over existing layers of roof) ❑ Re-side ❑ Replacement Windows. 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. Home Improvement Contractors License is required. ature ms:expmtrg :063004 Page 7 ot7 j CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES i I STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I' 0� IIQ OWN THE PROPERTY LOCATED AT IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROg TITO MASSACHUSETTS STATE BUILDING A BUILDING PERMIT IN ACCORDANCE WITH 7 , CODE. LESSEE I GIVE MY PERMISSION TO TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER(S): OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: 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: ate: 6/1A/200b TIMe: Ut4U AM TO: (V 9,1,sUH42a1b47 R&(; 1nS. Agc:y. Page: 001 f Client#:47298 CAPIHOM ACCIR& CERTIFICATE OF LIABILITY INSURANCE o6;3/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Ins.Co. Capizzi Home Improvement,Inc. INSURERB: GUARD Insurance Group Capizzi Enterprises,Inc. INSURER C: 1645 Newtown Road INSURER D: Cotuit,MA 02635 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 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INS DATE MMIDD DATE MM/DD A GENERALLIABILITY MP010707 06/08/06 06/08/07 EACH OCCURRENCE $1 OOO 000 j X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $500,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY S1 000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 POLICY F JECT LOC A AUTOMOBILE LIABILITY M1010707 06/08/06 D6/08/07 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $500,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OW AUTOS ATOS (Per accident) $ X Drive Other Car PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSNMBRELLALIABILITY CU010707 06/08/06 D6/08/07 EACH OCCURRENCE $5 000 000 X I OCCUR CLAIMS MADE AGGREGATE $5 000 000 $ DEDUCTIBLE $ X RETENTION $10000 S B WORKERS COMPENSATION AND CAWC702365 12/25/05 12/25/06 X WCSTATU- OTH• FR EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 000 1 yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #M22681 MEE 0 ACORD CORPORATION 1981 i �• •;�: ') Cl�flc(' r!j t'!11'r•�7l�;piit)l7,1' NA'��r���>rti' A.ffidnvii: BI)i) ei-SICmtmrir�?sly{��c�c .sic �xas/ ' ux �1:►�r;; 173lC: �3:3�s>3�ess/U�'?ar�iLaiit>1i/Jr�c�iVit3ual). CBUIlli Home Improvement Inn. ."5-N ewl a/,gin-gn-nr1 ids c;Ss: Colult, MA 02635 ' Tel,42&9518 �. 800•262-5�60 __. Ma013e ,�°t3xx axa exxx,�Ioper��3aec.3;.�,e.a��ro�3.�ai.,��3flx: • I aaxi a e lo3rer _ c o rojca(regWred): 9 am a 91MMl contradormd I alre +d.tbe sub-co (orS 6. Tqm nonstmchor T a 'a sot j�'ropaie10T-ozpar(3er- listed on&c attacbed sX xt 4. 7. El Rz'model-ing s 'and leave MD erqployees Tb6se sub-WDtMciorshwt ; 8. De=ligon r'I'0--'fig for 3ne io any CVaciiy. WOJJC,ers' coip. s avice [No WOTke3t'coif:Mprance 9. ElBm2dizcg addilo�' Wc are a cor�orat3on anal� - require:d-] ott ers b2v(--exercised the Eleci�cal r ates or addbionS I a a lam er doing ail W -L '• '. ��t.Of4:-,.e�tiox+pezA4C�L II-E] l.'lnmb�g maim oz addrLons 7:?C S No warl-eis, co ra3aceae � ; -• c.152,§l{•9),and v,relave no iZ Roof lo�rt 5_. o•%�i7oi�iCTS' 1-4--pairs Cow-3T�Sm-ancf ro�r_a=incoQ�s:�3 cz;s flow mud so�1 aut�e i r �I��le a1,0 zubexiibis V sccYioabzlow-, ovigtieir-VI3M& 03i 3�E0 �� 3io& —dic�ig x" - ' ci os-no7 ecktiffs Doi.MMIS,s#ac3ied a� sii e<<oz�.ana men i re Qz�dcmniescYors zsdtsLsu37�d s aera S day d a+tTicsiing snc� �on�i a„�is3iorriug$�ea,�e of ilxc sub maiacYors and met o`aur�s'ram_policy �•z��:73��'�'�Jzrr1�.,�r'�ricii7z�•�•r�o�h,ers'cna � •' - ,���� .. nperzs�arz z�•zsxr�:�•zre,�,orrnp�,p�,o��.�s 3'3n�or��;s�ie�.p ��xzzd'�'Q;ri s.�!e ' - re.;,c�z��y.Namt- adz-ems: - . • • • ' ' a c-ppy of die ymx-kex zcSa�on oXicp dec araijo).page{�w�Ule Policy a ex alad expi miior, rlaie-)_ io st:c,50 ��re�e as�nircd x�nder Simon 23A c3f�-GL c_ 352 ca lead tD ibeim�oscxa of�����eualiies of a ,. to 3,�Ut)_�CO and/oz one-�.e ��,sonmextt,as Well aS cit���iiesin i �r�o�a��c3�'TVC)p 0��mad a�e $25 0_( 0 3 tla3r,,-M st;the Violator- Be ad•�r3sed ilxai a cod,►oft33iS si�icmemi 3�oe fox >a Er3 o tie Q bf 9�om s +of ine D.A for i as�ran�bo srepge�s* ised l ai a .+jpgt;Fwj'4int age �ni�uus✓iou,�y a�r`r rS:rrb ���;s i rz�xd rr z�se[Tzr�jz D0 not yYrx a zxzthis areo� 0 be rcozzoxe]`adhj> T h3.A11VIXOxi;(.)' (Cirde AJQC): oaxd o ealt�Itla6r z, ?artcaex�i 3_ Pt,YrrO"%Gerk 4.Bectrica�baspect.or 5_kln mbing InspectorInspector. 9Xe 0'z Board of Building Regulations. and Standards One Ashburton Place - Room 1301 . Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 100740 Type: Private Corporation Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card.Mark reason for change. DPS-CAI Ce 5OM-04105-PC8698 Address Renewal 0 Employment Lost Card /ze �a»��wauoea o�./I/�aaaac�iueelld J3�= Board of Building Regulations and Standards _ License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ Registration: 100740 Board of Building Regulations and Standards Expiration:' 6/23/2008 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma. 02108 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi,jr. 1645 Newton Rd. _ t�- Cotuit, MA 02635 Deputy Administrator Not valid without signature - !I .. � °"znur�"ea�q�'./�aatasc�ur�eCza ' . - • . - BOARD OF BUILDING REGUI�4TTON License: ;CONSTRUCTION S A, Number:QCE 057032 i Birthdaee 963 ' {;r'is-:=--•3�_912E1.7 .. is•.•.- ..�; F�cpi e5'0 /2fi%2007 ^' -h THOMAS>( CAP1 1645 NEWT 4 Qf , f OWN COTUIT, MA 020W Corhrnfs�F,-r-e,- 4 - I Home f Improvement Inc. I, Thomas Capizzi Jr., owner of Capizzi Home Improvement, hereby authorize Lisa Haworth, to sign on my behalf for permit applications filed through the town. Signed: Thomas apizzi, r. Date: rLa'Haworth Date: P� 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 ". TOWN OF BARNSTABLE Permit No. 22746 Building Inspector 1 SAUSTA ti a Cash -- — / peso• �e f _ XX OCCUPANCY PERMIT •Bond _ "No building nor structure shall be erected, and no land, building or structure sha 1 be used for a new, different, changed, or enlarged use without a Building Permit therefor t first having been obtained from the Building Inspector. No building shall'be occupied until a certificate of occupancy has,been issued by thegrBuilding Inspector." Issued to Spiros Bal/odimas Address Hyannis Lot 443 2/1 Sharon Circle Ostervillf-- Wiring Inspector Inspection date � Plumbing Inspector` �; 'ff// Inspection date tz n Gras Inspector A is Inspection date N.Engineering Department LG� � � Inspection date THIS PERMIT WILL NOT BE VALIDP-'AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. / Building/Inspector 110 C-�A275,n[�ti: �SZ.1 f.tflE� � b,dl L\-( PL_OV,/ = Ito -^330 G.p.,V. 41 r p9 USA 1 OOp F AL_. F 1-7>I2PC54L PIT - LASE_ IOoo GAL, `= t t�-WQ.LL A2EA _ tSo s.F. � . So sue. A t .o So C-P I . op 23 Pfo?j \ ToT,&L 'DesiesJ - 425 G•RD: \ L TbT,4 L_ t>al L_-f F'LOw = f 1 C Pmwcc>L& tOtJ �ZL�TE lk °� q7 .i.�` 1 6 �It N' �" " '' � 1';. ` , . , , ---- • ' _ . . . o Sly TEST Tor Fwo Noc.E- FG s 50 o. � • 4 Lam �"Five loco IIJV ;� uv 1 ��5011� !�'pPb � IW. GAL. A&I Z -Box 40•1; Sepnc 10 V. „? IW c-oA174a IODO 4&.o � � sAid� GAL. IwV. 3 LEgcN 4G z A _ PoT WAS FM ' CEQTt1=1EL7 }PLC)-r S . LOCATIa>J �it✓ S Wo SCA.I.�- SG.ALC; (1� ' ll'd Bo I�o• Arm. � t�t�-r� I GGfZTI =-,f 'r14AT TINS �-- IV-e �! >30 t-Ov►J1aA.T1'D l� 5 uow►J Pt.A�.,! 1Z T��C R E!.!G 1�F•.P.Lt�1J C0AAPL'-eS W IT" T► G: --jl DI=.LI WE: Quo Sc,rt;ACV VC-QUICEMcWTS o1= T► C LoT 4--i> Zow►J of -$A(2Ae7 'A('-3i-tom PATE 1 I4 180 ... �' �L ��. 32.G. �G • �1 I 7FOt> IZ j4l&, �2CGlS f'LRGD "WG e)uzv`Yo2S T141-S FLAW IS LJOT AW OSTEC'VU-UL ;: IIJr,(C?;Je✓tC_�.1; �,Uc:a/t��{ 4 Ti4L� SI-ACIJla APrpt.1C_A.tiJ'T' 1�•►c:r �'.G:. U=>L�� i"r� 1�r.--.�1'r r_M 1►J�� Lo'r t_I IJi�� Co sTHE Sewage Permit nur�be 2, :M MUST at mPLIANC INSTALLED IN CO t639- TOWN OF 'BARNST tE WOR TO THE 'INSPECTOR OF BLjILDINGS: .4 The undersigned hereby applies for a permit according to the following information: Name of Owner � Nameof Builder .......2owe................................................Address .......................................... ............................................ ' Name of Architect ----------.-----------�A66res -----------'------------..�---. ` � . ^� Number of Rooms -----'��--------------.�Foun6o�o� ..............���,�����-------________. ` � Exie,io, —' /,0�W)..6.jz. ,ce.........................................Roofing ' ------------- ' . '�. . Floors .....W. AQ4..r0.jXA#.4ok...............................................Interior ----_..`___________ Heohng —. —'—^ -----^---------'F1um6ng .. ..��. -----.----..,--.� ` ` . . Fireplace -------.-----------------..App,oximote Coo —.-----_--_______, ' Definitive Plan Approved by Planning Board lgu>e_ Area ...e�tr�!q....... Diagram of Lot and Building with Dimensions Fee ____'^�._��.____. � ~_ SUBJECT TO APPROVAL OF BOARD DF' HEALTH ' � I hereby agree to conform to all the Rules and Regulations of the.Town of Barnstable regarding the above ' .. ` . ^ � � ' ' ^ _ . . ' . � . � � � 04.\.!�� ' ' � BALODIMAS, SPIROS No ..24274.6.. Permit for „One .....1./.2....Story ............ Single Family Dwelling ............................................................................... Location ...,Lot...#.4.3....2.1....Sh.ar.o.n...C.ir.c.le . .. .... .... .. .. Osterville ............................................................................... Owner .........Sniros Balodimas ..................................................... Type of Construction ....F.....rame................................. ................................................................................ Plot ............................ Lot ................................ Permit Granted ......De.c.em.b.er....9..........19 80 .... .. .... .. .... Date of Inspection .............................. 19 QQ Date C plet ... . .....19 SY .............. FP. W -,-.-PERMIT REFUSED ........ ......................................... 19 .................... ... .... ..... .... .............. S m ...... ..... ...... .... ................................................................. ................................................................. Atro gy ................................................ 19 ....... ... ....alit.,............ . . .... .. .... .. ............ 'to ..... .......4 ......M.... ............. ......................... Ile Assessor's map and lot number ..../'..:::......................... CF TN E TO` f Sewage Permit number/,., .��.)...7 ...................... �Q ..................... Z BAHB9TODLE, i '!House number ............................�.1.............. 90 NAIL O sb)9• 9� f a MPY a` TOWN OF BARNSTABLE BUILDING INSPECTOR i APPLICATION FOR PERMIT TO ......... ...........................................°.......................................... TYPE OF CONSTRUCTION ........92094.../.eD..ZF9A71z.............................................:............................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location k o .......T:...Y.3...:..�KVea4.1...G./.lt.j�...b r.....C�sT.�.�t�r....�.c�.;..��?4.�.........................:................................................... ProposedUse MO. e........................................................................................................................................................... Zoning District ........Fire District .................. Name of Owner S �A7OS.. f94��1.dYl!/�.�.............................Address 3�5�, D?L /r/L/C ! �...... ..��.....�,�... .. �� s,................. Nameof Builder .......,..Uwe ................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................. ............................................Foundation .............5-My Z .............................................. Exterior .......C.$.-AAF..5,-.Y1A16,C .. S S! �........................................Roofing ./1.�C�lly�f......:.. .....� ........................................ Floors ..... ................................................Interior .Sft��tTGC . ....................................................... Heating ....?IH.eU.........0.1.6..............................................Plumbing ../...1�e C� � ��...l`..... Fireplace ......'..........................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -------,2_ja____>_-----------19 J _. Area ...16lJ ......................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name......... !.�?.c .............d�� .� a c .. .............. | ~ B~L~D^^~^~ .^ ' One l/ 2 Story No � 7.4.� for .................................... ' | Single Family Dwelling --'—'---'------------'-----' ! ` LocationLot #43 21 Sharon Location ---------------------. ' Ooterville --------.-----------------.. � Owner — Spiros Balmdimao --------------------- ' ^ Type of Construction ..Frame------_------ � � --------------------------. � - � ^ � ` 80 Permit Granted � ""'= of Inspect= ' ' ~ / ~~'~ Completed | ` _ ! . � , PERMIT REFUSED / . . . ___--_-----.------/---. lV � - � � ` ----'----~--'' —' ' ----'' ~ .—. . 4 -- —.^:--- ..................... ....... / � \ �d i y\ � � / //�� � ----^''. —'''t�'°''~--~—^ ''\°�~~'---- � ' ................................................ lg ' � � ------------.—.--~---...---. + � --.-----..----------.-----~..— � ! �����